NCT06267469

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. 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. 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

77
On Track

Trial Health Score

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

Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
5mo left

Started Jul 2024

Typical duration for not_applicable

Geographic Reach
1 country

2 active sites

Status
recruiting

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

Study Progress82%
Jul 2024Sep 2026

First Submitted

Initial submission to the registry

February 3, 2024

Completed
17 days until next milestone

First Posted

Study publicly available on registry

February 20, 2024

Completed
5 months until next milestone

Study Start

First participant enrolled

July 6, 2024

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 30, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 30, 2026

Last Updated

September 3, 2025

Status Verified

August 1, 2025

Enrollment Period

2.2 years

First QC Date

February 3, 2024

Last Update Submit

August 26, 2025

Conditions

Keywords

Boutonniere deformitythermoplastic orthosis

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

OTHER

Using a hydraulic handgrip dynamometer by Saehan according to the procedure to measure grip strength

Device: Thermoplastic orthosis

DASH Questionnaire

OTHER

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. Assess symptoms and the inability to perform certain activities based on health status.

Device: Thermoplastic orthosis

Likert scale

OTHER

Measurement strategy, used in surveys to gain knowledge about the degree of acceptance of the orthosis

Device: Thermoplastic orthosis

Kapandji score

OTHER

Is a tool useful for assessing the opposition of the thumb

Device: Thermoplastic orthosis

NRS scale

OTHER

Requires the patient to rate their pain on a defined scale

Device: Thermoplastic orthosis

Pinch strength

OTHER

Using a hydraulic handgrip dynamometer by Saehan according to the procedure to measure grip strength

Device: Thermoplastic orthosis

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.

DASH QuestionnaireGrip strengthKapandji scoreLikert scaleNRS scalePinch strength

Eligibility Criteria

Age18 Years - 65 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

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

RECRUITING

Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji im. prof. dr hab. med. Eleonory Reicher

Warsaw, Masovian Voivodeship, 02-637, Poland

RECRUITING

Study Officials

  • Magdalena Kolasińska, Msc

    University of Physical Education in Warsaw

    STUDY DIRECTOR

Central Study Contacts

Magdalena Kolasińska, MSc

CONTACT

Teresa Sadura-Sieklucka, Phd

CONTACT

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

Locations