A proposed model for systematic application of progressive force exercises to the intrasynovial flexor tendon injury and repair

Abstract

Postoperative rehabilitation for patients who have sustained a laceration to their intrasynovial flexor tendon apparatus is an important factor in maximizing functional outcome. Quality rehabilitation is partially characterized by the development and implementation of a tailored exercise regimen. Though suggested strategies are available for tailoring rehabilitation programs according to age, learning capabilities, and suture technique, there is currently no system available to tailor an exercise regimen for a person with an atypical physiologic response pattern (i.e., heavy or light collagen synthesis). If flexor tendon rehabilitation protocols were classified according to the criterions of force and/or excursion, and a clinical method were available to assist in the identification of optimal force and/or excursion application, then those individuals with atypical response patterns could be treated more efficiently and effectively.