Hand Therapy Approach on Lumbrical Muscle Tears in Sport Climbers

Not Applicable

Recruiting

• Conditions: Muscle Tear; Hand Injuries; Splints
• Interventions: Other: Hand Therapy Splinting Protocol

• Registration Number: NCT05694078
• Lead Sponsor: Hand Therapy Barcelona

Brief Summary

This study aimes to analyze the effectiveness of a Hand Therapy protocol in the management of patients who suffer from a tear of a lumbrical muscle, regarding on the symptoms during the clinical examination, the disability in their activities of daily living and the sports-specific function.

Detailed Description

A prospective intervention study is performed on 50 adult climbers suffering from an injury of the 4th lumbrical muscle. They wear during 3 weeks a 5th finger extension relative motion orthosis, while pain-free sport activities are permitted using a 4th and 5th fingers buddy-taping. After three weeks, patients are told to progressively remove the splint and, after six weeks, the splint is totally removed. Symptoms in the lumbrical stress test are evaluated during the 6 weeks period using dynamometry and goniometry, Finally, Quick-Disabilities of the arm shoulder and hand questionnaire is also analyzed.

Study Timeline

• Study Start: 2022-12-23
• Study First Submitted: 2022-12-23
• Status Verified: 2023-01
• Study First Submitted QC: 2023-01-11
• Last Update Submitted: 2023-01-11
• Study First Posted: 2023-01-23
• Last Update Posted: 2023-01-23
• Primary Completion: 2023-02-28
• Study Completion: 2023-03-31

Recruitment & Eligibility

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

Inclusion Criteria

• Adult climbers suffering from an injury of the 4th lumbrical muscle

Exclusion Criteria

• Patients with previous treatments.
• Patients with concomitant injuries or illness

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Lumbrical Injured Climbers	Hand Therapy Splinting Protocol	6-weeks relative motion splinting protocol, while pain-free sport activities are permitted

Primary Outcome Measures

Name	Time	Method
Dinamometry in lumbrical stress test	It will be evaluated at 6 weeks	Symptoms in the lumbrical stress test will be evaluated during the 6 weeks period using an adapted Jamar handgrip dynamometer on a climbing hold. The climber is told to pull on the hold until the pain starts.

Secondary Outcome Measures

Name	Time	Method
Quick-Disabilities of the arm shoulder and hand questionnaire	It will be evaluated at 6 weeks	Participants will be asked to answer "Quick-Disabilities of the arm shoulder and hand" questionnaire before the clinical examination. In "Quick-Disabilities of the arm shoulder and hand" each item has response options and, from the item scores, scale scores are calculated, raning from o (no disability) to 100 (most severe disability).
Goniometry in lumbrical stress test	It will be evaluated at 6 weeks	Finger flexion metacarpophalangeal joint goniometry of the 5th finger is measured during the lumbrical stress test when pain appears

Trial Locations

Locations (1)

Hand Therapy Barcelona; 🇪🇸 Barcelona, Catalonia, Spain