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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)
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.

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
Primary Outcome Measures
NameTimeMethod
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

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Zaara Zahid

🇵🇰

Karachi, Sindh, Pakistan

Zaara Zahid
🇵🇰Karachi, Sindh, Pakistan

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