Trigger Finger Treatment

NCT03847935 | Completed

• 1 other identifier: H-12583
• Study Type: observational
• Target: 86
• Locations: 0 countries
• Sites: N/A

Brief Summary

Trigger finger is a common disorder of the hand which causes pain at the A1 pulley, inflammation, stiffness and/or snapping during movement. This observational study compared all of the possible treatments and combinations of treatments for trigger finger at the A1 pulley, including surgery, cortisone injections and hand therapy.

Conditions

Trigger Finger; Trigger Digit; Stenosing Tenosynovitis

Keywords

treatment outcome; hand therapy; physical therapy; occupational therapy

Outcome Measures

Primary Outcomes (15)

• Change in Functional use using Quick DASH 6 weeks

  Change from baseline to 6 weeks Quick DASH

  Day 1, 6 weeks

• Change in Functional use using Quick DASH 3 months

  Change from baseline to 3 months Quick DASH

  Day 1, 3 months

• Change in Functional use using Quick DASH 6 months

  Change from baseline to 6 months Quick DASH

  Day 1, 6 months

• Change in Edema 6 weeks

  Baseline to 6 weeks Circumferential measurement in centimeters of the proximal phalanx

  day 1, 6 weeks

• Change in Edema 3 months

  Baseline to 3 months weeks Circumferential measurement in centimeters of the proximal phalanx

  day 1, 3 months

• Change in Edema 6 months

  Baseline to 6 months weeks Circumferential measurement in centimeters of the proximal phalanx

  day 1, 6 months

• Change in Pain on a likert scale 6 weeks

  Baseline to 6 weeks pain on a 0-10 scale

  1 day, 6 weeks

• Change in Pain on a likert scale 3 months

  Baseline to 3 months pain on a 0-10 scale

  1 day, 3 months

• Change in Pain on a likert scale 6 months

  Baseline to 6 months pain on a 0-10 scale

  1 day, 6 months

• Change in Range of motion 6 weeks

  Baseline to 6 weeks flexion and extension range of motion at metacarpophalangeal (MCP), proximal interphalangeal (PIP) and distal interphalangeal (DIP) using a finger goniometer.

  1 day, 6 weeks

• Change in Range of motion 3 months

  Baseline to 3 months flexion and extension range of motion at metacarpophalangeal (MCP), proximal interphalangeal (PIP) and distal interphalangeal (DIP) using a finger goniometer.

  1 day, 3 months

• Change in Range of motion 6 months

  Baseline to 6 months flexion and extension range of motion at metacarpophalangeal (MCP), proximal interphalangeal (PIP) and distal interphalangeal (DIP) using a finger goniometer.

  1 day, 6 months

• Change in Severity or Grade of triggering 6 weeks

  Baseline to 6 weeks Using the scale by Patel and Bassini to measure the amount of triggering 1=normal joint, 6=locked in flexion

  1 day, 6 weeks

• Change in Severity or Grade of triggering 3 months

  Baseline to 3 months Using the scale by Patel and Bassini to measure the amount of triggering 1=normal joint, 6=locked in flexion

  1 day, 3 months

• Change in Severity or Grade of triggering 6 months

  Baseline to 6 months Using the scale by Patel and Bassini to measure the amount of triggering 1=normal joint, 6=locked in flexion

  1 day, 6 months

Study Arms (6)

Surgery

Patients who underwent surgical release of A1 pulley

Procedure: surgery

corticosteroid injections only

Patients who underwent local corticosteroid injections only, and no other treatment

Procedure: corticosteroid injections

hand therapy only occupational/physical

1 visit: orthosis fabrication, range of motion, nodule and ice massage.

Other: Hand Therapy

Injection and Hand therapy

This group of participants received a combination of corticosteroid injection in the affected finger and one visit of hand therapy.

Procedure: corticosteroid injections; Other: Hand Therapy

Modality Hand Therapy

Ongoing hand therapy treatment, which included the above plus modalities such as ultrasound or iontophoresis.

Other: Modality Hand Therapy

Injection and Modality Hand Therapy

Ccombination of local cortiscosteroid injection to the affected digit and ongoing hand therapy with modalities.

Procedure: corticosteroid injections; Other: Modality Hand Therapy

Interventions

surgery PROCEDURE

A1 pulley release of finger

Surgery

corticosteroid injections PROCEDURE

corticosteroid injection to A1 pulley

Injection and Hand therapy; Injection and Modality Hand Therapy; corticosteroid injections only

Hand Therapy OTHER

orthosis fabrication, therapeutic exercise for range of motion to digits, ice massage, nodule massage, patient education,

Also known as: physical therapy, occupational therapy

Injection and Hand therapy; hand therapy only occupational/physical

Modality Hand Therapy OTHER

orthosis fabrication, therapeutic exercise for range of motion to digits, ice massage, nodule massage, patient education, plus modalities such as ultrasound, iontophoresis

Injection and Modality Hand Therapy; Modality Hand Therapy

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

patients undergoing medical treatment or hand therapy for trigger finger in digits #2-5 at the hand clinic. Patients were dropped from the study if they had changed to a different treatment.

You may qualify if:

• trigger finger in digit 2-5

You may not qualify if:

• if prior treatment for trigger finger, or Trigger thumb

Sponsors & Collaborators

• University of Massachusetts, Lowell: lead
• University of Massachusetts, Worcester: collaborator

Related Publications (1)

• Lewis E, Fors L, Tharion WJ. Interrater and intrarater reliability of finger goniometric measurements. Am J Occup Ther. 2010 Jul-Aug;64(4):555-61. doi: 10.5014/ajot.2010.09028.

  PMID: 20825126 BACKGROUND

MeSH Terms

Conditions

Trigger Finger Disorder; Tendon Entrapment

Interventions

Surgical Procedures, Operative; Physical Therapy Modalities; Occupational Therapy

Condition Hierarchy (Ancestors)

Tendinopathy; Muscular Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care

Study Officials

• Erika S. Lewis, Ed.D

  Associate Professor, University of Massachusetts Lowell

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: February 8, 2019
• First Posted: February 20, 2019
• Study Start: December 10, 2007
• Primary Completion: December 8, 2012
• Study Completion: December 8, 2012
• Last Updated: February 20, 2019

Record last verified: 2019-02

Data Sharing

• IPD Sharing: Will not share