Joe,
Flexor tendon repair can be complicated and there is a high degree of adhesion formation and other complications. If you are treating a lot of hand patients I would strongly suggest taking some courses in this sub-specialty. There is a lot of information to learn.
There are three different type of tendon gliding exercises I am aware of:
1. Block the MP and PIP joints in extension and actively flex the DIP. This will isolate the FDP.
2. Block three of the four fingers in extension and activly flex the fourth digit. this will isolate the FDS of the flexed finger.
3. Fisting exercises. Have the paient actively for the following fists.
Hook fist - fingers in extension, then actively flex the PIPand DIPs
Full fist - start in full hook fist fully flex MPs, PIPs and DIPs then extend finges.
Straight fist - MP flexion with PIP and DIP extension.
JOE TSANG wrote:
> Hello everybody,
>
> I am now working in the orthopaedic unit and I come across quite a lot of patients with hand injury. It was found that finger flexion always limited after flexor tendon repair probably because of adhesion formation. According to some rehabilitation protocol, there is a technique called differential gilding which can facilitate tendons movement but I am not too sure how to do that. Does anybody know exactly how to do it or at least give me some idea to improve finger movement after surgery.
>
> Thank in advance for your help
>
> Joe
>
>
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