None listed
Conditions
Brief summary
This randomised control trial aims to evaluate outcomes following a) standard care, and b) a multimodal hand therapy management package to deliver acute post-operative hand therapy education and care, guide patient expectations of key milestones in recovery, and highlight ‘triggers’ to help patients identify when and how to access the hospital hand therapy service. We hypothesise targeted, rather than routine referral to HT may allow better allocation of resources with non-inferior patient outcomes.
Interventions
Intervention Group – Multi-modal hand therapy management package post Carpal Tunnel Release
The participant is provided with a self-directed hand therapy management package which consists of a paper handout. The handout demonstrates digit range of motion exercises, scar management, activity precautions and expectations post-surgery. Guidance is provided around monitoring for wound infections and where/when to seek help.
The handout is supported by a QR code linking the participant to a 5 minute
Intervention Group – Multi-modal hand therapy management package post Carpal Tunnel Release The participant is provided with a self-directed hand therapy management package which consists of a paper handout. The handout demonstrates digit range of motion exercises, scar management, activity precautions and expectations post-surgery. Guidance is provided around monitoring for wound infections and where/when to seek help. The handout is supported by a QR code linking the participant to a 5 minute video guiding their post-operative therapy. Participants will have the opportunity to call and book a hand therapy appointment via Telehealth, telephone or in person as per the standard care pathway if they are concerned with their progress. The handout and video have been created specifically for this study.
Sponsors
Austin Health
Study design
Allocation
Randomised controlled trial
Primary purpose
Treatment
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Open Carpal Tunnel Release (OCTR) surgery, for management of chronic non-traumatic Carpal Tunnel Syndrome (CTS) Adult (aged 18 year or over) English language proficiency sufficient to provide informed consent and complete outcome measures, or able to be assisted with understanding by interpreter Surgery completed by Austin Health Plastic Surgery team
Exclusion criteria
Repeat OCTR surgery on the same limb Other surgical procedures completed in conjunction with OCTR OCTR as management for an acute traumatic injury (eg. crush hand, hand and wrist fractures, compartment syndrome) Cognitive impairment
Outcome results
None listed