Injury of Extensor Tendon of Hand (Disorder)
Conditions
Brief summary
Functional recovery measurement : Comparing early active mobilization versus immobilization after extensor tendon repair in zones IV to VIII. Immobilization for six weeks has been the postoperative protocol for the patients with hand's extensor tendon repair in our institute. In this study early mobilization of the hand i.e. also an internationally followed way, is compared with the aforementioned immobilization protocol to see which turns out to be a better option in the interest of the patient.
Detailed description
patients selection in both groups will be random by using close envolupe technique. In group A ( immobilisation) physiotherapy will start by the end of 4th week and the upper limit of flexion would be 45 degrees. In group B ( EAM) physiotherapy will start by the end of 1st week and the upper limit of flexion would be 30 degrees.
Interventions
PROCEDUREphysiotherapy
Two protocols have been described for physiotherapy of post extensor tendon injuries. one is immobilization till 3 weeks and than gradual increase in active motion of hand. The second protocol is early active motion. this would be done under senior physiotherapist.
Sponsors
Dow University of Health Sciences
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
This study will be single blinded means that patient will be unaware of protocol written inside the envolupe.
Intervention model description
Healthy patients with only extensor tendon injuries will be recruited in this study and will randomly divided in two groups. An intervention in the form of rehabilitation will be given to patients in two different protocols than outcomes will be assessed.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients of either gender having simple lacerations of extrinsic extensor tendons · of the hand in · Verdan's zones IV-VIII * Age range 18 to 65 years * Sharp Cut Injury
Exclusion criteria
* Patients with complex injured hands like significant skin loss, bone and/or joint injuries. · Flexor tendon injuries. * Partial tendon lacerations * Tendon injuries at multiple levels
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To measure total active motion in the results of both groups to compare which one has better results. | 8 weeks | Flexion range and extension lag at each joint i.e MCPJ, PIPJ and DIPJ will be assessed at 2, 4 and 8 weeks of follow up. By using this following formula total active motion at each joint mentioned above will be assessed. TAM is calculated by the following formula: TAM =(\[MCPJ +PIPJ +DIPJ flexion\]- \[MCPJ +PIPJ +DIPJ extension lag |
Countries
Pakistan
Outcome results
None listed