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Japanese

Occupational therapy for contracture and adhesion of the flexor tendon after dorsal fracture-dislocation of the proximal inter-phalangeal joint: A case study Naoto Onmura 1 , Ryota Takatori 2 , Tatsuro Hayashida 2 , Yasuhiro Fujiwara 2 , Taku Ogura 2 1Department of Rehabilitation, Nantan General Hospital 2Department of Orthopedics, Nantan General Hospital Keyword: (PIP関節背側脱臼骨折) , 関節拘縮 , (早期運動療法) , Dorsal fracture-dislocation of the proximal inter-phalangeal joint , Joint contracture , Early mobilization pp.285-290
Published Date 2013/6/15
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 The case underwent two surgical procedures and occupational therapy for contracture and adhesion of the flexor tendon after conservative treatment fixed at the extension position for dorsal fracture-dislocation of the proximal inter-phalangeal joint. Flexor digitorum profundus sliding exercise, active place and hold, and mild resistance exercises were performed to improve adhesion of the flexor tendon and range of flexion motion. Stretching and contraction exercises of the lumbrical muscle and muscle strengthening exercises of the inter-osseous muscle were performed to improve the range of extension motion. Thus, occupational therapy led to improved range of flexion and extension motion of the proximal inter-phalangeal joint. This case suggests that fixed positions in the initial treatment and early occupational therapy are important for treatment of dorsal fracture-dislocation of the proximal inter-phalangeal joint.


Copyright © 2013, Japanese Association of Occupational Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会

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