A case series analysis: rehabilitation pathway for patients with postsurgical Stener lesions treated with a functional thermoplastic splint and early physiotherapy

This study aims to evaluate the efficacy of postsurgical rehabilitation in patients with Stener lesions, focusing on the improvement in hand functionality and pain management.

The study involved a cohort of 6 patients who underwent surgical treatment for Stener lesions. Rehabilitation outcomes were assessed using the range of motion (ROM) for metacarpophalangeal and interphalangeal flexion, grip strength, and functional integration into daily activities as measured by the Patient-Rated Wrist/Hand Evaluation (PRWHE) scale. Assessments were made at multiple intervals: T0 (start of physiotherapy), T1 (1 month post-T0), T2 (2 months post-T0), and T3 (3 months post-T0).

The results showed significant improvements in ROM and grip strength, particularly between T0 and T1. Pain levels, as measured by the numeric pain rating scale (NPRS), remained low throughout the study. The PRWHE scale indicated a notable decrease in disability in daily activities, particularly between T0 and T1, with sustained improvements at subsequent intervals.

The study concludes that early postoperative rehabilitation significantly enhances hand functionality and reduces disability in patients with Stener lesions. The greatest improvements were observed in the initial stages of rehabilitation, with consistent progress in hand mobility and strength and stable pain management.