Functional Recovery Measurement : Comparing Early Active Mobilization Versus Immobilization After Extensor Tendon Repair in Zones IV to VIII

Not Applicable

Completed

• Conditions: Injury of Extensor Tendon of Hand (Disorder)
• Interventions: Procedure: physiotherapy

• Registration Number: NCT04221113
• Lead Sponsor: Dow University of Health Sciences

Brief Summary

Functional recovery measurement : Comparing early active mobilization versus immobilization after extensor tendon repair in zones IV to VIII.

Immobilization for six weeks has been the postoperative protocol for the patients with hand's extensor tendon repair in our institute. In this study early mobilization of the hand i.e. also an internationally followed way, is compared with the aforementioned immobilization protocol to see which turns out to be a better option in the interest of the patient.

Detailed Description

patients selection in both groups will be random by using close envolupe technique.

In group A ( immobilisation) physiotherapy will start by the end of 4th week and the upper limit of flexion would be 45 degrees.

In group B ( EAM) physiotherapy will start by the end of 1st week and the upper limit of flexion would be 30 degrees.

Study Timeline

• Study Start: 2019-12-10
• Study First Submitted: 2019-12-16
• Study First Submitted QC: 2020-01-05
• Study First Posted: 2020-01-09
• Primary Completion: 2020-06-10
• Study Completion: 2020-06-10
• Status Verified: 2020-07
• Last Update Submitted: 2020-07-27
• Last Update Posted: 2020-07-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• Patients of either gender having simple lacerations of extrinsic extensor tendons · of the hand in · Verdan's zones IV-VIII

  • Age range 18 to 65 years
  • Sharp Cut Injury

Exclusion Criteria

• Patients with complex injured hands like significant skin loss, bone and/or joint injuries. · Flexor tendon injuries.

  • Partial tendon lacerations
  • Tendon injuries at multiple levels

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Group B( early active mobilization protocol).	physiotherapy	Group B patients will receive splints in such a way that from 3rd post operative day patients will be instructed to do physiotherapy. Initially MCPJ movement will be from 0 to 30 degrees.
Group A ( Immobilization protocol)	physiotherapy	Group A patients will receive static splints.By the end of 4 weeks the splint will be modified and patients will start doing physiotherapy. Movement at MCPJ will be from 0 to 45 degrees.

Primary Outcome Measures

Name	Time	Method
To measure total active motion in the results of both groups to compare which one has better results.	8 weeks	Flexion range and extension lag at each joint i.e MCPJ, PIPJ and DIPJ will be assessed at 2, 4 and 8 weeks of follow up. By using this following formula total active motion at each joint mentioned above will be assessed.; TAM is calculated by the following formula: TAM =(\[MCPJ +PIPJ +DIPJ flexion\]- \[MCPJ +PIPJ +DIPJ extension lag

Trial Locations

Locations (1)

Zaara Zahid; 🇵🇰 Karachi, Sindh, Pakistan