{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T12:38:48Z","timestamp":1785328728441,"version":"3.55.0"},"reference-count":56,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T00:00:00Z","timestamp":1738800000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>This study aimed to compare outcomes of early active motion (EAM) using the relative motion extension (RME) approach to outcomes of early passive motion (EPM) with a dynamic extension orthosis (DEO) and to evaluate whether the RME-only approach is equivalent to the RME-plus approach. Fifty adults were randomized into one of the three intervention groups receiving the DEO, RME only, or RME plus orthosis. The score of the Jebsen\u2013Taylor hand function test (JTHFT) without writing and QuickDASH at T1, all measures of mobility at T1 and T2, and grip strength were better in the RME-only and RME-plus group compared to the DEO group, whereas the values of Patient Evaluation Measure (PEM) at T1 and T2, as well as QuickDASH score at T2, orthosis adherence, and the patient\u2019s comfort while wearing the orthoses did not statistically significantly differ among the three groups. The RME concept after extensor tendon injuries in zones 4\u20136 is superior to the DEO protocol in terms of earlier regain of hand function. The DEO and RME protocols were equivalent regarding patients\u2019 adherence and satisfaction with the orthosis. We found no differences in the RME-plus and RME-only protocols, indicating the safe use of the RME-only protocol in single extensor tendon injuries in zones 4\u20136.<\/jats:p>","DOI":"10.3390\/life15020249","type":"journal-article","created":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T09:54:38Z","timestamp":1738835678000},"page":"249","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Evaluation of Hand Function Using Relative Motion Extension Concept (with or Without Night Wrist Orthosis) or Dynamic Extension Orthosis for Extensor Tendon Injuries in Zones 4\u20136\u2014A Randomized Controlled Trial"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7207-8737","authenticated-orcid":false,"given":"Vida","family":"Bojnec","sequence":"first","affiliation":[{"name":"Institute for Physical and Rehabilitation Medicine, University Medical Centre Maribor, 2000 Maribor, Slovenia"},{"name":"Faculty of Medicine, University of Ljubljana, 1000 Ljubljana, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerneja","family":"Vidmar","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery and Burns, University Medical Centre Maribor, 2000 Maribor, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zvezdana","family":"Su\u017enik","sequence":"additional","affiliation":[{"name":"Institute for Physical and Rehabilitation Medicine, University Medical Centre Maribor, 2000 Maribor, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleksandra","family":"Oro\u017e Koprivnik","sequence":"additional","affiliation":[{"name":"Institute for Physical and Rehabilitation Medicine, University Medical Centre Maribor, 2000 Maribor, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milena","family":"\u0160pes \u0160krlec","sequence":"additional","affiliation":[{"name":"Institute for Physical and Rehabilitation Medicine, University Medical Centre Maribor, 2000 Maribor, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ma\u0161a","family":"Frange\u017e","sequence":"additional","affiliation":[{"name":"Institute for Physical and Rehabilitation Medicine, University Medical Centre Maribor, 2000 Maribor, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ne\u017ea","family":"Majdi\u010d","sequence":"additional","affiliation":[{"name":"Valdoltra Orthopaedic Hospital, 6280 Ankaran, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaj","family":"Vidmar","sequence":"additional","affiliation":[{"name":"University Rehabilitation Institute, 1000 Ljubljana, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Breda","family":"Jesen\u0161ek Pape\u017e","sequence":"additional","affiliation":[{"name":"Institute for Physical and Rehabilitation Medicine, University Medical Centre Maribor, 2000 Maribor, Slovenia"},{"name":"Faculty of Medicine, University of Maribor, 2000 Maribor, Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,2,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1177\/1753193419828986","article-title":"The Changing Shape of Hand Trauma: An Analysis of Hospital Episode Statistics in England","volume":"44","author":"Manley","year":"2019","journal-title":"J. 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