The Cognitive-Functional Relationship in Geriatric Hand-Forearm Injuries

NCT07379229 | Not Yet Recruiting

• 1 other identifier: E-60116787-020-808743
• Study Type: observational
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

Considering the complex structure of hand-forearm injuries and the long rehabilitation process, it is important to investigate factors associated with recovery in geriatric individuals. Therefore, this study aimed to examine the relationship between cognitive status and functional outcomes in geriatric individuals with hand-forearm injuries.

Conditions

Geriatric Population; Cognitive Ability; Functional Abilities; Hand Injuries

Keywords

geriatric population; hand Injuries; functional outcome; cognitive function

Outcome Measures

Primary Outcomes (5)

• Modified Hand Injury Severity Score

  A scoring system that evaluates the severity of hand and forearm injuries based on integumentary, skeletal, motor, and neurovascular components. The total score is obtained by summing the scores of all components and is divided into four categories: minor (\<20), moderate (21-50), severe (51-100), and major (\>101) injury.

  At baseline

• Standardized Mini-Mental Test

  This test will be used to assess the cognitive levels of the participants. The test consists of five subdomains: orientation, registration, attention and calculation, recall, and language, and is scored out of a total of 30 points. The results are evaluated as follows; 27-30 points: within normal limits, 24-27 points: mild cognitive impairment, and below 24 points: severe cognitive impairment.

  At 12th week after injury or surgery

• Upper Extremity Functional Index

  A 20-item scale used to assess upper extremity function and is scored using a 0-5 Likert-type rating, with a total score ranging from 0 to 80. Lower scores indicate that the individual has difficulty performing activities as a result of an upper extremity problem.

  At 12th week after the injury or surgery

• Grip-pinch strength

  Grip strength will be measured using a Jamar hand dynamometer according to the procedure recommended by the American Society of Hand Therapists. Pinch strength will be measured using a Jamar pinch gauge in four positions: tip pinch, pulp pinch, lateral pinch, and tripod pinch. Results will be recorded in kilograms.

  At 12th week after injury or surgery

• Perceived pain intensity

  Perceived pain intensity will be assessed using the Visual Analog Scale. The evaluation will be performed on a 10-cm line ranging from "no pain" to "worst possible pain.

  At 12th week after injury or surgery

Study Arms (1)

Geriatric patients with hand-forearm injuries

Other: Questionnaire and Physical Exam

Interventions

Questionnaire and Physical Exam OTHER

Injury severity will be assessed using the Modified Hand Injury Severity Score. At week 12 after the injury or surgery, cognitive status by Mini-Mental Test, upper extremity function by Upper Extremity Functional Index, pain intensity by Visual Analog Scale, and grip-pinch strength will be evaluated.

Geriatric patients with hand-forearm injuries

Eligibility Criteria

• Age: 66 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Volunteer geriatric individuals who were treated conservatively or surgically for hand and forearm injuries at the hand surgery clinic of a university hospital, and who were referred to the hand rehabilitation unit will be included.

You may qualify if:

• Being over 65 years of age
• Having sufficient communication skills and auditory-visual abilities to complete cognitive tests

You may not qualify if:

• Inability to perform functional tests due to active wounds, open fractures, or severe pain
• Inability to administer cognitive tests due to aphasia or severe hearing or visual impairment

Sponsors & Collaborators

• Pamukkale University: lead

Study Sites (1)

Pamukkale University

Denizli, 20170, Turkey (Türkiye)

Location

Related Publications (2)

• Carrillo CB, Barr C, George S. Cognitive Status and Outcomes of Older People in Orthopedic Rehabilitation? A Retrospective-Cohort Study. Geriatrics (Basel). 2020 Mar 2;5(1):14. doi: 10.3390/geriatrics5010014.

  PMID: 32131454 RESULT

• Kringstad O, Dahlin LB, Rosberg HE. Hand injuries in an older population - a retrospective cohort study from a single hand surgery centre. BMC Musculoskelet Disord. 2019 May 24;20(1):245. doi: 10.1186/s12891-019-2617-x.

  PMID: 31122232 RESULT

MeSH Terms

Conditions

Hand Injuries

Interventions

Surveys and Questionnaires; Restraint, Physical

Condition Hierarchy (Ancestors)

Wounds and Injuries

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health; Behavior Control; Therapeutics; Immobilization

Central Study Contacts

Umut Eraslan, PhD

CONTACT

+905444126520; ueraslan@pau.edu.tr

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Target Duration: 12 Weeks
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: January 23, 2026
• First Posted: January 30, 2026
• Study Start: February 23, 2026
• Primary Completion (Estimated): December 30, 2026
• Study Completion (Estimated): December 30, 2026
• Last Updated: February 3, 2026

Record last verified: 2026-01

Locations

TU (1)