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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


Clinical Pearl No. 33 – How Can Each Therapy Visit be as Focused and Productive as Possible?

Clinical Pearl No. 27 – Complex Made Simple: Pasta Transfer

Clinical Pearl No. 22 – Lumbrical Muscle Tightness & Testing

Clinical Pearl No. 21 – Nuances of Interosseous Muscle Tightness Testing

Clinical Pearl No. 20 – Quantifying Interosseous Muscle Tightness

Clinical Pearl No. 19 – Interosseous Muscle Tightness Testing

Clinical Pearl No. 3 – Making the Most of Mallet Finger Splinting

Book Chapter - Therapist’s Management of the Stiff Hand, Rehabilitation of the Hand and Upper Extremity – 2011

Book Chapter - Principals of Splinting and Splint Prescription, Surgery of the Hand and Upper Extremity – 1996

Book Chapter - Spring-Wire Extension Splinting of the Proximal Interphalangeal Joint, Rehabilitation of the Hand – 1995

Journal Article - Exercise Splint for Effective Single-Finger Active Hook Exercises by Ahearn, D and Colditz, JC, Journal of Hand Therapy – 2005

Journal Article - Lumbrical Tightness: Testing and Stretching [Abstract only], Journal of Hand Surgery 2002

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

What Do You See? No. 4 - The Lumbrical-Plus Finger

What Do You See? No. 2 - Finger Scissoring

Video Clip - Drawing the Dorsal Apparatus

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