NCT01987115

Brief Summary

Trigger finger is a relatively common disorder affecting the hand. There is limited evidence on the efficiency of traditional physiotherapy in treating this condition. Fascial manipulation is a gaining momentum manual therapy method. To our knowledge the efficiency of fascial manipulation techniques in the treatment of trigger finger was not reported. The purpose of this study is to investigate the efficiency of the technique and to compare it with the traditional physiotherapy treatment.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
34

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Nov 2013

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 1, 2013

Completed
11 days until next milestone

First Submitted

Initial submission to the registry

November 12, 2013

Completed
7 days until next milestone

First Posted

Study publicly available on registry

November 19, 2013

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2016

Completed
Last Updated

February 12, 2021

Status Verified

February 1, 2021

Enrollment Period

2.9 years

First QC Date

November 12, 2013

Last Update Submit

February 10, 2021

Conditions

Trigger Finger

Keywords

Trigger FingerPhysiotherapyFascial Manipulation

Outcome Measures

Primary Outcomes (1)

  • Visual Analog Scale for pain

    Decrease in pain as measured by a visual analog scale at 6 weeks

    6 weeks

Secondary Outcomes (1)

  • The Disabilities of the Arm, Shoulder and Hand score

    6 weeks

Study Arms (2)

Fascial Manipulation

EXPERIMENTAL

Group will receive fascial manipulation at 3 centers of coordination (C.C) at: 1. C.C above the pronator teres muscle. (M.F unit of INTRA-CUBITUS), 2. C.C above proximal part of pronator quadratus muscle, between the palmaris longus and the flexor carpi radialis tendons (M.F unit of INTRA-CARPUS), 3. C.C in the mid-palmar region between metacarpus 3-4 (M.F unit of INTRA-DIGIT).4. C.C. over the muscle belly of Ext. Digit and Ext. Pollicis Longus (M.F unit of EXTRA-CARPUS).

Procedure: Fascial manipulation

Traditional physiotherapy

ACTIVE COMPARATOR

Group will receive U.S. treatment delivered to the A1 pulley area (3 Megahertz, over 1cm², for 5 minutes), Metacarpophalangeal and Proximal interphalangeal joint mobilization (for 5 minutes), eccentric stretching, and self exercises at home (self-stretch and self-massage).

Procedure: Traditional physiotherapy

Interventions

Fascial manipulationPROCEDURE

Group will receive fascial manipulation at 3 centers of coordination (C.C) at: 1. C.C above the pronator teres muscle. (M.F unit of INTRA-CUBITUS), 2. C.C above proximal part of pronator quadratus muscle, between the palmaris longus and the flexor carpi radialis tendons (M.F unit of INTRA-CARPUS), 3. C.C in the mid-palmar region between metacarpus 3-4 (M.F unit of INTRA-DIGIT).4. C.C. over the muscle belly of Ext. Digit and Ext. Pollicis Longus (M.F unit of EXTRA-CARPUS).

Fascial Manipulation
Traditional physiotherapyPROCEDURE

Group will receive U.S. treatment delivered to the A1 pulley area (3 Megahertz, over 1cm², for 5 minutes), Metacarpophalangeal and Proximal interphalangeal joint mobilization (for 5 minutes), eccentric stretching, and self exercises at home (self-stretch and self-massage).

Traditional physiotherapy

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosed with trigger finger by primary investigator
  • Adult
  • Good command of Hebrew

You may not qualify if:

  • Locked finger
  • Younger than 18
  • Secondary triggers (Post-traumatic, tumor, rheumatic disease, pregnancy, etc.)
  • Low pain tolerance (hyperalgesia/allodynia etc.)
  • Trigger thumbs
  • Multiple trigger fingers
  • Recurrent trigger finger
  • Patient received additional treatments
  • Patients with compensation claims
  • Patients who cannot commit to attend the planned therapeutic sessions

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Migdal Hamea Clinic Clalit Health Services

Tel Aviv, Israel

Location

MeSH Terms

Conditions

Trigger Finger Disorder

Condition Hierarchy (Ancestors)

Tendon EntrapmentTendinopathyMuscular DiseasesMusculoskeletal Diseases

Study Officials

  • Sorin D Iordache, MD

    Clalit Health Services

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Head of Hand Surgery, Beilinson Hospital

Study Record Dates

First Submitted

November 12, 2013

First Posted

November 19, 2013

Study Start

November 1, 2013

Primary Completion

October 1, 2016

Study Completion

October 1, 2016

Last Updated

February 12, 2021

Record last verified: 2021-02

Locations

IL(1)