TABLE 1

Independent Certified Hand Therapy Assessments: Preoperative and Postoperative Certified Hand Therapy Assessments of Both Patients Including Their Unaffected Left Hands, Which Served as Internal Controls

Unaffected Left HandRight Hand Before LaserRight Hand After Laser
Patient 1
 1st digit tip to 5th digit tip extension distance (cm)2319.2520.5
 Grip strength (lb)10595103
 Post-AFR subjective improvementDecreased itch and irritation
 Post-AFR objective improvement1.25-cm gain in palmar extension
 Post-AFR functional gainCan grasp objects 5 inches in diameter (increased from 4 inches); can open a jar of peanut butter
Patient 2
 3rd digit PIP joint total activea ROM (°)100 (0–100)85 (15–100)90 (10–100)
 3rd digit DIP joint total activea ROM (°)90 (0–90)55 (5–60)60 (0–60)
 4th digit PIP joint total activea ROM (°)100 (0–100)85 (15–100)90 (10–100)
 4th digit DIP joint total activea ROM (°)90 (0–90)55 (5–60)60 (0–60)
 Grip strength (lb)NormalbWeakbNormalb
 Post-AFR subjective improvementDecreased tightnessb
 Post-AFR objective improvement10° improvement in total activea ROM (PIP + DIP) in 3rd and 4th digits
 Post-AFR functional gainCan grasp and release a ball; uses hands equally
  • a Active ROM refers to movement produced by one’s own muscle (in contrast to passive ROM, which refers to movement produced by an external force).

  • b As assessed by certified hand therapist (patient too young to use standardized measurement devices or give subjective opinions).