[The treatment of Dupuytren's contracture from the medical gymnastic standpoint].

A special treatment program has been developed for each individual patient. Each day the patient receives three different treatment modalities--active exercises, passive exercises and electrical stimulation. On days when X-ray therapy is administered, the patient performs only active exercises and receives no electrical stimulation. The patient is also directed to perform certain exercises at home. Patients are advised strongly against the use of hot baths. Dynamic splints are adjusted regularly. In winter and during cold weather, patients are instructed to wear gloves. This therapy, combined with meticulous surgical technique, permits the rehabilitation of most hands affected by Dupuytren's contracture. The goal of rehabilitation is tailored to the needs of the patient and should include a sufficiently strong grasp, chuck pinch and possibly a good pulp pinch. When necessary, the therapy should be continued for long periods of time because a small gain in mobility may represent a significant improvement in overall function of the hand.