{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T08:42:34Z","timestamp":1781944954795,"version":"3.54.5"},"reference-count":25,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2023,3,2]],"date-time":"2023-03-02T00:00:00Z","timestamp":1677715200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Hand Therapy Barcelona Physical Therapy and Clinical Investigation Center"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Focusing on fingers with proximal interphalangeal joint flexion contractures, this study seeks to determine whether significant differences exist between the joint passive range of motion PROM improvement when receiving higher doses of daily total end range time (TERT) compared to those that receive lower doses. The study randomized a parallel group of fifty-seven fingers in fifty patients with concealed allocation and assessor blinding. Divided into two groups receiving different doses of daily total end range time with an elastic tension digital neoprene orthosis, they also participated in an identical exercise program. Patients reported orthosis wear time, and the researchers performed goniometric measurements at every session during the three-week period. The primary outcome related the time patients wore the orthosis to the degrees of improvement in PROM extension. Compared to group B (daily TERT of twelve hours), group A (TERT, twenty+ hours) showed a statistically significant greater improvement in PROM after three weeks of treatment. Group A improved by a mean of 29\u00b0 compared to group B\u2019s mean of 19\u00b0 improvement. This study provides evidence that a higher dose of daily TERT can generate better results in the treatment of the proximal interphalangeal joint flexion contractures.<\/jats:p>","DOI":"10.3390\/jcm12051987","type":"journal-article","created":{"date-parts":[[2023,3,2]],"date-time":"2023-03-02T04:57:38Z","timestamp":1677733058000},"page":"1987","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["A Comparison between Two Intervals of Daily Total End Range Time for Treatment of Proximal Interphalangeal Joint Flexion Contracture Using an Elastic Tension Digital Neoprene Orthosis"],"prefix":"10.3390","volume":"12","author":[{"given":"Vicen\u00e7","family":"Punsola-Izard","sequence":"first","affiliation":[{"name":"Hand Therapy Barcelona Physical Therapy and Clinical Investigation Center, 08010 Barcelona, Spain"},{"name":"Physiotherapy Department, Gimbernat School of Physical Therapy, 08174 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9116-9167","authenticated-orcid":false,"given":"Aroa","family":"Casado","sequence":"additional","affiliation":[{"name":"Hand Therapy Barcelona Physical Therapy and Clinical Investigation Center, 08010 Barcelona, Spain"},{"name":"Physiotherapy Department, Gimbernat School of Physical Therapy, 08174 Barcelona, Spain"},{"name":"Department of Evolutionary Biology, Ecology and Environmental Sciences, University of Barcelona, 08007 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuria","family":"Carnicero","sequence":"additional","affiliation":[{"name":"Hand Therapy Barcelona Physical Therapy and Clinical Investigation Center, 08010 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Ozaes-Lara","sequence":"additional","affiliation":[{"name":"Hand Therapy Barcelona Physical Therapy and Clinical Investigation Center, 08010 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8096-7550","authenticated-orcid":false,"given":"Judit","family":"Mendieta-Zamora","sequence":"additional","affiliation":[{"name":"Hand Therapy Barcelona Physical Therapy and Clinical Investigation Center, 08010 Barcelona, Spain"},{"name":"Physiotherapy Department, Gimbernat School of Physical Therapy, 08174 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gemma","family":"Romera-Orfila","sequence":"additional","affiliation":[{"name":"Hand Therapy Barcelona Physical Therapy and Clinical Investigation Center, 08010 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen S.","family":"Schultz","sequence":"additional","affiliation":[{"name":"Karen Schultz Hand and Upper Limb Strategies (KSHULS), Littleton, CO 80120, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2807-563X","authenticated-orcid":false,"given":"Manuel","family":"Llus\u00e0","sequence":"additional","affiliation":[{"name":"Unit of Human Anatomy and Embryology, University of Barcelona, 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,3,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1016\/S0749-0712(21)00743-5","article-title":"Contractures of the Proximal Interphalangeal Joint","volume":"8","author":"Mansat","year":"1992","journal-title":"Hand Clin."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1016\/S0894-1130(12)80056-1","article-title":"Effect of Total End Range Time on Improving Passive Range of Motion","volume":"7","author":"Flowers","year":"1994","journal-title":"J. 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