Tendon Injury - Hand
Conditions
Brief summary
This study examines the rehabilitation results when low-level laser therapy is applied in zone 5-8 extensor tendon injuries. Rehabilitation results will be evaluated with both objective measurements and patient reported outcome measures. The study was planned as a double-blind, placebo-controlled, randomized, two-arm study. Participants in both treatment groups will be given exercise therapy in accordance with the early active mobilization protocol and appropriate splint will be given to be used while exercising.
Interventions
DEVICElow level laser therapy
We will use laser light that has continuous wave mode, power of 100 mW, energy density of 7,5 joule/cm2, treatment time as 300 seconds.
Sponsors
Turkish League Against Rheumatism
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Being between the ages of 18-65 * Primary repair due to extensor tendon injury between Zones V-VIII * Applying to the Hand Rehabilitation Policlinic at the end of the postoperative 1st week
Exclusion criteria
* Accompanying flexor tendon injury, fracture, vascular and / or nerve injury * Active using of steroids or non-steroidal anti-inflammatory drugs * Systemic infection or malignancy * Pregnant or breastfeeding women * Active wound infection * Having a cognitive dysfunction
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in total active motion degrees | Pre-intervention, immediately after the intervention, eighth week | The difference of active range of motion (ROM) measurements between injured and non-injured digit(s). ROM measurement will be made with the help of a standard hand goniometer and the measured degree will be recorded. |
| Grip strength | Eighth week | Grip strength measurement will be made with the Jamar dynamometer. The measured value will be recorded in kilograms. |
| Change in visual analog scale (VAS) score | Pre-intervention, immediately after the intervention, eighth week | VAS is a scale used to assess pain. Minimum value of the scale is 0 and maximum is 10. Higher scores mean a worse outcome. |
| Change in metacarpophalangeal joint circumference | Pre-intervention, immediately after the intervention, eighth week | It will be used to evaluate edema in the dorsum of the hand. Measurement will be made with the help of a tape measure. The measured value will be recorded in milimeters. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in short form-36 (SF-36) scores | Pre-intervention, immediately after the intervention, eighth week | A scale used for determining quality of life. This form evaluates the quality of life under 9 different headings. Minimum value of all headings is %0 and maximum is %100. Higher scores mean a better outcome. |
| Return to work | Eighth week | The rehabilitation period required for patients to return to work |
| Change in quick disabilities of arm, shoulder and hand (QuickDASH) score | Pre-intervention, immediately after the intervention, eighth week | A scale used for measuring physical function and symptoms of upper extremities. Minimum value of the scale is 0 and maximum is 100. Higher scores mean a worse outcome. |
Countries
Turkey (Türkiye)
Outcome results
None listed