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Completed

NCT Number: NCT06783205

Does Restriction of the Dominant Hand Due to Injury Improve Non-Dominant Hand Function?

Hand injuries result in the restriction of use of the injured hand within a splint or a plaster during the first 6 weeks which is critical for tissue healing. When the dominant hand is injured, patients experience more difficulty in daily life due to this restriction. Patients injured on their dominant hand mostly express that they are forced to use their non-dominant hand in their activities and as a result, the function of the non-dominant hand improves. However, the non-dominant hand function has not been analyzed in patients with restricted use of the dominant hand during the tissue healing period.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Gazi University Health Science Faculty Physiotherapy and Rehabilitation Department

Ankara, Yenimahalle, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Individuals who need to use a splint for 6 weeks due to any pathology in their dominant hand
  • Ages between 18-65
  • Individuals who are within the first 10 days after the operation

Exclusion criteria

  • Individuals with an isolated thumb injury
  • Those who require bilateral use of the splint/have bilateral pathology
  • Those who have a condition that prevents the use of the non-dominant hand
  • Those who can use both hands equally/do not have a dominant side (ambidextrous/two-handed)
  • Those who have a cooperative status that will not comply with the treatment program
  • Data from individuals who do not use the splint as described during the 6-week follow-up period will not be included in the analysis.

Treatment and study plan

Restriction of the Dominant Hand Due to Splint Use

Other

This study aimed to assess whether the non-dominant hand function changes in patients using splints or casts on their dominant hand during the tissue healing period.

Primary outcomes

  1. hand function

    Time frame: 6 weeks

    Hand function will be assessed using the Jebsen Taylor Hand Function Test (JTHFT), a valid tool for evaluating impairment and disability. The test includes tasks involving common grip types in daily life, aiming to measure the speed of task performance. Standardized materials, easily available in clinics, are used. The test has seven tasks: writing a 24-letter text, turning cards, collecting small objects, eating, stacking checkers, collecting light wide objects, and collecting heavy wide objects. A 1-minute rest is given between tasks, and completion time is recorded in seconds. Before evaluation, examples will be provided, and individuals will perform a trial run of each task. In our study, only the unaffected, non-dominant hand will be assessed, starting with a single real assessment after the trial.

Secondary outcomes

  1. disability level

    Time frame: 6 weeks

    Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire will be measured. This questionnaire is used to assess upper extremity disorders and includes 30 items covering pain, stiffness, weakness, daily activities, and functionality. Patients consider their condition over the past week, with total scores ranging from 0 to 100. Higher scores indicate worse functional status.

  2. Grip and pinch strengths

    Time frame: 6 weeks

    Gross grip strength will be measured with a hydraulic hand dynamometer (Jamar®) and fine grip strength with a pinchmeter. Participants will sit in a chair with back support, following the standard position: arm at the side, elbow at 90° flexion, and wrist neutral. Fine grip strength will be assessed in double (bipod) pinch, triple (tripod) pinch, and lateral grip positions. The forearm will be fully pronated for double and triple pinches, and midpronated for gross grip and lateral grips. Only the healthy non-dominant hand will be assessed. Measurements will be repeated three times, and participants will squeeze as hard as possible. The average of the three trials will be recorded in kilograms.

Sponsors and collaborators

Lead sponsor

Gazi University

Other

Registry information

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Jan 20, 2025
Registry last updated
Mar 4, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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