The Effectiveness of Joint Mobilization in Stiff Hand Treatment
Effects of Joint Mobilization on Hand Function in Patients With Stiff Hand: A Randomized Controlled Trial
Effects of Joint Mobilization on Hand Function in Patients With Stiff Hand: A Randomized Controlled Trial
Sponsor study identifier
interventional
34
1 country
1
Study Start
January 24, 2025
Actual (reported)Primary Completion
March 11, 2026
Actual (reported)Study Completion
March 11, 2026
Actual (reported)Although various treatment modalities have been investigated for the management of stiff hand, no previous study has examined the combined use of exercise and joint mobilization. Therefore, the present study was designed to investigate the effects of peripheral joint mobilization, applied in addition to conventional exercise, on functional outcomes in patients with stiff hand.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
March 11, 2026
Actual (reported)Click on a node to explore related trials.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
January 24, 2025
Actual (reported)March 11, 2026
Actual (reported)March 11, 2026
Actual (reported)July 8, 2026
Actual (reported)July 14, 2026
Actual (reported)Range of Motion
Total Active Motion (TAM) assessed by metal finger goniometer.
Assessments were performed at baseline, at the end of treatment (4 weeks), and at the 8-week follow-up.
Grip Strength
Grip Strength was assessed by Jamar dynamometer (gross grip, pinch, pulp, lateral, tripod)
Assessments were performed at baseline, at the end of treatment (4 weeks), and at the 8-week follow-up.
Michigan Hand Outcomes Questionnaire
Assessments were performed at baseline, at the end of treatment (4 weeks), and at the 8-week follow-up.
Participants received conventional physiotherapy program (classical massage, scar massage, active and resistive hand-wrist exercises, adhesive bandage for edema control) in addition to joint mobilization. Joint mobilization was initiated at minimum 6 weeks post-injury or surgery. Participants were seated with forearm in neutral position. The joint proximal to the mobilized segment was stabilized. Distraction force was applied in the distal direction. Volar glides (8-12 repetitions) were applied for flexion deficits and dorsal glides for extension deficits according to the convex-concave rule, with each glide held at end range for approximately 30 seconds. Mobilization was applied for 4-6 minutes per joint. Total session duration: approximately 30 minutes. Frequency: 3 sessions/week for 4 weeks (12 sessions total).
Pamukkale University
Denizli, Turkey (Türkiye)
Glasgow C, Tooth LR, Fleming J. Mobilizing the stiff hand: combining theory and evidence to improve clinical outcomes. J Hand Ther. 2010 Oct-Dec;23(4):392-400; quiz 401. doi: 10.1016/j.jht.2010.05.005. Epub 2010 Sep 9.
Weeks PM, Wray RC Jr, Kuxhaus M. The results of non-operative management of stiff joints in the hand. Plast Reconstr Surg. 1978 Jan;61(1):58-63. doi: 10.1097/00006534-197801000-00010.
Umut Eraslan
Pamukkale University
34 participants (actual enrollment reported by the registry).
First Submitted
July 8, 2026
First Posted
July 14, 2026
Study Start
January 24, 2025
Actual (reported)Participants received conventional physiotherapy program consisting of classical massage, scar massage, active and resistive hand-wrist exercises, and adhesive bandage for edema control. Total session duration: approximately 30 minutes. Frequency: 3 sessions/week for 4 weeks (12 sessions total).
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Primary Completion
March 11, 2026
Actual (reported)Study Completion
March 11, 2026
Actual (reported)Last Updated
July 14, 2026
Record last verified: 2026-07
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