Completed

NCT Number: NCT04221113

Functional Recovery Measurement : Comparing Early Active Mobilization Versus Immobilization After Extensor Tendon Repair in Zones IV to VIII

Functional recovery measurement : Comparing early active mobilization versus immobilization after extensor tendon repair in zones IV to VIII.

Immobilization for six weeks has been the postoperative protocol for the patients with hand's extensor tendon repair in our institute. In this study early mobilization of the hand i.e. also an internationally followed way, is compared with the aforementioned immobilization protocol to see which turns out to be a better option in the interest of the patient.

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Key information

Conditions

Injury of Extensor Tendon of Hand (Disorder)

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Zaara Zahid

Karachi, Sindh, 74200, Pakistan

About this study

patients selection in both groups will be random by using close envolupe technique.

In group A ( immobilisation) physiotherapy will start by the end of 4th week and the upper limit of flexion would be 45 degrees.

In group B ( EAM) physiotherapy will start by the end of 1st week and the upper limit of flexion would be 30 degrees.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

Patients of either gender having simple lacerations of extrinsic extensor tendons · of the hand in · Verdan's zones IV-VIII

Age range 18 to 65 years
Sharp Cut Injury

Exclusion criteria

Patients with complex injured hands like significant skin loss, bone and/or joint injuries. · Flexor tendon injuries.

Partial tendon lacerations
Tendon injuries at multiple levels

Treatment and study plan

physiotherapy

Procedure

Two protocols have been described for physiotherapy of post extensor tendon injuries. one is immobilization till 3 weeks and than gradual increase in active motion of hand. The second protocol is early active motion. this would be done under senior physiotherapist.

Primary outcomes

To measure total active motion in the results of both groups to compare which one has better results.

Time frame: 8 weeks

Flexion range and extension lag at each joint i.e MCPJ, PIPJ and DIPJ will be assessed at 2, 4 and 8 weeks of follow up. By using this following formula total active motion at each joint mentioned above will be assessed.

TAM is calculated by the following formula:

TAM =([MCPJ +PIPJ +DIPJ flexion]- [MCPJ +PIPJ +DIPJ extension lag

Sponsors and collaborators

Lead sponsor

Dow University of Health Sciences

Other

Registry information

Official study title

Principle Investigator

Important dates

Study start: 2019
Primary completion: 2020
Study completion: 2020
First posted: Jan 9, 2020
Registry last updated: Jul 28, 2020

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.