Randomized Controlled Trial of Daily Total End Range Time (TERT) for Capener Splinting of the Stiff Proximal Interphalangeal Joint

Abstract

Further research with a larger sample is needed to determine whether longer daily TERT is beneficial. Our results suggest, however, that most patients find it difficult to wear splints >12 hr/day.

Extension orthoses and the stiff proximal interphalangeal joint following hand trauma: A review of current clinical practice in the Australian context

“…Presumably, increasing the time in the cast was felt to increase the dose of treatment received. This practice conflicts with the findings of Kolumban 24 and Glasgow et al 25 that indicate that there is no significant difference in the effectiveness of passive PIP joint extension casts/splints if used for 12 versus 24 hours per day.…”

Severe camptodactyly: A systematic surgeon and therapist collaboration

“…This allows the child to interact with the environment during the day. Total amount of time to wear the orthosis is 6e9 h. 11,12 There is poor corroboration of outcomes for conservative management of camptodactaly in the scientific literature and limited demonstration of long eterm benefit from conservative management. While there is evidence of short-term advantage, the conservative management demands are labourous for the patient and family, and difficult to ensure consistent compliance over time.…”

Orthotic management of fixed flexion deformity of the proximal interphalangeal joint following traumatic injury: A systematic review

“…A TERT wear of 10.8 hours (SD: 2.1) was reported. Glasgow, Fleming, Tooth, and Peters (2012b) randomly allocated daily TERT wear of a dynamic capener orthotic regimen as either 6-12 or 12-16 hours. A daily mean TERT of 9.5 hours for the first group and 11.5 hours for the 12-16 hours group was reported (Glasgow et al, 2012b).…”

“…Glasgow, Fleming, Tooth, and Peters (2012b) randomly allocated daily TERT wear of a dynamic capener orthotic regimen as either 6-12 or 12-16 hours. A daily mean TERT of 9.5 hours for the first group and 11.5 hours for the 12-16 hours group was reported (Glasgow et al, 2012b). In their second study, Glasgow, Tooth, Fleming, & Peters (2011) reviewed dynamic orthotic wear over a minimum of 6-12 hours per day.…”

“…In addition to different orthotic regimens, the TERT wear for all studies varied. Daily TERT wear reported to achieve a reduction in FFD varied from 9 to 11.5 h in four studies (Glasgow et al, 2012a(Glasgow et al, , 2012bProsser, 1995Prosser, , 1996.…”