Flexor Tendon Injury
Conditions
Keywords
Flexor tendon repair, Myofascial release, Hand mobilization, Physical therapy, Range of motion, Grip strength, QuickDASH, Hand rehabilitation
Brief summary
Flexor tendon repair is commonly performed to restore hand function after tendon injuries. Different rehabilitation techniques are used to improve range of motion, grip strength, and functional outcomes. This randomized controlled trial compares the effects of myofascial release and hand mobilization following flexor tendon repair. Thirty participants are randomly allocated into two groups. Outcomes include wrist range of motion, grip strength, and the QuickDASH questionnaire. The findings may help determine the effectiveness of these rehabilitation techniques following flexor tendon repair.
Detailed description
This randomized controlled trial aims to compare the effectiveness of myofascial release and hand mobilization following flexor tendon repair. Thirty participants who underwent flexor tendon repair will be randomly assigned into two equal groups. Group A will receive a hand mobilization program in addition to the conventional rehabilitation program. Group B will receive myofascial release in addition to the conventional rehabilitation program. Treatment will be provided according to the study protocol. Outcome measures include wrist range of motion (flexion, extension, radial deviation, and ulnar deviation), grip strength measured using a hand dynamometer, and upper limb function assessed using the QuickDASH questionnaire. Assessments will be performed before treatment and after completion of the rehabilitation program. The study aims to determine whether one intervention provides superior clinical outcomes compared with the other.
Interventions
OTHERMyofascial Release
Myofascial release is a manual therapy technique applied after flexor tendon repair as part of the rehabilitation program. The technique aims to improve soft tissue mobility, reduce myofascial restrictions, enhance wrist and hand range of motion, and improve functional outcomes.
OTHERHand Mobilization
Hand mobilization is a rehabilitation technique applied after flexor tendon repair to improve tendon gliding, wrist and hand range of motion, and functional recovery.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Participants will be randomly assigned to one of two parallel intervention groups. One group will receive hand mobilization with conventional rehabilitation, while the other group will receive myofascial release with conventional rehabilitation.
Eligibility
Sex/Gender
ALL
Age
20 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* The subject selection will be based on the following criteria: * 20-45years of age * Post-flexor tendon repair surgery in zone 2 within 2-4 weeks * Ability to understand and follow study instructions * Willingness to participate in the rehabilitation program
Exclusion criteria
* Potential participants will be excluded if they meet one of the following criteria: * Severe joint deformities or arthritis in the wrist or hand * Infections or other complications related to the tendon repair * History of neurological disorders or conditions affecting hand function * Non-compliance or contraindications to manual therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Wrist Range of Motion | Baseline (pre-intervention) and 4 weeks | Wrist flexion, extension, radial deviation, and ulnar deviation measured using a universal goniometer. |
| Grip Strength | Baseline (pre-intervention) and 4 weeks | Grip strength measured using a hand dynamometer. |
| QuickDASH Score | Baseline (pre-intervention) and 4 weeks | Upper limb function assessed using the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire. |
Countries
Egypt
Contacts
PRINCIPAL_INVESTIGATORHussin Gamal Megahed, Professor
Research Ethical Committee Faculty of Physical Therapy Cairo University
Outcome results
None listed