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The Journal of Sports Medicine and Physical Fitness 1999 September;39(3):249-52

language: English

A new ther­mo­plas­tic ­splint for prox­i­mal inter­pha­lan­geal ­joint flex­ion con­trac­tures

Benaglia P. G., Sartorio F., Franchignoni F.

Service of Occupational Rehabilitation and Ergonomics, “S. Maugeri” Foundation, ­IRCCS Rehabilitation Institute of Veruno (Novara), Italy


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Background. Aim of ­this tech­ni­cal ­note is to ­describe the fab­ri­ca­tion pro­ce­dure of a new ther­mo­plas­tic stat­ic-pro­gres­sive ­hand-­based ­splint for PIP ­joint flex­ion con­trac­tures, and ­report its ­effects in the treat­ment of a ­small ­group of sports­men.
Methods. The seri­al-stat­ic ­splint con­sists of a ­short met­a­car­pal gaunt­let ­base, ­with a ­hole for the ­thumb and a dor­sal fin­ger gut­ter ­that ­extends to the dis­tal extrem­ity. A low-tem­per­a­ture ther­mo­plas­tic mate­ri­al, two ­loop fas­ten­er ­straps, ­three ­small piec­es of ­self-adhe­sive ­hook fas­ten­er and cool­ing ­spray are ­required. The ortho­sis has ­been test­ed on ­four pro­fes­sion­al vol­ley­ball ­players (3 ­females and 1 ­male), ­aged 18-24 ­years, suf­fer­ing ­from PIP ­joint flex­ion con­trac­tures ­after trau­mat­ic ­hand inju­ries ­occurred 2 to 3 ­months ­before. Patients ­wore the ­splint for 1 ­hour fol­lowed by 1 ­hour of ­rest (6 ­times per day), for 2 to 3 ­weeks. During the rest­ing peri­ods ­patients per­formed a few ­sets of ­active ROM exer­cis­es at ­their PIP ­joint.
Results. This new ­splint ­design dem­on­strat­ed to be effec­tive in ear­ly recov­ery of com­plete PIP ­joint exten­sion and sub­jects ­resumed ­soon ­their ­sports activ­ity.
Conclusions. Our ­device is ­easy to fab­ri­cate and to use and com­fort­able for ­patients.

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