A Pilot Study to Investigate Two Different Physiotherapy Rehabilitation Programmes, to Treat the Conservatively Managed Scapholunate Instability.
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 2
- 试验地点
- 2
- 主要终点
- Grip strength using E-link dynamometer
研究概览
简要总结
Two different exercises approaches were tested in patients with Scapho-Lunate (SL) instability; one to strengthen the tendons in static positions and the other to strengthen the tendons whilst the wrist is moving.
详细描述
Scapho-Lunate (SL) instability is the most common form of wrist instability, but is complex to diagnose and is often missed entirely. The natural progression of SL instability has been suggested to lead to osteoarthritis. The management of SL instability can be broadly divided into conservative and surgical, with the former being the first option taken by most medical professionals, which primarily involves physiotherapy. The evidence base for physiotherapy management of SL instability is limited; however cadaver research has identified loading some of the wrist tendons may stabilise the scaphoid and lunate.There is currently no research as to whether this clinically makes any difference to the patients symptoms, or how to do it. This research therefore aimed to test the protocol and methods, and act as a platform for larger studies, to investigate this.
Two different exercises approaches were tested; one to strengthen the tendons in static positions and the other to strengthen the tendons whilst the wrist is moving.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Ages eighteen to sixty,
- •wrist pain,
- •confirmed scapholunate ligament disruption on MRA or XR (partial or full),
- •referred from orthopaedic wrist specialist,
- •for conservative management,
- •consent to trial.
排除标准
- •Under eighteen or over sixty years,
- •previous fracture,
- •degenerative changes in the wrist,
- •previous surgery,
- •complex regional pain syndrome or diagnosis of rheumatological conditions,
- •no wrist injection in preceding twelve months or other wrist conditions.
研究组 & 干预措施
isotonic training programme
'Home exercise programme' consisting of isotonic exercises with participants followed up at week 1, 4, 6 and 8.
干预措施: Home exercise program (Other)
isometric training programme
'Home exercise programme' consisting of isometric exercises with participants followed up at week 1, 4, 6 and 8.
干预措施: Home exercise program (Other)
结局指标
主要结局
Grip strength using E-link dynamometer
时间窗: assessed at 0, 4 and 8 weeks
change of grip strength from baseline change of 20% in kg considered signifcant
次要结局
- numerical rating scale(assessed at 0, 4 and 8 weeks)
- Patient Rated Wrist Evaluation(assessed at 0, 4 and 8 weeks)