None listed
Conditions
Brief summary
The purpose is to investigate whether the type of hand exercises affect short-term outcomes, in particular range of motion of the finger, following surgery to stabilise fractures of the proximal phalanx in the finger. Following surgery, participants will be randomised to one of two groups, where the treatment variable will be type of exercise. All other treatment will be constant between the two groups.
Interventions
Group A will undertake a novel combination of synergistic wrist-finger exercises within the constraints of a removable splint after ORIF of proximal phalangeal fracture of the finger.
The frequency of these exercises will be 10 completions of the exercise sequence, repeated a minimum of 6 times throughout the waking day.
The duration of the exercise program is 6 weeks.
The mode of administration will be that exercises are taught one-on-one with a Hand Physiotherapist or Occupational Therapist in
Group A will undertake a novel combination of synergistic wrist-finger exercises within the constraints of a removable splint after ORIF of proximal phalangeal fracture of the finger. The frequency of these exercises will be 10 completions of the exercise sequence, repeated a minimum of 6 times throughout the waking day. The duration of the exercise program is 6 weeks. The mode of administration will be that exercises are taught one-on-one with a Hand Physiotherapist or Occupational Therapist initially, and then practiced on an individual basis unsupervised until the next review appointment, where the program will be checked and reiterated. This will be repeated weekly for 6 weeks.
Sponsors
A/Prof Jack Crosbie
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
All adults (age range: 18- 65 years of age) with finger proximal phalangeal fractures that were stabilised via open reduction internal fixation (with plate and screw fixation or screw fixation alone) at Sydney Hospital Hand Unit are candidates for inclusion in the study. Participants must also have a willingness to give written informed consent and willingness to participate in and comply with the study.
Exclusion criteria
(1) there was a delay between fracture and surgical fixation greater than two weeks, (2) the surgical procedure did not achieve stability, (3) there is the presence of co- morbidities including diabetes and active arthropathy, (4) there is concomitant tendon or nerve injury, other fracture or vascular injury, (5) there are cognition problems or poor pain awareness, (6) there is an inability to attend regular hand therapy follow- up appointments. (7) patients with a history of a psychological illness or condition such as to interfere with the patient's ability to understand the requirements of the study.
Outcome results
None listed