ABSTRACT

Objective: This study compares the effectiveness of palmar static digit extension splinting with dorsal block dynamic digit extension splinting on preventing postoperative secondary joint flexion contracture of metacarpophalangeal joints and proximal interphalangeal joints.Method: Six patients with Dupuytren’s Disease were randomly selected for this study and divided equally into two groups. Group A was fitted with the palmar splint and Group B with the dorsal splint. Both groups were fitted with the experimental splints at the end of their first initial evaluation session. All patients received six months of comprehensive hand therapy.Patients were also assigned a program of independent daily home exercise. Objective measurements of at the initial evaluation and during the 12th and 24th week of hand therapy.Results: This study found significantly greater improvement of ROM from using the dorsal block dynamic digit extension splint than with the palmar static digit extension splint when combined with comprehensive hand therapy.