Kinesiophobia and Functional Outcomes in Hand Injuries

NCT07668544 | Not Yet Recruiting

• 1 other identifier: MarmaraUni-01
• Study Type: interventional
• Target: 100
• Locations: 0 countries
• Sites: N/A

Brief Summary

Hand and forearm injuries are among the most common traumatic injuries and may result in substantial functional limitations, reduced work capacity, and decreased quality of life. Despite advances in surgical repair techniques, recovery outcomes vary considerably among individuals with similar injury characteristics. Psychological factors, particularly fear of movement or reinjury (kinesiophobia), may influence rehabilitation participation and functional recovery after injury. The aim of this prospective observational study is to investigate the relationship between early kinesiophobia levels and functional outcomes in adults who undergo surgical treatment for traumatic hand or forearm lacerations. Kinesiophobia will be assessed during the acute post-injury period (within 1-5 days after injury) using the Tampa Scale of Kinesiophobia. Injury severity will be evaluated using the Modified Hand Injury Severity Classification (MHISC/MEYCS). Participants will be followed for 12 weeks after injury. Functional recovery will be assessed at the 8th week using the Buck-Gramcko Score and the Sollerman Hand Function Test, and at the 12th week using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and hand grip strength measurements. The study will examine whether higher levels of early kinesiophobia are associated with greater injury severity and poorer functional recovery. Findings from this study may help identify patients at risk for delayed recovery and support the development of early rehabilitation strategies targeting psychological as well as physical aspects of hand injury recovery.

Conditions

Hand Injuries

Keywords

kinesiophobia; functionality

Outcome Measures

Primary Outcomes (1)

• Disabilities of the Arm, Shoulder and Hand (DASH) Score

  Functional disability and symptoms of the upper extremity assessed using the Turkish version of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. The study will evaluate the association between early kinesiophobia levels measured within 1-5 days after injury and functional outcomes at 12 weeks following surgically treated hand and forearm injuries.

  12 weeks after injury

Secondary Outcomes (5)

• Hand Grip Strength

  12 weeks after injury

• Buck-Gramcko Functional Score

  8 weeks after injury

• Sollerman Hand Function Test Score

  8 weeks after injury

• Tampa Scale of Kinesiophobia (TSK) Score

  Within 1-5 days after injury

• Modified Hand Injury Severity Classification (MHISC/MEYCS) Score

  Within 1-5 days after injury

Study Arms (4)

Minor Injury Group

EXPERIMENTAL

Participants with traumatic hand or forearm injuries classified as minor according to the Modified Hand Injury Severity Classification (MHISC/MEYCS) score (MEYCS \<20). Patients will undergo standard surgical treatment and routine postoperative care and will be followed for assessment of kinesiophobia and functional outcomes.

Other: Standard Surgical Treatment and Routine Postoperative Care

Moderate Injury Group

EXPERIMENTAL

Participants with traumatic hand or forearm injuries classified as moderate according to the Modified Hand Injury Severity Classification (MHISC/MEYCS) score (MEYCS 21-50). Patients will undergo standard surgical treatment and routine postoperative care and will be followed for assessment of kinesiophobia and functional outcomes.

Other: Standard Surgical Treatment and Routine Postoperative Care

Severe Injury Group

EXPERIMENTAL

Participants with traumatic hand or forearm injuries classified as severe according to the Modified Hand Injury Severity Classification (MHISC/MEYCS) score (MEYCS 51-100). Patients will undergo standard surgical treatment and routine postoperative care and will be followed for assessment of kinesiophobia and functional outcomes.

Other: Standard Surgical Treatment and Routine Postoperative Care

Major Injury Group

EXPERIMENTAL

Participants with traumatic hand or forearm injuries classified as major according to the Modified Hand Injury Severity Classification (MHISC/MEYCS) score (MEYCS \>101). Patients will undergo standard surgical treatment and routine postoperative care and will be followed for assessment of kinesiophobia and functional outcomes.

Other: Standard Surgical Treatment and Routine Postoperative Care

Interventions

Standard Surgical Treatment and Routine Postoperative Care OTHER

Participants with traumatic hand or forearm injuries will receive surgical treatment and postoperative management according to routine clinical practice and the treating surgeon's decision. No experimental treatment, device, medication, or rehabilitation protocol will be administered as part of the study. The study is observational in nature and aims to evaluate the relationship between early kinesiophobia levels, injury severity, and subsequent functional outcomes following standard surgical care.

Also known as: Routine Clinical Management

Major Injury Group; Minor Injury Group; Moderate Injury Group; Severe Injury Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adults aged 18 years and older. Patients presenting to the emergency department with traumatic hand or forearm lacerations requiring surgical treatment.
• Injury involving one or more anatomical structures of the hand or forearm (skin, tendon, nerve, vessel, or combined injuries).
• Assessment within 1-5 days following injury. Ability to understand and complete study questionnaires and functional assessments.
• Provision of written informed consent. Willingness to participate in follow-up assessments at 8 and 12 weeks after injury.

You may not qualify if:

• Age younger than 18 years. Cognitive impairment, severe psychiatric disorder, or communication problems preventing completion of questionnaires.
• Previous major injury, surgery, or permanent functional impairment of the affected upper extremity.
• Polytrauma or additional injuries that may substantially affect upper extremity function or rehabilitation outcomes.
• Neurological disorders affecting upper extremity function (e.g., stroke, peripheral neuropathy, spinal cord injury).
• Severe musculoskeletal disorders of the upper extremity unrelated to the index injury.
• Inability or unwillingness to attend follow-up evaluations. Refusal to provide informed consent

Sponsors & Collaborators

• Ebru Aloğlu Çiftçi: lead

Related Publications (1)

• Cantero-Tellez R, Rider J, Cruz-Gambero L, Villafane JH, Valdes K. Kinesiophobia, catastrophizing, and the duration of immobilization: A prospective study on factors associated with shoulder disability following wrist-hand injuries. J Hand Ther. 2025 Jul-Sep;38(3):477-482. doi: 10.1016/j.jht.2024.08.004. Epub 2025 Jan 6.

  PMID: 39765429 BACKGROUND

MeSH Terms

Conditions

Hand Injuries; Kinesiophobia

Condition Hierarchy (Ancestors)

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

Central Study Contacts

Samir İlgaroğlu, Surgeon

CONTACT

+905536166156; doktorsamir.zeynal@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Lecturer

Study Record Dates

• First Submitted: June 19, 2026
• First Posted: June 25, 2026
• Study Start: June 19, 2026
• Primary Completion (Estimated): December 20, 2026
• Study Completion (Estimated): March 17, 2027
• Last Updated: June 25, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share