Effectiveness of Kleinert's Controlled Motion Protocol on tendon Gliding Following Zone 5 Flexor tendon Repair Raj J Uday1, Praveen D2, Reddy D Mukunda3, Srikanth R3 1Student (MPT Musculo Skeletal Sciences), Department of Physiotherapy, Nizam's Institute of Medical Sciences (NIMS) (A Deemed University), Hyderabad. 2Faculty, Department of Physiotherapy, Nizam's Institute of Medical Sciences (NIMS) (A Deemed University), Hyderabad. 3Professor, Department of Plastic and Reconstructive Surgery, Nizam's Institute of Medical Sciences (NIMS) (A Deemed University), Hyderabad. Online published on 16 January, 2018. Abstract Introduction Hand is the most active part of our body and used extensively in day to day activities. The flexor aspect of our hand is divided into 5 Zones. The 5th Zone or Zone 5 starts from the proximal palmar crease to the distal forearm. Flexor tendon injury at the Zone 5 includes loss of both finger and wrist movements. Post-operative rehabilitation is of utmost importance in recovering function of the hand. Purpose To study the effect of Kleinert's Controlled Motion (KCM) Protocol compared to the Conventional Accelerated Motion (CAM) Protocol followed in the hospital, in post operative Zone 5 flexor tendon injuries. Methods The study was conducted on 30 subjects, whose flexor tendons were repaired at the Zone 5. They were randomly divided into the Kleinert's Controlled Motion (KCM) group and the Conventional Accelerated Motion (CAM) group and were assessed for active range of motion at the metacarpophalangeal, proximal and distal interphalangeal joints by Finger Tip to Distal Palmar Crease (FTDPC) measure and Total Active Motion (TAM) score; active range of motion (AROM) at wrist and power grip (PG). The study was conducted for 12 weeks. Results Both the groups showed statistically significant improvement, but the subjects in the Kleinert's group showed better clinical improvement. Conclusion Better improvement in Kleinert's group may be attributed to the low tensile load put on the flexor tendons during the first weeks of rehabilitation leading to minimal adhesion formation and better outcome. Top Keywords Kleinert's controlled motion, Safe zone, Tendon Gliding and Power Grip. Top |