Abstract

FLORES-PLATA, C l  and  LUNA-ARNEZ, J C. Modified Duran protocol in early rehabilitation of flexor tendon injuries of the hand. Cuad. - Hosp. Clín. [online]. 2019, vol.60, n.1, pp.17-23. ISSN 1562-6776.

Abstract Objetives: To determine the effectiveness of the Modified Duran Protocol on flexor tendon injuries of the hand determining the degree of functional disability in patients treated by the Department of Physical Medicine and Rehabilitation at the Hospital de Clínicas during term August - December 2016. Material and Methods: We included two parallel groups: The Duran Modified protocol was applied on the first group (9 patients) and the Conventional Rehabilitation (9 patients) Treatment on the second. The assessment of the functionality was carried out with the formula Stricklan, Bruck Gramcko System and Pulpejo-Palma Distance. It was conducted in 36 sessions of approximately 30 minutes for each treatment modality with the corresponding evaluation at the end of 3 months of therapy. Results: those who carried out the Modified Duran protocol completed treatment with excellent functionality in 4 cases, good in 3 and fair in 2 according to the formula Strickland. According Gramcko Buck system functionality was excellent for 5 patients and Fair for 4. Finally the evaluation of the pulpejo - palm distance showed that four patients had an excellent range, 4 good and 1 fair. Conclusions: The application the Modified Duran protocol as immediate rehabilitation in patients with flexor tendon injuries of the hand is more effective than conventional rehabilitation treatment being a tool that can be applied early in patients after surgery for this injury.

Keywords : flexor tendon injuries of the hand; Modified Duran protocol; Conventional Rehabilitation.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )