Rehabilitation of Finger Flexor Tendon Injuries
Early Active Motion in the Rehabilitation of Flexor Tendon Injuries: Short Splint Versus Relative Motion: a Pilot Randomized Controlled Trial
1 other identifier
interventional
30
1 country
1
Brief Summary
The primary objective is to compare the two different rehabilitation protocols relative motion flexion and short splint regarding patients'satisfaction in patients with flexor tendon injuries in Zone I and II after 13 and 26 weeks post-surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Dec 2021
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 13, 2021
CompletedFirst Posted
Study publicly available on registry
October 14, 2021
CompletedStudy Start
First participant enrolled
December 1, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 31, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2024
CompletedJune 9, 2023
June 1, 2023
2.7 years
October 13, 2021
June 8, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Change in patient satisfaction
The satisfaction with the outcome will be evaluated by asking the patient a Single Assessment Numeric Evaluation (SANE) question: "How satisfied are you with your hand on a scale from 0 (not satisfied at all) to 10 (fully satisfied)?
13 and 26 weeks after tendon repair
Secondary Outcomes (11)
Michigan Hand Questionnaire (MHQ)
6, 13 and 26 weeks after tendon repair
Disabilities of Shoulder, Arm and Hand Questionnaire
6, 13 and 26 weeks after tendon repair
Range of motion
6, 13 and 26 weeks after tendon repair
Grip Strength
13 and 26 weeks after tendon repair
Level of pain
6, 13 and 26 weeks after tendon repair
- +6 more secondary outcomes
Study Arms (2)
Manchester Short Splint
ACTIVE COMPARATORDorsal splint ending shortly behind the wrist. The splint will be worn for 6 weeks after surgery and the patient will perform active and passive exercises in the splint.
Relative Motion Flexion
EXPERIMENTALIn the relative motion splint the injured finger is positioned in relative flexion in the MCP joint to the adjacent fingers. Additionally to the relative motion flexion splint a wrist orthosis is adapted. Passive and active exercises will be performed out of the splint.
Interventions
3-5 days after tendon repair the patient will start with hand therapy and the described protocol.
3-5 days after tendon repair the patient will start with hand therapy and the described protocol.
Eligibility Criteria
You may qualify if:
- Informed consent as documented by signature
- ≥ 18 years old
- Understanding of the German language (written and oral)
- Single and multiple finger injuries
- Primary flexor tendon injuries in Zone I-V for the fingers and/ or thumb
- Treated by the hand surgery department at the Inselspital Bern
- Treated with at least a 4-strand core suture
You may not qualify if:
- \< 18 years old
- Inability to follow the procedures of the study, e.g. due to language problems, diagnosed psychological disorders or dementia of the patients
- Replantation of the injured finger
- Fracture of the injured finger
- Primary tendon reconstructions
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Inselspital, Bern University Hospital
Bern, 3010, Switzerland
Related Publications (1)
Hardy M, Feehan L, Savvides G, Wong J. How controlled motion alters the biophysical properties of musculoskeletal tissue architecture. J Hand Ther. 2023 Apr-Jun;36(2):269-279. doi: 10.1016/j.jht.2022.12.003. Epub 2023 Apr 5.
PMID: 37029054DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Bernadette Tobler, Dr. phil.
Inselspital, Bern Universtiy Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 13, 2021
First Posted
October 14, 2021
Study Start
December 1, 2021
Primary Completion
July 31, 2024
Study Completion
December 31, 2024
Last Updated
June 9, 2023
Record last verified: 2023-06
Data Sharing
- IPD Sharing
- Will not share