PMC10266264_01
(A) Tissue temperature taken at the MCP joint. (B) Tissue temperature taken distal to the PIP joint.
fspor-05-1185653-g002.jpg
PMC10266264_01_fspor-05-1185653-g002.jpg
F2
Infrared Thermometer) above and below the PIP joint (Figure 2), and movement observation of the climber hanging from their fingertips from a fingerboard (Figure 3). Imaging was not available to use for assessment, so the objective tests and measures were used to make a clinical diagnosis.
(A) Left hand hanging on a fingerboard with fifth digit abduction, MCP flexion, and PIP extension. (B) Right hand hanging on a fingerboard for comparison.
fspor-05-1185653-g003.jpg
PMC10266264_01_fspor-05-1185653-g003.jpg
F3
Infrared Thermometer) above and below the PIP joint (Figure 2), and movement observation of the climber hanging from their fingertips from a fingerboard (Figure 3). Imaging was not available to use for assessment, so the objective tests and measures were used to make a clinical diagnosis.
(A) Finger icing in water, (B) Finger icing with wrap, (C) Self-adherent compression bandage wrap range of motion, (D) Finger trap oscillations, (E) Instrument assisted soft tissue mobilization, (F) Hook fist active range of motion, (G) Resistance band flicks, (H) Open chain palmer interosseous resistance exercises, (I) closed chain gripping palmer interosseous resistance exercises.
fspor-05-1185653-g004.jpg
PMC10266264_01_fspor-05-1185653-g004.jpg
F4
Interventions consisted of unloading techniques for the first 2 weeks, icing the finger for 5 min (either in an ice bucket or with a cold compressive gel pack) once per day, wrapping the finger in a self-adherent compression bandage wrap or floss band, and performing active range of motion for three sets of 45 s daily (Figures 4A-C). Additionally, for the duration of 6 weeks, the climber was prescribed daily mobility exercises for three sets of 45 s each including oscillatory PIP joint mobilizations (using a finger trap to separate the joint surfaces and blocking the middle phalanx with the thumb), instrument-assisted soft tissue mobilization of the fingers with moderate pressure, and active straight fingers to hook fist range of motion (Figures 4D-F). The climber was also given strength exercises to be performed three times per week including rubber band flicks and palmer interosseous gripping exercises (Figures 4G-I).