Rehabilitation following tendon repairs

Rehabilitation following tendon repair

 BY: Dr Kamlesh Kumar

Passive motion protocols –

• Kleinert protocol
• Duran & Houser protocol

Active motion protocols –

• Belfast regimen

Active – passion motion protocol –

• Strickland Indianapolis method
• Nantong regimen

Kleinert protocol-

• Splint – Dorsal blocking splint
• Wrist – 30-40° flexion
• MCPJ – 50-70° flexion
• IPJ – allowed full extension
• Rubber band attached to volar forearm.
• Patient actively extends fingers, rubber band passively flexes fingers.
• Modification – placing palmar bar @ MCPJ to act as pulley. (to prevent flexion contracture of fingers)
• In night – rubber band are removed and finger splinted in extension.

0-4 weeks –

• Hourly active extension of finger to limit of splint and passive flexion with elastic traction only

4-6 weeks –

• Dorsal protective splint discontinued. Night protective splint given.
• Active wrist and gentle active fisting.

6-8 weeks –

• Progressive resistive exercise.

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