The Effect of Splinting After Dupuytren’s Contracture Operation: A Systematic Review

Objectives: Flexion contracture in fingers of hands is a complication of Dupuytren’s contracture and cannot be stopped by the progressive course. The aim of this study was to review the effect of splinting in the correction of contracture after Dupuytren’s contracture operation. Methods: To carry ou...

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Main Authors: Marzieh Pashmdarfard, Akram Azad, Malek Amini, Gazale Golabi
Format: Article
Language:English
Published: Negah Institute for Scientific Communication 2019-12-01
Series:Iranian Rehabilitation Journal
Subjects:
Online Access:http://irj.uswr.ac.ir/article-1-1004-en.html
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author Marzieh Pashmdarfard
Akram Azad
Malek Amini
Gazale Golabi
author_facet Marzieh Pashmdarfard
Akram Azad
Malek Amini
Gazale Golabi
author_sort Marzieh Pashmdarfard
collection DOAJ
description Objectives: Flexion contracture in fingers of hands is a complication of Dupuytren’s contracture and cannot be stopped by the progressive course. The aim of this study was to review the effect of splinting in the correction of contracture after Dupuytren’s contracture operation. Methods: To carry out this research, a kind of systematic evidence-based review process (Duffy 2005) was used. For data gathering, we used electronic database and Persian- and English-language specific journals between 1990 and January 2019. The keywords were related to examine the effect of various splinting after Dupuytren’s contracture operation. Results: After data gathering, 26 articles about Dupuytren’s contracture were found; after checking and deep reviewing of those articles, 17 articles were removed from the study and 9 articles were included in the study for reviewing. The results of a review article based on using splint in Dupuytren’s contracture after operation were classified into 6 categories, including static splint, dynamic splint, day splint, night splint, the time duration of splinting, and prescribed time of splinting. Discussion: Splint alone has been ineffective in reducing contracture. Static splint and hand therapy (exercise) are together the most effective way for the treatment of Dupuytren’s contracture. Occasional and irregular use of splint also has no effect on pain relief and the reduction of contracture. The pressure and force of splint will be gradually increased, and the splint should be used at least for 3 months, too.
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spelling doaj.art-f249d1194adb49de8507abe8ee6fbb162022-12-22T03:11:45ZengNegah Institute for Scientific CommunicationIranian Rehabilitation Journal1735-36021735-36102019-12-01174297304The Effect of Splinting After Dupuytren’s Contracture Operation: A Systematic ReviewMarzieh Pashmdarfard0Akram Azad1Malek Amini2Gazale Golabi3 Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran. Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran. Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran. Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran. Objectives: Flexion contracture in fingers of hands is a complication of Dupuytren’s contracture and cannot be stopped by the progressive course. The aim of this study was to review the effect of splinting in the correction of contracture after Dupuytren’s contracture operation. Methods: To carry out this research, a kind of systematic evidence-based review process (Duffy 2005) was used. For data gathering, we used electronic database and Persian- and English-language specific journals between 1990 and January 2019. The keywords were related to examine the effect of various splinting after Dupuytren’s contracture operation. Results: After data gathering, 26 articles about Dupuytren’s contracture were found; after checking and deep reviewing of those articles, 17 articles were removed from the study and 9 articles were included in the study for reviewing. The results of a review article based on using splint in Dupuytren’s contracture after operation were classified into 6 categories, including static splint, dynamic splint, day splint, night splint, the time duration of splinting, and prescribed time of splinting. Discussion: Splint alone has been ineffective in reducing contracture. Static splint and hand therapy (exercise) are together the most effective way for the treatment of Dupuytren’s contracture. Occasional and irregular use of splint also has no effect on pain relief and the reduction of contracture. The pressure and force of splint will be gradually increased, and the splint should be used at least for 3 months, too.http://irj.uswr.ac.ir/article-1-1004-en.htmldupuytren’s contracturehand therapyoccupational therapysplintsoperative
spellingShingle Marzieh Pashmdarfard
Akram Azad
Malek Amini
Gazale Golabi
The Effect of Splinting After Dupuytren’s Contracture Operation: A Systematic Review
Iranian Rehabilitation Journal
dupuytren’s contracture
hand therapy
occupational therapy
splints
operative
title The Effect of Splinting After Dupuytren’s Contracture Operation: A Systematic Review
title_full The Effect of Splinting After Dupuytren’s Contracture Operation: A Systematic Review
title_fullStr The Effect of Splinting After Dupuytren’s Contracture Operation: A Systematic Review
title_full_unstemmed The Effect of Splinting After Dupuytren’s Contracture Operation: A Systematic Review
title_short The Effect of Splinting After Dupuytren’s Contracture Operation: A Systematic Review
title_sort effect of splinting after dupuytren s contracture operation a systematic review
topic dupuytren’s contracture
hand therapy
occupational therapy
splints
operative
url http://irj.uswr.ac.ir/article-1-1004-en.html
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