Flexor Digitorum Profundus Injury
Conditions
Keywords
Flexor tendon rehabilitation, Smart-phone application, adherence
Brief summary
Can a mobile application improve adherence, self-efficacy and range of motion after flexor tendon repair? A randomized controlled multicenter trial. Aim Evaluate how the use of a mobile application will affect exercise adherence, range of motion and self-efficacy when compared to standard rehabilitation after flexor tendon repair. Method Multicenter randomized controlled trial. Patients with flexor tendon repair in zone I or II were included and rehabilitated with early active motion and followed 12 weeks post-surgery. Randomization was performed by a computer-generated concealed block to control (n=60) or intervention group (n=60). Both groups received standard rehabilitation according to early active motion. Intervention group also received a smart phone app including; exercise videos, push-notifications for exercise, exercise diary, written information on the surgery, rehabilitation, questions and answers. Evaluation was made at baseline, 2, 6- and 12-weeks after surgery. Primary outcome was physiotherapist rated adherence on the Sport Injury Adherence Scale (SIRAS). Secondary outcome was self-reported adherence, perceived self-efficacy, total Active range of motion (TAM) in the Proximal Interphalangeal (PIP) joint and Distal Interphalangeal (DIP) joint and perceived satisfaction with rehabilitation and information.
Interventions
Smart phone application including exercise videos, push notifications for exercise, questions and answers, exercise diary.
Sponsors
Karolinska Institutet
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Over 18 years old, * Own a mobile phone, fluent in Swedish, * Suited for early active motion rehabilitation * Injury to one or both of the flexor tendons in the a finger
Exclusion criteria
* concomitant fracture in the hand * tendon injury to flexor pollicis longus. * Extensor tendon injury in the same hand.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sport injury adherence scale (SIRAS) | assessed at 2 weeks (totalt score range 3-15, higher value indicates better outcome) | Physiotherapist rated adherence questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Self reported adherence | assessed at 2 and 6 weeks (total score range 0-100,higher value indicates better outcome ) | Patient rated adherence questionnaire duration |
| Athlet injury self efficacy questionnaire (AISEQ) | baseline, 2 and 6 weeks (Change over time) | Patient reported self efficacy for rehabilitation |
| Range of motion | assessed at 12 weeks (range 0-240,higher value indicates better outcome ) | Total range of motion in the proximal interphalangeal and distal interphalangeal joints measured with a finger goniometer |
Other
| Measure | Time frame | Description |
|---|---|---|
| Perceived satisfaction with rehabilitation | at 12 weeks (range 0-100, higher value indicates better outcome) | questions on a Likert scale regarding satisfaction of rehabilitation. how do you perceive the rehabilitation after the operation? |
| Perceived satisfaction with information | at 12 weeks (range 0-100, higher value indicates better outcome) | questions on a Likert scale regarding satisfaction of information: how do you perceive the information after the operation? |
Countries
Sweden
Outcome results
None listed