The Effectiveness of Joint Mobilization in Stiff Hand Treatment

Effects of Joint Mobilization on Hand Function in Patients With Stiff Hand: A Randomized Controlled Trial

Although various treatment modalities have been investigated for the management of stiff hand, no previous study has examined the combined use of exercise and joint mobilization. Therefore, the present study was designed to investigate the effects of peripheral joint mobilization, applied in addition to conventional exercise, on functional outcomes in patients with stiff hand.

Inclusion Criteria:

• Hand or forearm injury managed conservatively or surgically
• Stiff hand criteria confirmed by Modified Weeks Test (0-20° difference between pre- and post-conditioning passive ROM)
• No communication impairment
• No prior neurological, orthopedic, or rheumatological condition or surgery in the affected extremity

Exclusion Criteria:

• Circulatory disorder or Complex Regional Pain Syndrome
• Dupuytren's disease
• Acute inflammation in any finger within the last week
• Fracture due to non-traumatic causes
• Significant edema