Can relative motion extension splinting provide an earlier return to hand function than a controlled active motion protocol after extensor tendon repair in zone V and VI? A prospective randomised clinical trial

Not Applicable

Completed

• Conditions: Extensor tendon laceration; Physical Medicine / Rehabilitation - Occupational therapy; Surgery - Other surgery; Injuries and Accidents - Other injuries and accidents

• Registration Number: ACTRN12615000043538
• Lead Sponsor: Shirley Collocott

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2015-01-21
• Study Completion: 2016-04-15
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 42

Inclusion Criteria

Patients undergoing extensor tendon repair to at least one digit in zone V and/or VI through CMDHB
Simple tendon lacerations of 50-100% of the tendon substance as assessed intra-operatively by surgeon
Participants must be able to attend follow-up
Participants must be able to understand English or have an interpreter available

Exclusion Criteria

Complex injuries involving unstable fractures or concurrent flexor tendon injury
Extensor tendon repairs to three or more digits
‘Fight bites’ or infected injuries which cannot be primarily repaired
Thumb extensor tendon repairs
Any factor which would make the patient unsuitable for inclusion in the view of the treating surgeon or investigator such as a tenuous tendon repair or concerns over patients’ ability to adhere to protocol .

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Sollerman hand function assessment score[4 and 8 weeks post-operatively]

Secondary Outcome Measures

Name	Time	Method
QuickDASH score - participant's subjective assessment of their hand function and ability to perform everyday tasks[4 and 8 weeks post-op];Days to return to work after surgery; the treating therapist will record the date that the participant returns to work and inform the investigating team[Throughout the 8 weeks of the study];Range of motion using a manual finger goniometer[4 weeks and 8 weeks post-op];Grip strength using a handheld manual Jamar dynamometer[8 weeks post-op];Splinting adherence questionnaire - this is an adaptation of a questionnaire used in a previous study on patient adherence to splinting after tendon repair[4 weeks post-op];Satisfaction questionnaire - this is adapted from the Patient Evauluation Measure (PEM) published by Dias and Braybrooke[8 weeks post-op]