Comparing Relative Motion Splint and Metacarpophalangeal Joint Blocking Splint for Trigger Finger
- Conditions
- Trigger FingerStenosing Tenosynovitis
- Interventions
- Other: Relative Motion SplintOther: Metacarpophalangeal Joint Blocking Splint
- Registration Number
- NCT05763017
- Lead Sponsor
- National University of Malaysia
- Brief Summary
The purpose of this study is to compare the effectiveness of relative motion splint and metacarpophalangeal joint blocking splints in terms of sign and symptoms, hand function, occupational performance, and perception of splint wearability (comfort and satisfaction) after six weeks of TF management.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 42
- single or multiple trigger finger
- unilateral or bilateral trigger finger
- neutral metacarpophalangeal joint position can be attained during passive isolated metacarpophalangeal joint extension of the affected finger
- trigger thumb
- steroid injection of the affected finger within last six months
- A1 pulley release of the affected finger.
- history of fracture, tendon injury, nerve injury, Dupuytren's contracture, and other soft tissue injuries of the affected finger or adjacent fingers.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Relative Motion Splint Relative Motion Splint In the relative motion splint, the metacarpophalangeal joint of the affected finger(s) positioned in approximately 20°-25° more extension/flexion than metacarpophalangeal joint of the adjacent fingers. Metacarpophalangeal Joint Blocking Splint Metacarpophalangeal Joint Blocking Splint In the metacarpophalangeal joint blocking splint, the metacarpophalangeal joint of the affected finger(s) positioned in 0°.
- Primary Outcome Measures
Name Time Method Stages of Stenosing Tenosynovitis (SST) Baseline, 6 weeks after splint wear SST is a grading system that divides trigger finger into six stages. Stage 1 is normal; Stage 2 is uneven finger movement; Stage 3 is triggering or clicking or catching; Stage 4 is locking of finger in flexion or extension, which can be unlocked by active finger movement; Stage 5 is locking of finger in flexion or extension, which requires application of passive force to unlock; and Stage 6 is locked finger in flexion or extension
- Secondary Outcome Measures
Name Time Method Visual Analog Scale (VAS) for pain Baseline, 6 weeks after splint wear The left end of the VAS labelled as "no pain" and the right end labelled as "extreme pain".
Disabilities of the Arm, Shoulder and Hand (DASH) Outcome Measure Baseline, 6 weeks after splint wear DASH is a 30-item, self-report questionnaire that range from 0-100 score, with higher scores represent more severe disability or poorer hand function.
Canadian Occupational Performance Measure (COPM) Baseline, 6 weeks after splint wear COPM is a interview-based assessment tool for measuring occupational performance. The importance, satisfaction, and performance of an activity are rated using a 10-point rating scale.
Number of triggering events in ten active fists Baseline, 6 weeks after splint wear The number of triggering events (0 - 10) can be obtained by asking the patient to make 10 active full fists.
Visual Analog Scale (VAS) for splint comfort Baseline, 3 and 6 weeks after splint wear The left end of the VAS labelled as "not at all comfortable' and the right end labelled as "extremely comfortable".
Visual Analog Scale (VAS) for splint satisfaction Baseline, 3 and 6 weeks after splint wear The left end of the VAS labelled as "not at all satisfied" and the right end labelled as "extremely satisfied".
Trial Locations
- Locations (1)
Hospital Sultan Haji Ahmad Shah
🇲🇾Temerluh, Pahang, Malaysia