Hand Injuries
Conditions
Keywords
kinesiophobia, functionality
Brief summary
Hand and forearm injuries are among the most common traumatic injuries and may result in substantial functional limitations, reduced work capacity, and decreased quality of life. Despite advances in surgical repair techniques, recovery outcomes vary considerably among individuals with similar injury characteristics. Psychological factors, particularly fear of movement or reinjury (kinesiophobia), may influence rehabilitation participation and functional recovery after injury. The aim of this prospective observational study is to investigate the relationship between early kinesiophobia levels and functional outcomes in adults who undergo surgical treatment for traumatic hand or forearm lacerations. Kinesiophobia will be assessed during the acute post-injury period (within 1-5 days after injury) using the Tampa Scale of Kinesiophobia. Injury severity will be evaluated using the Modified Hand Injury Severity Classification (MHISC/MEYCS). Participants will be followed for 12 weeks after injury. Functional recovery will be assessed at the 8th week using the Buck-Gramcko Score and the Sollerman Hand Function Test, and at the 12th week using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and hand grip strength measurements. The study will examine whether higher levels of early kinesiophobia are associated with greater injury severity and poorer functional recovery. Findings from this study may help identify patients at risk for delayed recovery and support the development of early rehabilitation strategies targeting psychological as well as physical aspects of hand injury recovery.
Interventions
OTHERStandard Surgical Treatment and Routine Postoperative Care
Participants with traumatic hand or forearm injuries will receive surgical treatment and postoperative management according to routine clinical practice and the treating surgeon's decision. No experimental treatment, device, medication, or rehabilitation protocol will be administered as part of the study. The study is observational in nature and aims to evaluate the relationship between early kinesiophobia levels, injury severity, and subsequent functional outcomes following standard surgical care.
Sponsors
Ebru Aloğlu Çiftçi
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Adults aged 18 years and older. Patients presenting to the emergency department with traumatic hand or forearm lacerations requiring surgical treatment. Injury involving one or more anatomical structures of the hand or forearm (skin, tendon, nerve, vessel, or combined injuries). Assessment within 1-5 days following injury. Ability to understand and complete study questionnaires and functional assessments. Provision of written informed consent. Willingness to participate in follow-up assessments at 8 and 12 weeks after injury.
Exclusion criteria
Age younger than 18 years. Cognitive impairment, severe psychiatric disorder, or communication problems preventing completion of questionnaires. Previous major injury, surgery, or permanent functional impairment of the affected upper extremity. Polytrauma or additional injuries that may substantially affect upper extremity function or rehabilitation outcomes. Neurological disorders affecting upper extremity function (e.g., stroke, peripheral neuropathy, spinal cord injury). Severe musculoskeletal disorders of the upper extremity unrelated to the index injury. Inability or unwillingness to attend follow-up evaluations. Refusal to provide informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disabilities of the Arm, Shoulder and Hand (DASH) Score | 12 weeks after injury | Functional disability and symptoms of the upper extremity assessed using the Turkish version of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. The study will evaluate the association between early kinesiophobia levels measured within 1-5 days after injury and functional outcomes at 12 weeks following surgically treated hand and forearm injuries. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hand Grip Strength | 12 weeks after injury | Grip strength of the injured hand measured using a standard hand dynamometer. Three measurements will be obtained and the mean value will be recorded. |
| Buck-Gramcko Functional Score | 8 weeks after injury | Hand function, pain, and range of motion assessed using the Buck-Gramcko scoring system to evaluate intermediate-term functional recovery. |
| Sollerman Hand Function Test Score | 8 weeks after injury | Hand function during activities of daily living assessed using the Sollerman Hand Function Test. |
| Tampa Scale of Kinesiophobia (TSK) Score | Within 1-5 days after injury | Fear of movement and reinjury assessed using the Turkish version of the Tampa Scale of Kinesiophobia during the acute post-injury period. |
| Modified Hand Injury Severity Classification (MHISC/MEYCS) Score | Within 1-5 days after injury | Injury severity assessed using the Modified Hand Injury Severity Classification (MEYCS) at the time of initial evaluation. |
Contacts
CONTACTSamir İlgaroğlu, Surgeon
Outcome results
None listed