Brief Report  |   March 2012
Randomized Controlled Trial of Daily Total End Range Time (TERT) for Capener Splinting of the Stiff Proximal Interphalangeal Joint
Author Affiliations
  • Celeste Glasgow, MSc, is Hand Therapist, Hand and Upper Limb Rehabilitation Unit, EKCO Occupational Services, Brisbane, Queensland 4000 Australia; celesteg@tpg.com.au
  • Jenny Fleming, PhD, is Associate Professor, School of Health and Rehabilitation Sciences, University of Queensland, St. Lucia, Queensland, Australia
  • Leigh R. Tooth, PhD, is Senior Research Fellow, University of Queensland, School of Population Health, Lifespan Health Research Unit, Herston, Queensland, Australia
  • Susan Peters is Hand Therapist, Hand and Upper Limb Rehabilitation Unit, EKCO Occupational Services, Brisbane, Queensland, Australia
Article Information
Musculoskeletal Impairments / Splinting / Departments
Brief Report   |   March 2012
Randomized Controlled Trial of Daily Total End Range Time (TERT) for Capener Splinting of the Stiff Proximal Interphalangeal Joint
American Journal of Occupational Therapy, March/April 2012, Vol. 66, 243-248. doi:10.5014/ajot.2012.002816
American Journal of Occupational Therapy, March/April 2012, Vol. 66, 243-248. doi:10.5014/ajot.2012.002816
Abstract

OBJECTIVE. Capener splinting is a common treatment for extension deficit of the proximal interphalangeal (PIP) joint. This study compared the effect of daily splint total end range time (TERT) of 6–12 hr versus 12–16 hr.

METHOD. Twenty-two participants with extension deficits of the PIP joint were randomly allocated to a daily TERT of 6–12 hr or 12–16 hr. Progress after 8 wk of splinting was evaluated.

RESULTS. No significant difference was found in change in extension range of motion (ROM) between groups (active ROM, F[4, 17] = 2.19, p = .13; passive ROM, F[4, 17] = 0.95, p = .46; torque ROM, F[4, 17] = 1.49, p = .26). Considerable crossover between groups resulted in a similar average daily TERT (9.5 hr for the 6–12 hr group vs. 11.5 hr for the 12–16 hr group).

CONCLUSION. 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.