Melinda W. Seeger, Daniel E. Furst; Effects of Splinting in the Treatment of Hand Contractures in Progressive Systemic Sclerosis. Am J Occup Ther 1987;41(2):118-121. doi: 10.5014/ajot.41.2.118.
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One of the major factors in the decreasing functional ability of patients with progressive systemic sclerosis is involvement of the patient’s hands with secondary immobility and contractures. In a 2-month study of 19 patients, we assessed whether dynamic splinting could decrease proximal interphalangeal (PIP) flexion contractures. Of the eight patients who completed the study, one experienced a statistically significant improvement in PIP range of motion as a result of the splinting. There was no evidence that the use of the splints served to maintain PIP extension when compared with the control hand.
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