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NCT Number: NCT07668544

Kinesiophobia and Functional Outcomes in Hand Injuries

Hand and forearm injuries are among the most common traumatic injuries and may result in substantial functional limitations, reduced work capacity, and decreased quality of life. Despite advances in surgical repair techniques, recovery outcomes vary considerably among individuals with similar injury characteristics. Psychological factors, particularly fear of movement or reinjury (kinesiophobia), may influence rehabilitation participation and functional recovery after injury.

The aim of this prospective observational study is to investigate the relationship between early kinesiophobia levels and functional outcomes in adults who undergo surgical treatment for traumatic hand or forearm lacerations. Kinesiophobia will be assessed during the acute post-injury period (within 1-5 days after injury) using the Tampa Scale of Kinesiophobia. Injury severity will be evaluated using the Modified Hand Injury Severity Classification (MHISC/MEYCS).

Participants will be followed for 12 weeks after injury. Functional recovery will be assessed at the 8th week using the Buck-Gramcko Score and the Sollerman Hand Function Test, and at the 12th week using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and hand grip strength measurements.

The study will examine whether higher levels of early kinesiophobia are associated with greater injury severity and poorer functional recovery. Findings from this study may help identify patients at risk for delayed recovery and support the development of early rehabilitation strategies targeting psychological as well as physical aspects of hand injury recovery.

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Key information

Conditions

Hand Injuries Anxiety Disorders Kinesiophobia Mental Disorders Phobic Disorders Wounds and Injuries

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

Adults aged 18 years and older. Patients presenting to the emergency department with traumatic hand or forearm lacerations requiring surgical treatment.

Injury involving one or more anatomical structures of the hand or forearm (skin, tendon, nerve, vessel, or combined injuries).

Assessment within 1-5 days following injury. Ability to understand and complete study questionnaires and functional assessments.

Provision of written informed consent. Willingness to participate in follow-up assessments at 8 and 12 weeks after injury.

Exclusion criteria

Age younger than 18 years. Cognitive impairment, severe psychiatric disorder, or communication problems preventing completion of questionnaires.

Previous major injury, surgery, or permanent functional impairment of the affected upper extremity.

Polytrauma or additional injuries that may substantially affect upper extremity function or rehabilitation outcomes.

Neurological disorders affecting upper extremity function (e.g., stroke, peripheral neuropathy, spinal cord injury).

Severe musculoskeletal disorders of the upper extremity unrelated to the index injury.

Inability or unwillingness to attend follow-up evaluations. Refusal to provide informed consent

Treatment and study plan

Standard Surgical Treatment and Routine Postoperative Care

Other

Participants with traumatic hand or forearm injuries will receive surgical treatment and postoperative management according to routine clinical practice and the treating surgeon's decision. No experimental treatment, device, medication, or rehabilitation protocol will be administered as part of the study. The study is observational in nature and aims to evaluate the relationship between early kinesiophobia levels, injury severity, and subsequent functional outcomes following standard surgical care.

Other names: Routine Clinical Management

Primary outcomes

  1. Disabilities of the Arm, Shoulder and Hand (DASH) Score

    Time frame: 12 weeks after injury

    Functional disability and symptoms of the upper extremity assessed using the Turkish version of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. The study will evaluate the association between early kinesiophobia levels measured within 1-5 days after injury and functional outcomes at 12 weeks following surgically treated hand and forearm injuries.

Secondary outcomes

  1. Hand Grip Strength

    Time frame: 12 weeks after injury

    Grip strength of the injured hand measured using a standard hand dynamometer. Three measurements will be obtained and the mean value will be recorded.

  2. Buck-Gramcko Functional Score

    Time frame: 8 weeks after injury

    Hand function, pain, and range of motion assessed using the Buck-Gramcko scoring system to evaluate intermediate-term functional recovery.

  3. Sollerman Hand Function Test Score

    Time frame: 8 weeks after injury

    Hand function during activities of daily living assessed using the Sollerman Hand Function Test.

  4. Tampa Scale of Kinesiophobia (TSK) Score

    Time frame: Within 1-5 days after injury

    Fear of movement and reinjury assessed using the Turkish version of the Tampa Scale of Kinesiophobia during the acute post-injury period.

  5. Modified Hand Injury Severity Classification (MHISC/MEYCS) Score

    Time frame: Within 1-5 days after injury

    Injury severity assessed using the Modified Hand Injury Severity Classification (MEYCS) at the time of initial evaluation.

Study contacts

Contact information is provided by the study sponsor or research team.

Samir İlgaroğlu, Surgeon

CONTACT

[email protected]

+905536166156

Sponsors and collaborators

Lead sponsor

Ebru Aloğlu Çiftçi

Other

Registry information

Official study title

The Effect of Kinesiophobia Level on Functional Outcomes in Surgically Performed Hand Injuries

Important dates

Study start
2026
Primary completion
2026
Study completion
2027
First posted
Jun 25, 2026
Registry last updated
Jun 25, 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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