Flexor Tendon Injury
Conditions
Brief summary
The main objective of the study is to explore the effect of intervention with task-oriented exercises and mirror therapy on the outcomes of hand function post flexor tendon repair.
Interventions
OTHERTask-oriented exercises and mirror therapy
Patients in this group will receive task-oriented exercises 3 sessions per week for 6 weeks.Therapy will include the following functional tasks: reaching, grasping or holding, lifting, placing objects, and counting fingers.Mirror therapy group: 3 sessions per week for 6 weeks.A mirror will be placed on the learning table, and exercises will be carried out by the patient looking into the mirror, where an unaffected limb would be placed in front of the mirror. Through looking into the mirror, the patient will assume the reflection of the unaffected limb is the affected limb. Exercises will be performed by hand opening and closing, wrist extension and flexion, squeezing, opposition, calculation, and finger flexion and extension.
OTHERTask-oriented exercises
Patients in this group received task-oriented exercises 3 sessions per week for 6 weeks.Therapy included the following functional tasks: reaching, grasping or holding, lifting, placing objects, and counting fingers.
OTHERMirror Therapy
Mirror therapy group 3sessions per week for 6 weeks. Mirror will be placed on the learning table and exercises will be carried out by the patient looking into the mirror where an unaffected limb would be placed in front of the mirror, through looking into the mirror patient will assume the reflection of the unaffected limb as the affected limb. Exercises will be performed hand opening and closing, wrist extension and flexion, squeezing, opposition, the calculation, finger flexion and extension.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
- Ages of patients will range from 18 to 45 years. - All patients were working individuals before injury. - All patients will undergo zones of flexor tendon primary direct repair technique. - All patients will be referred by a surgeon before starting the study procedure. - All patients will enter the study having their informed consent.
Exclusion criteria
- Patients with associated vascular injuries requiring arterial repair. - Patients with associated soft tissue loss. - Patients with associated nerve injuries or bone fractures. - Patients with preexisting problems limiting joint motion. - Patients with tendon injuries in both hands. - Patients with diminished cognitive capacity. - Patients with a history of previously failed repair.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ROM of wrist joints, proximal interphalangeal (PIP) joint and distal interphalangeal (DIP) joint of the involved digits of the involved hand for each patient. | pre- and post-6 weeks of treatment | The standard values for AROM movements in the wrist and hand are: Wrist flexion: 80°-90° Wrist extension: 70°-90° Finger flexion: MCP: 85°-90° PIP: 100°-115° DIP: 80°-90° MCP extension: 30°-45° |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the Arabic version of the Michigan Hand Outcomes Questionnaire | pre- and post-6 weeks of treatment | The Michigan Hand Outcomes Questionnaire (MHQ) is an example of a self-reporting outcome measure commonly used for the assessment of hand injuries. The MHQ was developed in 1998 and has become a very essential tool for the measurement of health status domains, activities of daily living, overall hand function, aesthetics, work performance, and satisfaction. The Michigan Hand Outcomes Measure comprises 37 items with rating scales ranging from 1 to 5.Every single domain is scored and converted to values that range from 0 to 100. A high score indicates better results, with the exception of pain, in which a high score indicates more intense pain. The total score was calculated as the sum of the six scores divided by six. |
Countries
Egypt
Contacts
Primary ContactKarim I Saafan, Lecturer of Physical Therapy
Backup ContactHesham G Mahran, Professor of Physical Therapy
Outcome results
None listed