Rehabilitation efficacy observation of exercise prescription in the treatment after severed finger replantation and tenolysis

Objective To observe the rehabilitation efficacy of exercise prescription in the treatment after severed finger replantation and tenolysis. Methods Twenty patients were randomly divided into control group (10 cases, 27 fingers) and observation group (10 cases, 28 fingers). The control group received routine rehabilitation treatment, while the observation group received routine rehabilitation combined with targeted exercise generated by exercise prescription system. The total active motion (TAM) and the criteria of replantation function evaluation of severed fingers issued by the Hand Surgery Society of Chinese Medical Association were used to evaluate hand function before and after treatment. Results After the treatment, the criteria of replantation function evaluation of severed fingers was (69±21.43) points in the observation group and (52.00±22.43) points in the control group, while the TAM was (164.39±26.72) ° in the observation group and (138.92±25.95) ° in the control group. The excellent and good rate of TAM was 70.3% in the observation group and 53.6% in the control group. There was a statistically significant difference before and after the treatment (P<0.05). There was a statistically significant difference between the two groups (P<0.05). The observation group was superior to the control group. Conclusion For the patients performed severed finger replantation and tenolysis, we should pay close attention to the adhesion in the sheath of the flexor tendon zone Ⅱ. With practical exercise prescription guidance, patients were instructed to perform relative sliding exercises between tendons to help further rehabilitation of hand function. Key words: Replantation; Rehabilitation; Tenolysis; Exercise prescription; Tendon sliding