Boutonniere Deformity Effectiveness of Thermoplastic and Fabricated Orthoses
1 other identifier
interventional
60
1 country
2
Brief Summary
The goal of this study is to present the author's thumb orthosis with a butonier deformity and its effect on hand function, strength, dexterity and pain levels in relation to patients wearing factory-made orthopedic supplies. It is planned to include about 60 people in the study (30 people each in the group with thermoplastic orthoses and 30 participants with factory-made orthoses) The main questions it aims to answer are: 1\. How much improvement in dexterity will the patient wearing the orthosis get? 2. By how much will the grip strength of the whole hand and pincer grip strength improve with the orthosis? 3. How will wearing the orthosis affect the pain associated with the disease? Participants will
- 1.measurement of grip strength of the right and left hands with a dynamometer in an orthosis and without an orthosis, at the time of the test conducted and at the appointed times.
- 2.measurement of pincer grip strength with a dynamometer in an orthosis and without an orthosis, at the time of the test conducted and at the designated times.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jul 2024
Typical duration for not_applicable
2 active sites
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
February 3, 2024
CompletedFirst Posted
Study publicly available on registry
February 20, 2024
CompletedStudy Start
First participant enrolled
July 6, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 30, 2026
September 3, 2025
August 1, 2025
2.2 years
February 3, 2024
August 26, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (6)
Grip strength
Measurement of grip strength and of the right and left hands with a dynamometer in an orthosis and without an orthosis.
6 month
DASH -Disabilities of the Arm, Shoulder and Hand
The DASH questionnaire assesses upper limb disability and consists of 30 questions in the general section and an additional work module with 4 questions and a sport/instrument playing module with 4 questions. In the DASH a higher scores indicate a greater level of disability and severity, whereas, lower scores indicate a lower level of disability. The score on test ranges from 0 (no disability) to 100 (most severe disability)
6 month
Likert scale
Measurement strategy, used surveys through which knowledge about the degree of acceptance of the product can be obtained. Participants provide data using a four-point strongly disagree, disagree, agree, strongly agree
6 month
Kapandji score
Is a tool useful for assessing the opposition of the thumb. A score of 0 indicates no opposition, a score of 10 indicates maximal opposition.
6 month
NRS - Numerical Rating Scale
Requires the patient to rate their pain on a defined scale. Ranges from 0 to 10. zero being an example of someone with no pain and ten being the worst pain possible.
6 month
pinch strength
pincer grip strength of the right and left hands with a dynamometer in an orthosis and without an orthosis.
6 month
Study Arms (6)
Grip strength
OTHERUsing a hydraulic handgrip dynamometer by Saehan according to the procedure to measure grip strength
DASH Questionnaire
OTHERThe DASH questionnaire assesses upper limb disability and consists of 30 questions in the general section and an additional work module with 4 questions and a sport/instrument playing module with 4 questions. Assess symptoms and the inability to perform certain activities based on health status.
Likert scale
OTHERMeasurement strategy, used in surveys to gain knowledge about the degree of acceptance of the orthosis
Kapandji score
OTHERIs a tool useful for assessing the opposition of the thumb
NRS scale
OTHERRequires the patient to rate their pain on a defined scale
Pinch strength
OTHERUsing a hydraulic handgrip dynamometer by Saehan according to the procedure to measure grip strength
Interventions
The use of the author's orthosis is aimed at correcting the anatomical alignment of the MP (metacarpophalangeal) joints, IP (interphalangeal) by properly tensioning the central extensor band and the lateral bands of the thumb's extensor apparatus. It should significantly increase the mobility of the hand in connection with improving hand grip and reducing pain.
Eligibility Criteria
You may qualify if:
- diagnosed with RA
- diagnosed thumb deformity: butonier finger, type I or II
- female
- age 18 - 65 years
- patient's consent to the study
You may not qualify if:
- other deformity of the thumb
- less than 1 year since surgical intervention in the hand
- less than 6 months since delivery injections within the thumb
- change in treatment during the study and 3 months before the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Terapia Ręki Magda Kolasińska
Warsaw, Masovian Voivodeship, 01-494, Poland
Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji im. prof. dr hab. med. Eleonory Reicher
Warsaw, Masovian Voivodeship, 02-637, Poland
Study Officials
- STUDY DIRECTOR
Magdalena Kolasińska, Msc
University of Physical Education in Warsaw
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
February 3, 2024
First Posted
February 20, 2024
Study Start
July 6, 2024
Primary Completion (Estimated)
September 30, 2026
Study Completion (Estimated)
September 30, 2026
Last Updated
September 3, 2025
Record last verified: 2025-08
Data Sharing
- IPD Sharing
- Will not share