Stenosing Tenosynovitis, Trigger Finger
Conditions
Keywords
relative motion splint, metacarpophalangeal joint blocking splint
Brief summary
The purpose of this study is to compare the effectiveness of relative motion splint and metacarpophalangeal joint blocking splints in terms of sign and symptoms, hand function, occupational performance, and perception of splint wearability (comfort and satisfaction) after six weeks of TF management.
Interventions
Six weeks relative motion splint wear.
OTHERMetacarpophalangeal Joint Blocking Splint
Six weeks metacarpophalangeal joint blocking splint wear.
Sponsors
National University of Malaysia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* single or multiple trigger finger * unilateral or bilateral trigger finger * neutral metacarpophalangeal joint position can be attained during passive isolated metacarpophalangeal joint extension of the affected finger
Exclusion criteria
* trigger thumb * steroid injection of the affected finger within last six months * A1 pulley release of the affected finger. * history of fracture, tendon injury, nerve injury, Dupuytren's contracture, and other soft tissue injuries of the affected finger or adjacent fingers.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Stages of Stenosing Tenosynovitis (SST) | Baseline, 6 weeks after splint wear | SST is a grading system that divides trigger finger into six stages. Stage 1 is normal; Stage 2 is uneven finger movement; Stage 3 is triggering or clicking or catching; Stage 4 is locking of finger in flexion or extension, which can be unlocked by active finger movement; Stage 5 is locking of finger in flexion or extension, which requires application of passive force to unlock; and Stage 6 is locked finger in flexion or extension |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of triggering events in ten active fists | Baseline, 6 weeks after splint wear | The number of triggering events (0 - 10) can be obtained by asking the patient to make 10 active full fists. |
| Disabilities of the Arm, Shoulder and Hand (DASH) Outcome Measure | Baseline, 6 weeks after splint wear | DASH is a 30-item, self-report questionnaire that range from 0-100 score, with higher scores represent more severe disability or poorer hand function. |
| Visual Analog Scale (VAS) for pain | Baseline, 6 weeks after splint wear | The left end of the VAS labelled as no pain and the right end labelled as extreme pain. |
| Visual Analog Scale (VAS) for splint comfort | Baseline, 3 and 6 weeks after splint wear | The left end of the VAS labelled as not at all comfortable' and the right end labelled as extremely comfortable. |
| Visual Analog Scale (VAS) for splint satisfaction | Baseline, 3 and 6 weeks after splint wear | The left end of the VAS labelled as not at all satisfied and the right end labelled as extremely satisfied. |
| Canadian Occupational Performance Measure (COPM) | Baseline, 6 weeks after splint wear | COPM is a interview-based assessment tool for measuring occupational performance. The importance, satisfaction, and performance of an activity are rated using a 10-point rating scale. |
Countries
Malaysia
Outcome results
None listed