Effect of Transfer Energy Capacitive and Resistive Therapy on Pain and Range of Motion After Flexor Tendon Repair
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Active range of motion (ROM) of the distal interphalangeal (DIP) joint
研究概览
简要总结
The purpose of this study is to evaluate the impact of Transfer Energy Capacitive and Resistive therapy (TECAR) on pain and range of motion (ROM) after hand flexor tendon repair.
详细描述
Lacking satisfactory healing of intrasynovial tendons, such as the flexor tendons of the hand, is particularly challenging due to the formation of fibrous adhesions between the tendon, sheath and surrounding tissues which can further limit mobility.
Transfer Energy Capacitive and Resistive therapy (TECAR) enhances the body's natural ability to repair tissues and reduce pain by improving blood flow and promoting additional benefits, such as cell proliferation. This process, primarily linked to the flow of current, supports cell growth and plays a significant role in the healing process.
There is a lack in quantitative knowledge and information in the published studies about the benefits of TEcar therapy on the improvement of hand function after long flexor tendon repair . So, this study is designed to outline the therapeutic impact of TEcar therapy on pain and ROM after hand flexor tendon repair.
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
- None
入排标准
- 年龄范围
- 20 Years 至 35 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Ages of patients will be ranged from 20 to 35 years.
- •All patients underwent flexor tendon primary direct repair
- •All patients will be referred by a surgeon before starting the study procedure.
排除标准
- •Patient with digital nerve repairs.
- •Patients with associated vascular injuries requiring arterial repair.
- •Patients with associated crush injuries and soft tissue loss.
- •Patients with associated bone fractures.
- •Patients with associated extensor tendon injuries .
- •Patients with preexisting problems limiting joint motion.
- •Patients with diminished cognitive capacity.
- •Patients with history of previously failed repair.
- •Patients with allergic reactions to certain substances in the conductive cream
- •Patients with sensation impairment .
研究组 & 干预措施
Transfer Energy Capacitive and Resistive (TECAR) therapy + Early mobilization protocol
It will receive Transfer Energy Capacitive and Resistive (TECAR) therapy in addition to early mobilization protocol for a month.
干预措施: Transfer Energy Capacitive and Resistive (TECAR) therapy (Device)
Transfer Energy Capacitive and Resistive (TECAR) therapy + Early mobilization protocol
It will receive Transfer Energy Capacitive and Resistive (TECAR) therapy in addition to early mobilization protocol for a month.
干预措施: Early mobilization protocol (Other)
Early mobilization protocol
It will receive their early mobilization protocol only for a month.
干预措施: Early mobilization protocol (Other)
结局指标
主要结局
Active range of motion (ROM) of the distal interphalangeal (DIP) joint
时间窗: one month
Active ROM of the DIP joint will be assessed with the patient seated, forearm in mid-position and supported on the plinth. From a neutral wrist position, the therapist will stabilize the metacarpophalangeal (MCP) joint in 90° flexion and the middle phalanx in extension. The goniometer axis will be placed over the upper surface of the DIP joint, with the stationary arm aligned to the middle phalanx's longitudinal axis and the movable arm aligned to the distal phalanx. The patient will actively flex and extend the DIP joint through its full range (0°-90°), and the ROM will be recorded.
Active range of motion (ROM) of the proximal interphalangeal (PIP) joint
时间窗: one month
Active ROM of the PIP joint will be assessed, at the 2nd, 4th, and 6th postoperative weeks using a finger goniometer, with the patient sitting, forearm mid-position and supported on a plinth. The therapist will stabilize the metacarpophalangeal (MCP) joint in 90° flexion at the injured phalanx. The goniometer's axis will be placed over the upper surface of the PIP joint, with the stationary arm aligned to the proximal phalanx's longitudinal axis and the movable arm aligned to the middle phalanx's longitudinal axis. The patient will be instructed to actively flex and then extend the PIP joint through its full range (normally 0°-100°), and the measured ROM will be recorded.
次要结局
未报告次要终点
研究者
Basma Rajai Amer Amer
Principal Investigator
Cairo University