Finger movement function after ultrasound-guided percutaneous pulley release for trigger finger: effects of postoperative rehabilitation

Szu-Ching Lu, Li-Chieh Kuo, Hsiu-Yun Hsu, I-Ming Jou, Yung-Nien Sun, Fong-Chin Su

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: To develop and test a postoperative rehabilitation protocol for use by individuals with trigger finger undergoing ultrasound-guided percutaneous pulley release.

Design: Nonrandomized controlled trial.

Setting: Hospital and local community.

Participants: Individuals suffering from trigger finger with joint contracture (N=21) were recruited and grouped into an intervention group (n=9) or a control group (n=12).

Interventions: All the participants underwent the same surgical procedure performed by the same surgeon. A 4-week postoperative rehabilitation program was designed based on the wound healing process. The intervention group received postoperative rehabilitation after the surgery, whereas the control group received no treatment after the surgery.

Main Outcome Measures: The finger movement functions were quantitatively evaluated before and 1 month after the surgery using a 3-dimensional motion capture system. The fingertip workspace and joint range of motion (ROM) were evaluated while the participant was performing a sequential 5-posture movement, including finger extension, intrinsic plus, straight fist, full fist, and hook fist.

Results: The intervention group demonstrated significantly more improvements than the control group in the fingertip workspace (49% vs 17%), ROM of the distal interphalangeal (DIP) joint (16% vs 4%), ROM of the proximal interphalangeal (PIP) joint (21% vs 5%), and total active ROM (17% vs 5%).

Conclusions: This pilot study evaluated a postoperative rehabilitation protocol for trigger finger and demonstrated its effects on various finger functions. Participants who underwent the rehabilitation program had significantly more improvements in the fingertip workspace, ROM of the DIP and PIP joints, and total active ROM.

LanguageEnglish
Pages91-97
Number of pages7
JournalArchives of Physical Medicine and Rehabilitation
Volume96
Issue number1
DOIs
Publication statusPublished - Jan 2015
Externally publishedYes

Fingerprint

Articular Range of Motion
Fingers
Rehabilitation
Joints
Control Groups
Finger Joint
Contracture
Posture
Wound Healing
Outcome Assessment (Health Care)

Keywords

  • adult
  • aged
  • female
  • fingers
  • humans
  • male
  • middle aged
  • movement
  • orthopedic procedures
  • physical therapy modalities
  • postoperative period
  • range of motion, articular
  • trigger finger disorder

Cite this

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title = "Finger movement function after ultrasound-guided percutaneous pulley release for trigger finger: effects of postoperative rehabilitation",
abstract = "Objective: To develop and test a postoperative rehabilitation protocol for use by individuals with trigger finger undergoing ultrasound-guided percutaneous pulley release.Design: Nonrandomized controlled trial.Setting: Hospital and local community.Participants: Individuals suffering from trigger finger with joint contracture (N=21) were recruited and grouped into an intervention group (n=9) or a control group (n=12).Interventions: All the participants underwent the same surgical procedure performed by the same surgeon. A 4-week postoperative rehabilitation program was designed based on the wound healing process. The intervention group received postoperative rehabilitation after the surgery, whereas the control group received no treatment after the surgery.Main Outcome Measures: The finger movement functions were quantitatively evaluated before and 1 month after the surgery using a 3-dimensional motion capture system. The fingertip workspace and joint range of motion (ROM) were evaluated while the participant was performing a sequential 5-posture movement, including finger extension, intrinsic plus, straight fist, full fist, and hook fist.Results: The intervention group demonstrated significantly more improvements than the control group in the fingertip workspace (49{\%} vs 17{\%}), ROM of the distal interphalangeal (DIP) joint (16{\%} vs 4{\%}), ROM of the proximal interphalangeal (PIP) joint (21{\%} vs 5{\%}), and total active ROM (17{\%} vs 5{\%}).Conclusions: This pilot study evaluated a postoperative rehabilitation protocol for trigger finger and demonstrated its effects on various finger functions. Participants who underwent the rehabilitation program had significantly more improvements in the fingertip workspace, ROM of the DIP and PIP joints, and total active ROM.",
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Finger movement function after ultrasound-guided percutaneous pulley release for trigger finger : effects of postoperative rehabilitation. / Lu, Szu-Ching; Kuo, Li-Chieh; Hsu, Hsiu-Yun; Jou, I-Ming; Sun, Yung-Nien; Su, Fong-Chin.

