Physiotherapy Following Extensor Tendon Reconstruction in Zone 5-A Case Study

Abstract

Background: Extensor tendon attrition in Rheumatoid arthritis is very common and if not treated properly, can lead to substantial loss of hand function. Here we present the rehabilitation of a 45 years female patient following extensor tendon reconstruction in zone 5. Materials and Method: The motor assessment included examination of active range of motion, grip and pinch strength and hand function was done during first visit and at the end of 3rd week, 6th week and 12th week. The patient received physiotherapy (immobilization method) and the program was divided into three phases. Results: The test results were used to find the efficacy of immobilisation method, author’s modification of the program and home based exercises. There was 60 to 80 percentile of ROM improvement in wrist joint, 50 to 90 percentile of ROM improvement in digits .By comparing 6th week and 12th week DASH there was about 47% improvement in upper limb functional activities The results show that the management combined with a comprehensive rehabilitation programme and commitment on the part of the patient makes it possible to achieve satisfactory treatment out comes enabling a return to normal daily functioning Conclusion: The functional recovery achieved indicates the advisability of using immobilisation method in post-operative rehabilitation of patients with extensor tendon injury.