The efficiency of Coban bandage on acute phase edema among patients undergoing a flexor tendon repair

Authors : Merve KAPAN, Özge VERGİLİ, Berat Meryem ALKAN, Nazife KAPAN

Pages : 348-356

Doi:10.32322/jhsm.1011136

View : 13 | Download : 4

Publication Date : 2022-03-15

Article Type : Research Paper

Abstract :Introduction: To evaluate the efficiency of 3M Coban self-adherent wrap application on early insert ignore into journalissuearticles values(1-4 weeks); edema among patients undergoing surgery following a flexor tendon injury in Zone V or distal. Material and Method: The study included 56 patients who had flexor tendon injuries. The patients were randomized into two groups by the computerized randomization method. Both groups were applied the `Modified Duran Protocol` insert ignore into journalissuearticles values(MDP); early passive mobilization exercises and `Retrograde Edema Massage`. In addition, was applied 3M Coban self-adherent wrap to Group II. Finger circumferences was measured using a tape measure, and the pain intensity was evaluated with a visual analog scale insert ignore into journalissuearticles values(VAS);. A goniometer was used to measure the joint range of motion insert ignore into journalissuearticles values(ROM);, the Duruoz hand index insert ignore into journalissuearticles values(DHI); to evaluate functionality level, and the quality of life was investigated using the short form-36 insert ignore into journalissuearticles values(SF-36);. Results: The results showed that was statistically significant differences in both groups compared to pre-treatment insert ignore into journalissuearticles values(p<0.05);. Edema, ROM, and all parameters of the DHI were found in both groups improved significantly insert ignore into journalissuearticles values(p<0.05);. VAS pain scores at rest and activity were found significantly decreased in both groups compared to pre-treatment insert ignore into journalissuearticles values(p<0.001);. In addition, pain at activity was found more significantly decreased in Group II insert ignore into journalissuearticles values(using bandage group);. When it comes to the quality of life, there was a significant improvement in the SF-36 scores in both groups insert ignore into journalissuearticles values(p<0.05);. In addition, increases in the scores on the `Physical Functioning` and `Physical Role` subscales were more significant in Group II insert ignore into journalissuearticles values(p<0.05);. Conclusion: In flexor tendon injuries, early rehabilitation and close follow-ups are likely to improve edema, upper extremity functions, and quality of life among patients. `Early Passive Mobilization Exercises insert ignore into journalissuearticles values(the Modified Duran Protocol);` and `Retrograde Edema Massage` are rather effective in edema treatment. Overall, we suggest that 3M Coban self-adherent wrap application also contributes to reducing pain at activity and improving physical functions following flexor tendon repairs.
Keywords : edema, coban bandage, flexor tendon injury