Kinesophobia's Impact on Hand Tendon Rehabilitation

NCT06741215 | Completed

• 1 other identifier: AnkaraTRH-FTR-NK-01
• Study Type: observational
• Target: 31
• Locations: 1 country
• Sites: 1

Brief Summary

Surgically repaired hand tendon injuries may be adversely affected by kinesiophobia during rehabilitation. In this pioneering study, we aimed to investigate the impact of kinesiophobia on functional recovery and rehabilitation outcomes during postoperative rehabilitation of hand tendon injuries.

Conditions

Kinesiophobia; Tendon Injuries

Keywords

Tendon Injuries; Kinesiophobia; Hand surgery; Rehabilitation

Outcome Measures

Primary Outcomes (1)

• Tampa Scale of Kinesiophobia (TSK) scores

  The original Tampa Scale of Kinesiophobia (TKS) was developed by Miller, Kopri and Todd in 1991 but was not published \[Miller R., Kori S., Todd D. The Tampa Scale: a measure of kinesiophobia. Clin J Pain. 1991;7(1):51-52.\]. TKS is a 17-item scale developed to measure fear of movement/reinjury. The scale includes parameters of injury/reinjury and fear-avoidance in work-related activities. We used the Turkish version in our study. \[Acar S., Savci S., Keskinoğlu P., Akdeniz B., Özpelit E., Özcan Kahraman B., Karadibak D., Sevinc C. Tampa Scale of Kinesiophobia for Heart Turkish Version Study: cross-cultural adaptation, exploratory factor analysis, and reliability. J Pain Res. 2016 Jun 23;9:445-51.\]

  six week

Secondary Outcomes (3)

• Visual analog scale (VAS) scores

  six week

• Total Active Motion (TAM)

  six week

• Hand Functional Index (HFI) scores

  six week

Study Arms (2)

Group 1: High kinesiophobia group

Tampa kinesiophobia score greater than 37

Other: Hand Rehabilitation

Group 2: Low kinesiophobia group

Tampa kinesiophobia score less than 37

Other: Hand Rehabilitation

Interventions

Hand Rehabilitation OTHER

Passive mobilization exercises were initiated for these patients in the first postoperative week. Flexor tendon repair patients were immobilized for 3-4 weeks postoperatively. During this period, passive mobilization exercises were with controlled movement. After removing the splint in the third or fourth week, tendon-gliding exercises were initiated, followed by isolated tendon-gliding exercises in the fifth week. Electrotherapy was started in the sixth week (5 days a week, for 15 sessions). For extensor tendon repair patients, immobilization lasting 3-6 weeks was applied based on the injury level. During immobilization, passive range of motion (ROM) exercises were performed for adjacent joints while the hand remained in the splint. After splint removal, active and passive ROM exercises, and tendon-gliding exercises with gradually increasing intensity were started according to the injury level. Electrotherapy was started in in the sixth week.

Group 1: High kinesiophobia group; Group 2: Low kinesiophobia group

Eligibility Criteria

• Age: 18 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients who underwent primary repair of flexor and/or extensor tendon injuries

You may qualify if:

• Clinical diagnosis of underwent primary repair for flexor and/or extensor tendon injuries

You may not qualify if:

• Patients with associated fractures
• Peripheral nerve and vascular injuries
• Rheumatoid arthritis
• Diabetes mellitus
• Peripheral artery disease
• Other rheumatic diseases affecting the hand

Sponsors & Collaborators

• Ankara Training and Research Hospital: lead

Study Sites (1)

Department of Physical Therapy and Rehabilitation, University of Health Sciences, Ankara Training and Research Hospital

Ankara, Altindag, 06230, Turkey (Türkiye)

Location

Related Publications (19)

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  PMID: 30905495 BACKGROUND

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  PMID: 36204486 BACKGROUND

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• Tuna Z, Oskay D, Gokkurt A, Mete O, Baglan Yentur S, Ambarcioglu P. Does earlier splint removal truly affect functional recovery and kinesiophobia after tendon repair? Hand Surg Rehabil. 2020 Sep;39(4):310-315. doi: 10.1016/j.hansur.2020.01.006. Epub 2020 Feb 20.

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MeSH Terms

Conditions

Kinesiophobia; Tendon Injuries

Condition Hierarchy (Ancestors)

Phobic Disorders; Anxiety Disorders; Mental Disorders; Wounds and Injuries

Study Officials

• Nadide Koca, M.D.

  Department of Physical Therapy and Rehabilitation, University of Health Sciences

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Department of Physical Therapy and Rehabilitation

Study Record Dates

• First Submitted: December 13, 2024
• First Posted: December 18, 2024
• Study Start: June 22, 2023
• Primary Completion: June 21, 2024
• Study Completion: August 12, 2024
• Last Updated: December 18, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)