Do relative motion flexion orthoses improve proximal interphalangeal joint extension in adults following traumatic finger injury or surgery? A randomised controlled trial

Macquarie University0 个研究点目标入组 56 人开始时间: 2024年7月23日最近更新: 2024年8月5日

适应症

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•Participants will be eligible to participate in the trial if they:
•- 18 years and over
•- attending hand therapy following traumatic finger injury or surgery resulting in a >/= 20° active proximal interaphalangeal joint (PIPJ) extension deficit
•- multi-digit injury (two or three injured fingers, with the finger with the greatest PIPJ deficit included)
•- PIPJ movement restrictions resulting from hand injury not directly affecting the PIPJ but causing secondary stiffness due to immobilization.
•- treating therapist deems it is clinically appropriate given the nature and stage of injury
•- are able to provide written informed consent prior to enrolment in the study.

•Participants will be excluded if they are attending therapy for:
•- injury to all four fingers (as the relative motion orthosis cannot be used)
•- Dupuytren’s contracture or post-contracture release surgery
•- amputation
•- trigger finger
•- neurological condition as the primary cause of PIPJ movement restrictions
•- inflammatory conditions as the primary cause of PIPJ movement restrictions
•- previous injury to the same finger resulting in movement restrictions
•They will also be excluded if the below apply:
•- previous relative motion orthotic intervention for the current injury
•- those unable to provide informed consent in English
•- do not agree to follow up for treatment at a clinic participating in the trial.

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