Cochrane · systematic review · CD012479
Rehabilitation following surgery for flexor tendon injuries of the hand
Peters, SE, Jha, B, Ross, M · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
Bone, Joint and Muscle TraumaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
18
current version
GRADE rated
12
No studies
4
Included studies
NR
No studies 4 · 22.2%Ungraded 2 · 11.1%Very low 12 · 66.7%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Early active flexion plus controlled passive exercise regimen versus early controlled passive exercise regimen for rehabilitation following surgery for flexor tendon injuries of the hand
Population: participants undergoing rehabilitation following surgery for flexor tendon injuries of the handa
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Functional assessment using a patient reported outcome measure: Early active flexion plus controlled passive exercise regimen vs early controlled passive exercise regimen | no estimate extracted | 1 study · 62 participants | Very low Downgraded: risk of bias, imprecision |
Functional assessment using a patient reported outcome measure: Early active flexion plus controlled passive exercise regimen vs early controlled passive exercise regimen | no estimate extracted | 1 study · 63 participants | Very low Downgraded: risk of bias, imprecision |
Active finger range of motion Early active flexion plus controlled passive exercise regimen vs early controlled passive exercise regimen | no estimate extracted | 1 study · 63 participants | Very low Downgraded: risk of bias, imprecision |
Active finger range of motion Early active flexion plus controlled passive exercise regimen vs early controlled passive exercise regimen | no estimate extracted | 1 study · 63 participants | Very low Downgraded: risk of bias, imprecision |
Adverse events: participants incurring one or more adverse events Early active flexion plus controlled passive exercise regimen vs early controlled passive exercise regimen | RR 0.58 [0.23, 1.44] | 1 study · 69 participants | Very low Downgraded: risk of bias |
Adverse event (tendon rupture) Early active flexion plus controlled passive exercise regimen vs early controlled passive exercise regimen | RR 1.73 [0.16, 18.2] | 1 study · 69 participants | Very low Downgraded: risk of bias |
Active exercise regimen compared with an immobilisation regimen following surgery for flexor tendon injuries of the hand
Population: participants undergoing rehabilitation following surgery for flexor tendon injuries of the handa
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Functional assessment using a patient reported outcome measure Active exercise regimen vs an immobilisation regimen following surgery | no estimate extracted | NR | No studies |
Functional assessment using a patient reported outcome measure Active exercise regimen vs an immobilisation regimen following surgery | no estimate extracted | NR | No studies |
Range of movement Active exercise regimen vs an immobilisation regimen following surgery | no estimate extracted | NR | No studies |
Range of movement Active exercise regimen vs an immobilisation regimen following surgery | RR 0.08 [0, 1.43] | 1 study · 84 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Adverse events: participants incurring one or more adverse events Active exercise regimen vs an immobilisation regimen following surgery | no estimate extracted | 1 study · 84 participants | Ungraded |
Adverse events requiring (or indicated for) surgery Active exercise regimen vs an immobilisation regimen following surgery | RR 0.64 [0.24, 1.7] | 1 study · 84 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Place and hold exercise regimen versus controlled passive exercise regimen following surgery for flexor tendon injuries of the hand
Population: participants undergoing rehabilitation following surgery for flexor tendon injuries of the handa
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Functional assessment using a patient reported outcome measure: Place and hold exercise regimen vs controlled passive exercise regimen following surgery | no estimate extracted | 1 study · 26 participants | Very low Downgraded: risk of bias, imprecision |
Functional assessment using a patient reported outcome measure: Place and hold exercise regimen vs controlled passive exercise regimen following surgery | no estimate extracted | 1 study · 89 participants | Very low Downgraded: risk of bias, imprecision |
Range of movement Place and hold exercise regimen vs controlled passive exercise regimen following surgery | no estimate extracted | NR | No studies |
Range of movement(degrees) Place and hold exercise regimen vs controlled passive exercise regimen following surgery | no estimate extracted | 1 study · 89 participants | Very low Downgraded: risk of bias, imprecision |
Adverse events: participants incurring one or more adverse events Place and hold exercise regimen vs controlled passive exercise regimen following surgery | no estimate extracted | 1 study · 84 participants | Ungraded |
Adverse events requiring (or indicated for) surgery Place and hold exercise regimen vs controlled passive exercise regimen following surgery | RR 0.81 [0.19, 3.5] | 3 studies · 196 participants | Very low Downgraded: risk of bias, imprecision |