Effect of Dynamic Hand Splint on Hand ROM Post Extensor Tendon Repair
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- assessment of wrist range of motion
研究概览
简要总结
The purpose of the study was to evaluate the effectiveness of dynamic hand splint on hand range of motion following extensor tendon repair.
详细描述
The extensor muscles to the digits are weaker; their capacity for work and their amplitude of glide are less than those of their flexor antagonists, yet they require a latitude of motion that is not necessary for flexor function. Extensor tendons are thinner and broader than flexor tendons. They are superficial in comparison with the flexor tendons, allowing adhesion to the fascial layers and skin. They have a broad tendon-to-bone interface that can result in dense adhesions. Shortening of the extensor tendon because of surgery may result in difficulty regaining full flexion. Dorsal swelling may prevent the tendons from gliding. Recreating the normal balance between intrinsic and extrinsic muscle/tendon units can be a challenging task for surgeons and therapists following extensor tendon injury. Common functional complications include loss of flexion, extensor lag, and decreased grip strength. To prevent these complications, extensor tendon approaches, similar to flexor tendon approaches, have evolved to include controlled passive and active mobilization using a dynamic splint immediately following surgery
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
- 20 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients are both males and females.
- •Their age will be in the range of 20-40 years.
- •All patients suffering from extensor tendon injuries in zone 5 or
- •All patients undergo extensor tendon repair surgery.
- •All patients will begin the treatment program from the third week post-operative.
- •All patients enrolled in the study will have their informed consent.
排除标准
- •The potential participants will be excluded if they meet one of the following criteria:
- •Patients with associated diseases (diabetes mellitus, infectious diseases, autoimmune disease) that will interfere with the healing process.
- •Patients taking medication that alters the healing process (e.g., corticosteroids, chemotherapy, or radiation).
- •Pregnancy or epilepsy.
- •Elderly patients.
- •Skin disease.
结局指标
主要结局
assessment of wrist range of motion
时间窗: at baseline and after 1 months and 2 months
The study measured the range of motion of the wrist at three stages: prior to treatment, after one month, and at the end of the treatment. Patients were positioned sitting with their elbows on a table. An electronic goniometer was employed for the measurements, ensuring the wrist was neutral (0°) for extension assessments. For wrist extension, the forearm was pronated and the elbow fully extended, with the goniometer aligned with the lateral side of the ulna and the fifth metacarpal for accurate measurement
次要结局
- assessment of metacarpophalangeal joint range of motion(at baseline and after 1 months and 2 months)
- assessment of interphalangeal joints' range of motion(at baseline and after 1 months and 2 months)
研究者
Magdy Helmi Mohamed Elmahdy Badra
Principal Investigator
Cairo University