Evaluation of Early Active Controlled Motion in Flexor Tendon Repair Journal Article

Objectives: This study was designed to evaluate the psychometric features of the Persian version of theFatigue Impact Scale (FIS-P) tool when used in Iranian MS patients.Methods: 140 MS patients and the equivalent number of healthy controls completed the following assessments: FIS-P, Fatigue Severity Scale (FSS), SF-36 questionnaire and the Mini-Mental State Examination (MMSE).Results: A significant inverse correlation between FIS and the quality of life (SF-36 assessment tool), as well as a positive and significant correlation with the FSS were noted. The Intraclass Correlation Coefficient (ICC) values for the inter-rater reliability for the physical, cognitive, and social sections and the whole questionnaire were 0.89, 0.86, 0.95 and 0.98, respectively. The FIS Persian version was shown to possess a high reliability (with a Cronbach’s alpha of 0.953). Likewise, the ICC values for the test- retest reliability were 0.86, 0.87, 0.92 and 0.93 for the physical, cognitive, social subscales and the whole questionnaire, respectively. This suggested a high reliability for the FIS-P.Discussion: With a proper validity and reliability, the Persian-version of FIS retains the capability for being used in the assessment of fatigue and evaluation of the treatment and rehabilitation effects on fatigue-related symptoms among Persian-speaking patients with MS.

On the second day, passive flexion and active extension started, and at the fourth day, early active controlled motion was started according to the Van Strien method. Patient compliance with rehabilitation protocol *OTC: occupational therapy clinic Discussion Early active controlled mobilization needs a strong tendon repair. According to Strickland’s research, at least a 4-strand repair is necessary in early active controlled mobilization. 4% of our patients didn’t perform the rehabilitation protocol at hand therapy clinics, but all carried out the protocol till the 4th week postoperatively. Conclusion Early active mobilization after flexor tendon repair has acceptable results with our protocol. Comparison of Post Operative Early Active and Passive Mobilization of Flexor Tendon in zone2. Zone-II flexor tendon repair: a randomized prospective trial of active place-and-hold therapy compared with passive motion therapy. The effects of multiple-strand suture methods on the strength and excusion of repaired intrasynovial flexor tendons: A biomechanical study in dogs. Indications, methods, postoperative motion and outcome evaluation of primary flexor tendon repairs in Zone 2. The effects of core suture purchase on the biomechanical characteristics of a multistrand locking flexor tendon repair: a cadaveric study. Effect of suture locking and suture caliber on fatigue strength of flexor tendon repairs. A biomechanical analysis of suture materials and their influence on a four-strand flexor tendon repair. A meta- analysis comparing active and passive rehabilitation protocols following flexor tendon surgery. Flexor tendon repair rehabilitation protocols: a systematic review. Primary flexor tendon repair in zones 1 and 2: early passive mobilization versus controlled active motion.