Hand Injuries, Muscle Tear, Splints
Conditions
Keywords
Lumbrical, Sport Climbing, Hand Therapy, Hand Injuries, Relative Motion
Brief summary
This study aimes to analyze the effectiveness of a Hand Therapy protocol in the management of patients who suffer from a tear of a lumbrical muscle, regarding on the symptoms during the clinical examination, the disability in their activities of daily living and the sports-specific function.
Detailed description
A prospective intervention study is performed on 50 adult climbers suffering from an injury of the 4th lumbrical muscle. They wear during 3 weeks a 5th finger extension relative motion orthosis, while pain-free sport activities are permitted using a 4th and 5th fingers buddy-taping. After three weeks, patients are told to progressively remove the splint and, after six weeks, the splint is totally removed. Symptoms in the lumbrical stress test are evaluated during the 6 weeks period using dynamometry and goniometry, Finally, Quick-Disabilities of the arm shoulder and hand questionnaire is also analyzed.
Interventions
OTHERHand Therapy Splinting Protocol
Relative motion splinting protocol
Sponsors
Hand Therapy Barcelona
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult climbers suffering from an injury of the 4th lumbrical muscle
Exclusion criteria
* Patients with previous treatments. * Patients with concomitant injuries or illness
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dinamometry in lumbrical stress test | It will be evaluated at 6 weeks | Symptoms in the lumbrical stress test will be evaluated during the 6 weeks period using an adapted Jamar handgrip dynamometer on a climbing hold. The climber is told to pull on the hold until the pain starts. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Goniometry in lumbrical stress test | It will be evaluated at 6 weeks | Finger flexion metacarpophalangeal joint goniometry of the 5th finger is measured during the lumbrical stress test when pain appears |
| Quick-Disabilities of the arm shoulder and hand questionnaire | It will be evaluated at 6 weeks | Participants will be asked to answer Quick-Disabilities of the arm shoulder and hand questionnaire before the clinical examination. In Quick-Disabilities of the arm shoulder and hand each item has response options and, from the item scores, scale scores are calculated, raning from o (no disability) to 100 (most severe disability). |
Countries
Spain
Contacts
Primary ContactNúria Carnicero
Outcome results
None listed