Efficient Mechanics of PIP Mobilisation Splinting,
British Journal of Hand Therapy – 2000

The proximal interphalangeal (PIP) joint, a tightly constructed hinge joint, frequently develops limited motion following injury. Mobilisation splints are the most frequently used method of regaining PIP joint motion following isolated PIP injury. This article reviews a variety of PIP mobilisation splints, which the author has found effective. In addition to discussing the biomechanics of PIP extension and flexion mobilisation splinting, a variety of designs are offered for PIP extension mobilisation and one design for PIP flexion mobilisation. Clinical problems discussed include: PIP extension lag, PIP flexion contracture responsive to stretch (including acute boutonniere), PIP joint contracture unresponsive to stretch, and gaining/maintaining the last few degrees of PIP extension in a resistive contracture as well as isolated PIP flexion mobilisation. For all splints, construction advice and other tips are given for successful use of these designs… View Complete Article

British Journal of Hand Therapy, Vol. 5, No. 3, p65-71, 2000

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