The Experts below are selected from a list of 189 Experts worldwide ranked by ideXlab platform
Brook Fowler - One of the best experts on this subject based on the ideXlab platform.
-
longitudinal outcomes following a randomized controlled trial of Dynamic Splint stretching for carpal tunnel syndrome
Hand, 2016Co-Authors: Buck F Willis, Brook FowlerAbstract:Background: The incidence of carpal tunnel syndrome (CTS) is 48 million patients in the United States. The purpose of this longitudinal study was to determine whether DynaSplint stretching (immediately after diagnosis) had an effect on a patient's decision to seek surgical treatment for CTS. Methods: Fifty patients (10 men, 40 women, mean age 51.2 ± 12 years) were recruited for this randomized, controlled, longitudinal trial. Patients were diagnosed with CTS by physical examination and nerve conduction studies. The intervention used was DynaSplint stretching that delivered a prolonged duration of low load stretching. Patients who were randomly chosen for the Experimental category wore the device for two 30-minute sessions per day with regular increases in Splint tension for 60 days. Control patients received nonsteroidal anti-inflammatory medication plus instructions on daily home stretching. Results: The final, longitudinal outcome showed a 72% reduction in surgery chosen by the experimental group (n = 25), compared with 38% reduction for control patients (n = 25). Conclusions: Immediate treatment with DynaSplint stretching showed a 2 to 1 reduction in surgery, with abundant financial savings.
O G Titley - One of the best experts on this subject based on the ideXlab platform.
-
a prospective controlled randomized trial comparing early active extension with passive extension using a Dynamic Splint in the rehabilitation of repaired extensor tendons
Journal of Hand Surgery (European Volume), 2002Co-Authors: D L Chester, S Beale, L Beveridge, J D Nancarrow, O G TitleyAbstract:This prospective, randomized, controlled trial compared two methods of rehabilitating extensor tendon repairs in zones IV–VIII. Group A patients followed an early active mobilization regimen and Group B patients followed a Dynamic Splintage regimen. Data on 19 patients in Group A and 17 patients in Group B were collected at 4 weeks and at final follow-up (3 months median follow-up for both groups). Extension lag, flexion deficit and total active motion (TAM) were measured. At 4 weeks, patients in Group B had a better TAM (median 87%, range 56–102%) compared to patients in Group A (median 77%, range 52–97%). At final follow-up, there were no significant differences in the results of the two groups. There were no ruptures in either group.
Yoshiki Tokura - One of the best experts on this subject based on the ideXlab platform.
-
Successful treatment of postburn flexion contracture in fingers of early childhood with Dynamic Splint therapy after operation: long-term follow-up
European Journal of Plastic Surgery, 2017Co-Authors: Masao Fujiwara, Takahiro Suzuki, Hidekazu Fukamizu, Yoshiki TokuraAbstract:Background Infants or early childhood individuals are prone to be burned on the palm and fingers, since they tend to extend their hands to the heat source. Wounds with more than 3-week-prolonged ulcers frequently result in flexion contracture. Despite successful surgery, the outcome might be unsatisfactory because of postoperative contracture. This study aims to investigate the effectiveness of our Dynamic Splint therapy following operation of postburn flexion contracture of fingers in infants or early childhood. Methods Ten patients with postburn flexion contractures were enrolled in this study. After epithelialization of wounds had been completed, surgery was planned. Contracture was released by scar incision, and full-thickness skin was grafted. Postoperatively, the finger joints were fixed at the extended position with the Kirschner wires for 3 weeks. After the fixation was released, Capener-type Dynamic Splints were worn for 2 years. The functional outcome was assessed by measurement of total active motion (TAM). The aesthetic outcome was assessed using Vancouver scar scale (VSS). Results The mean postoperative follow-up period was 49.6 months (range 31–81 months). In all cases, contractures were released, and all skin grafts were completely taken. None developed late contracture. The mean postoperative TAM of the fingers (259.6 ± 2.54) was significantly higher than the preoperative one (148.0 ± 51.5). The mean postoperative VSS (1.40 ± 1.14) was significantly lower than the preoperative one (5.53 ± 0.50). Conclusions Our treatment protocol provided the excellent functional result and improved the aesthetic appearance. Level of Evidence: Level IV, therapeutic study.
-
Successful treatment of postburn flexion contracture in fingers of early childhood with Dynamic Splint therapy after operation: long-term follow-up
European Journal of Plastic Surgery, 2017Co-Authors: Masao Fujiwara, Takahiro Suzuki, Hidekazu Fukamizu, Yoshiki TokuraAbstract:Background Infants or early childhood individuals are prone to be burned on the palm and fingers, since they tend to extend their hands to the heat source. Wounds with more than 3-week-prolonged ulcers frequently result in flexion contracture. Despite successful surgery, the outcome might be unsatisfactory because of postoperative contracture. This study aims to investigate the effectiveness of our Dynamic Splint therapy following operation of postburn flexion contracture of fingers in infants or early childhood.
Buck F Willis - One of the best experts on this subject based on the ideXlab platform.
-
longitudinal outcomes following a randomized controlled trial of Dynamic Splint stretching for carpal tunnel syndrome
Hand, 2016Co-Authors: Buck F Willis, Brook FowlerAbstract:Background: The incidence of carpal tunnel syndrome (CTS) is 48 million patients in the United States. The purpose of this longitudinal study was to determine whether DynaSplint stretching (immediately after diagnosis) had an effect on a patient's decision to seek surgical treatment for CTS. Methods: Fifty patients (10 men, 40 women, mean age 51.2 ± 12 years) were recruited for this randomized, controlled, longitudinal trial. Patients were diagnosed with CTS by physical examination and nerve conduction studies. The intervention used was DynaSplint stretching that delivered a prolonged duration of low load stretching. Patients who were randomly chosen for the Experimental category wore the device for two 30-minute sessions per day with regular increases in Splint tension for 60 days. Control patients received nonsteroidal anti-inflammatory medication plus instructions on daily home stretching. Results: The final, longitudinal outcome showed a 72% reduction in surgery chosen by the experimental group (n = 25), compared with 38% reduction for control patients (n = 25). Conclusions: Immediate treatment with DynaSplint stretching showed a 2 to 1 reduction in surgery, with abundant financial savings.
R Chandra - One of the best experts on this subject based on the ideXlab platform.
-
postburn contracture of the neck our experience with a new Dynamic extension Splint
Burns, 1991Co-Authors: Surajit Bhattacharya, S K Bhatnagar, R ChandraAbstract:Abstract Twenty-eight examples of postburn contracture of the neck managed during the last 5 years gave us a better understanding of the problems of anaesthesia, contracture release, skin grafting, Splintage and maintenance of the fully released state. The severe contracture should be incised before incubation under a local anaesthetic agent. The release should include the adjoining contractures of mandibular and pectoral regions lest the skin graft is pulled by the existing contracture. Haemostasis should be meticulously secured to avoid graft loss. Splintage should be a static Splint for 4–6 weeks followed by a Dynamic Splint until the applied graft becomes soft, supple and wrinkle free. Ideally, however, contractures should be prevented by nursing the patient with a neck extension in the acute phase and wearing a cervical collar during the subacute phase of wound healing.