In: Archives of Physical Medicine and Rehabilitation, Vol. 96, No. 1, 01.2015, p. 91-97.

Research output: Contribution to journalArticle

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T1 - Finger movement function after ultrasound-guided percutaneous pulley release for trigger finger

T2 - Archives of Physical Medicine and Rehabilitation

AU - Lu, Szu-Ching

AU - Kuo, Li-Chieh

AU - Hsu, Hsiu-Yun

AU - Jou, I-Ming

AU - Sun, Yung-Nien

AU - Su, Fong-Chin

N1 - Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

PY - 2015/1

Y1 - 2015/1

N2 - Objective: To develop and test a postoperative rehabilitation protocol for use by individuals with trigger finger undergoing ultrasound-guided percutaneous pulley release.Design: Nonrandomized controlled trial.Setting: Hospital and local community.Participants: Individuals suffering from trigger finger with joint contracture (N=21) were recruited and grouped into an intervention group (n=9) or a control group (n=12).Interventions: All the participants underwent the same surgical procedure performed by the same surgeon. A 4-week postoperative rehabilitation program was designed based on the wound healing process. The intervention group received postoperative rehabilitation after the surgery, whereas the control group received no treatment after the surgery.Main Outcome Measures: The finger movement functions were quantitatively evaluated before and 1 month after the surgery using a 3-dimensional motion capture system. The fingertip workspace and joint range of motion (ROM) were evaluated while the participant was performing a sequential 5-posture movement, including finger extension, intrinsic plus, straight fist, full fist, and hook fist.Results: The intervention group demonstrated significantly more improvements than the control group in the fingertip workspace (49% vs 17%), ROM of the distal interphalangeal (DIP) joint (16% vs 4%), ROM of the proximal interphalangeal (PIP) joint (21% vs 5%), and total active ROM (17% vs 5%).Conclusions: This pilot study evaluated a postoperative rehabilitation protocol for trigger finger and demonstrated its effects on various finger functions. Participants who underwent the rehabilitation program had significantly more improvements in the fingertip workspace, ROM of the DIP and PIP joints, and total active ROM.

AB - Objective: To develop and test a postoperative rehabilitation protocol for use by individuals with trigger finger undergoing ultrasound-guided percutaneous pulley release.Design: Nonrandomized controlled trial.Setting: Hospital and local community.Participants: Individuals suffering from trigger finger with joint contracture (N=21) were recruited and grouped into an intervention group (n=9) or a control group (n=12).Interventions: All the participants underwent the same surgical procedure performed by the same surgeon. A 4-week postoperative rehabilitation program was designed based on the wound healing process. The intervention group received postoperative rehabilitation after the surgery, whereas the control group received no treatment after the surgery.Main Outcome Measures: The finger movement functions were quantitatively evaluated before and 1 month after the surgery using a 3-dimensional motion capture system. The fingertip workspace and joint range of motion (ROM) were evaluated while the participant was performing a sequential 5-posture movement, including finger extension, intrinsic plus, straight fist, full fist, and hook fist.Results: The intervention group demonstrated significantly more improvements than the control group in the fingertip workspace (49% vs 17%), ROM of the distal interphalangeal (DIP) joint (16% vs 4%), ROM of the proximal interphalangeal (PIP) joint (21% vs 5%), and total active ROM (17% vs 5%).Conclusions: This pilot study evaluated a postoperative rehabilitation protocol for trigger finger and demonstrated its effects on various finger functions. Participants who underwent the rehabilitation program had significantly more improvements in the fingertip workspace, ROM of the DIP and PIP joints, and total active ROM.

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KW - aged

KW - female

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KW - male

KW - middle aged

KW - movement

KW - orthopedic procedures

KW - physical therapy modalities

KW - postoperative period

KW - range of motion, articular

KW - trigger finger disorder

U2 - 10.1016/j.apmr.2014.09.001

DO - 10.1016/j.apmr.2014.09.001

M3 - Article

VL - 96

SP - 91

EP - 97

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

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