Investigation of the Relationship Between Functional Improvement and Changes in Fine Manual Dexterity in Isolated Thumb Tendon Injuries
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Pamukkale University
- Enrollment
- 52
- Locations
- 1
- Primary Endpoint
- Goniometric measurement
Overview
Brief Summary
Considering the thumb's contribution to fine dexterity and precision grip, this study aims to evaluate fine manual dexterity alongside functional outcomes following isolated thumb tendon injuries, and to examine the relationship between postoperative functional improvement and changes in fine manual dexterity.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •No history of neurological, orthopaedic, rheumatological, metabolic disease or surgery in the relevant extremity
Exclusion Criteria
- •Comorbid musculoskeletal-neurovascular injuries
Arms & Interventions
Patients diagnosed with isolated thumb tendon injuries at the hand level, who underwent surgical tre
Intervention: Questionnaire and Physical Exam (Other)
Outcomes
Primary Outcomes
Goniometric measurement
Time Frame: At postoperative 12th and 24th week
Joint mobility will be measured in degrees (°) using a universal goniometer. Active flexion and extension of the Metacarpophalangeal (MCP) and Interphalangeal (IP) joints will be recorded. Higher degrees indicate better joint mobility.
Gross and fine grip strength
Time Frame: At postoperative 12th and 24th week
Gross grip strength will be measured in kilograms (kg) using a Jamar Hand Dynamometer. Fine grip strength will be measured in kilograms (kg) using a Jamar Pinch gauge. Key pinch, tip-to-tip pinch, tripod pinch and pulp-to-pulp pinch strengths will be assessed. Patients will perform three maximum effort trials, and the mean value will be recorded. Higher values indicate greater strength.
Michigan Hand Outcomes Questionnaire
Time Frame: At postoperative 12th and 24th week
he questionnaire covers 6 domains: overall hand function, activities of daily living, pain, work performance, appearance, and satisfaction. Total scores range from 0 to 100. For the pain domain, higher scores indicate more pain; for all other domains, higher scores indicate better hand function.
The O'Connor Finger Dexterity Test
Time Frame: At postoperative 12th and 24th week
The unit of measure is the time in seconds required to complete the placement of pins in the board. Lower time values indicate better fine motor skill and manual dexterity.
The Nelson Hand Reaction Test
Time Frame: At postoperative 12th and 24th week
The participant's reaction is measured by the distance the ruler falls before being caught measured in centimeters.Lower values (shorter distance) indicate faster reaction speed and better neuromuscular coordination.
Secondary Outcomes
No secondary outcomes reported
Investigators
UMUT ERASLAN
Assistant Professor
Pamukkale University