Effect of Dynamic Hand Splint on Hand ROM Post Extensor Tendon Repair

NCT07290348 | Completed

• 1 other identifier: Magdy-MSc
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study was to evaluate the effectiveness of dynamic hand splint on hand range of motion following extensor tendon repair.

Conditions

Splints; Range of Motion; Extensor Tendons of Finger Anomalies

Outcome Measures

Primary Outcomes (1)

• assessment of wrist range of motion

  The study measured the range of motion of the wrist at three stages: prior to treatment, after one month, and at the end of the treatment. Patients were positioned sitting with their elbows on a table. An electronic goniometer was employed for the measurements, ensuring the wrist was neutral (0°) for extension assessments. For wrist extension, the forearm was pronated and the elbow fully extended, with the goniometer aligned with the lateral side of the ulna and the fifth metacarpal for accurate measurement

  at baseline and after 1 months and 2 months

Secondary Outcomes (2)

• assessment of metacarpophalangeal joint range of motion

  at baseline and after 1 months and 2 months

• assessment of interphalangeal joints' range of motion

  at baseline and after 1 months and 2 months

Study Arms (2)

dynamic hand splint

EXPERIMENTAL

This group included 20 patients suffering from cuts of the extensor tendon of their hand in zone 5 or 6 and underwent tendon repair surgery in this study. They wear a dynamic hand splint after 3 weeks post-operative for 2 months in addition to their conventional medical treatment and traditional care (dressing).

Other: customized dynamic hand splint; Other: traditional treatment (first stage); Other: traditional treatment (second and third stage)

conventional medical treatment

ACTIVE COMPARATOR

This group included 20 patients suffering from cuts of the extensor tendon of their hand in zone 5 or 6 and underwent tendon repair surgery in this study. They, without wearing a dynamic hand splint, received their conventional medical treatment and traditional care (dressing).

Other: traditional treatment (first stage); Other: traditional treatment (second and third stage)

Interventions

traditional treatment (first stage) OTHER

All patients underwent a standardized rehabilitation program involving chair exercises. Key components included management of postoperative hand edema through distal-to-proximal massage to enhance tendon glide and range of motion; deep friction massage to reduce adhesions of postoperative scars; positive effects of massage therapy on hypertrophic and burn scar thickness; use of ultrasound on repaired tendons to minimize adhesions and promote healing; and gentle passive range of motion exercises for wrist and finger joints to gradually restore motion.

conventional medical treatment; dynamic hand splint

traditional treatment (second and third stage) OTHER

This stage spanned two weeks following rehabilitation, during which all patients in both groups performed gentle stretching, active-assisted, and active free range of motion exercises to improve neuromuscular control and joint movements. This stage lasted one month, during which all patients engaged in active resisted range of motion, strengthening exercises, and functional training to restore muscle power and daily activity levels. Thera-band resistance training can improve muscle strength and functional fitness in older adults in community settings, serving as a safe and manageable physical activity that nursing staff can seamlessly integrate into daily routines.

conventional medical treatment; dynamic hand splint

customized dynamic hand splint OTHER

After 3 weeks of repair surgery, both groups were asked to take of the static splints, then the patients in group A (study group) were asked to wear customized dynamic hand splint daytime between sessions whole duration from third week post operative for 2 months till the end of the rehabilitation sessions, on the other hand the patients in group B (control group) were not asked to wear customized dynamic hand splint.

dynamic hand splint

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients are both males and females.
• Their age will be in the range of 20-40 years.
• All patients suffering from extensor tendon injuries in zone 5 or 6.
• All patients undergo extensor tendon repair surgery.
• All patients will begin the treatment program from the third week post-operative.
• All patients enrolled in the study will have their informed consent.

You may not qualify if:

• The potential participants will be excluded if they meet one of the following criteria:
• Patients with associated diseases (diabetes mellitus, infectious diseases, autoimmune disease) that will interfere with the healing process.
• Patients taking medication that alters the healing process (e.g., corticosteroids, chemotherapy, or radiation).
• Pregnancy or epilepsy.
• Elderly patients.
• Skin disease.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Mansoura international hospital, Dakahlia government, Egypt

Al Mansurah, Egypt

Location

MeSH Terms

Conditions

Hapnes Boman Skeie syndrome

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: December 5, 2025
• First Posted: December 18, 2025
• Study Start: August 1, 2023
• Primary Completion: December 1, 2024
• Study Completion: January 1, 2025
• Last Updated: December 18, 2025

Record last verified: 2025-12

Locations

EG (1)