Tendon Injury - Hand, Flexor Tendon Rupture
Conditions
Keywords
flexor tendon rehabilitation, virtual reality, task specific exercise
Brief summary
This study,the investigators aimed to investigate the effects of virtual reality-based task-specific exercises applied in addition to conventional rehabilitation program on functional level and disease-related quality of life in patients who underwent surgical repair due to flexor tendon damage due to traumatic hand injury.
Interventions
In addition to conventional treatment, patients in the study group underwent a virtual reality-based task-specific exercise program in a computer-based virtual reality station. Two different virtual reality games that fit the definition of task-specific exercise were selected for our study. In order for the patient to complete the task in the game, the patient was asked to extend the upper extremity and hand to touch the virtual object through the reflection on the screen and to first grasp the object in the virtual environment by making active flexion with all fingers and to move it from one place to another on a certain plane without disturbing the grasping posture of the hand. These virtual reality exercises selected in our study were practiced under the supervision of the researcher 3 days a week for 15 minutes each for a total of 4 weeks. These sessions consisted of three sets of 2.5 minutes each for each game, with 15-second breaks between sets.
Sponsors
Ankara City Hospital Bilkent
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
* Tendon repair operation due to flexor tendon injury in one hand * Admission to the Traumatic Hand Rehabilitation Outpatient Clinic of Ankara City Hospital Physical Medicine and Rehabilitation Hospital within the first postoperative week and enrolled in an early passive mobilization program * Must be in the sixth post operative week
Exclusion criteria
* Under 18 years of age * Concomitant extensor tendon injury * Having any accompanying orthopedic, neurologic, rheumatologic and vascular problems in the premorbid period * Presence of cognitive deficit * Presence of visual field deficit * Presence of postural instability * Presence of epilepsy and/or cyber disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The functional level of dexterity and coordination | Pre-intervention (postoperative sixth week), immediately after the intervention (postoperative tenth week) | The functional level of dexterity and coordination was assessed with the Nine-Hole Peg Test. The test material for this test consists of nine standardised pegs and a board with nine holes equidistant from each other. When the patient feels ready, the patient is asked to close the nine holes as quickly as possible, regardless of the order of the sticks, provided that the patient places one stick at a time. Once all the holes have been filled, without a break, the patient is asked to remove the rods one by one from the holes and put them back where they came from. From the moment the patient touches the first stick, the observer starts timing. When the last rod is removed and placed in the area where the rods were taken, the time is stopped and recorded. In measurements made in different periods in the same patient, completion of the test in a shorter time indicates improvement in hand skills. |
| Change in short form-36 (SF-36) scores | Pre-intervention (postoperative sixth week), immediately after the intervention (postoperative tenth 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. |
| Dexterity-related activity limitations in activities of daily living | Pre-intervention (postoperative sixth week), immediately after the intervention (postoperative tenth week) | Dexterity-related activity limitations in activities of daily living were assessed by Duruöz hand index and Quick Disability of Arm, Shoulder and Hand. Duruöz hand index includes 18 questions on manual dexterity related to kitchen work, dressing, personal hygiene, office work and other activities of daily living. The questionnaire takes approximately 2-3 minutes to complete. The minimum score that can be obtained from the questionnaire is 0 points while the maximum score is 90 points. A lower score indicates fewer limitations in activities of daily living. The Quick Arm, Shoulder and Hand Disability Scale consists of 11 questions. Minimum value of the scale is 0 and maximum is 100. Higher scores mean a worse outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Grip strength | Pre-intervention (postoperative sixth week), immediately after the intervention (postoperative tenth week) | The grip strength was measured with a Jamar dynamometer. The measured value was recorded in kilograms. |
| Change in active range of motion | Pre-intervention (postoperative sixth week), immediately after the intervention (postoperative tenth week) | Range of motion was measured using a standard hand goniometer and the measured degree was recorded. |
Countries
Turkey (Türkiye)
Outcome results
None listed