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NCT Number: NCT07152548

Task-oriented Exercises and Mirror Therapy After Flexor Tendon Repair

The main objective of the study is to explore the effect of intervention with task-oriented exercises and mirror therapy on the outcomes of hand function post flexor tendon repair.

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Key information

Conditions

Flexor Tendon Injury

Age range

18 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

CairoU

Cairo, Egypt

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

- Ages of patients will range from 18 to 45 years. - All patients were working individuals before injury. - All patients will undergo zones of flexor tendon primary direct repair technique. - All patients will be referred by a surgeon before starting the study procedure. - All patients will enter the study having their informed consent. Exclusion Criteria: - Patients with associated vascular injuries requiring arterial repair. - Patients with associated soft tissue loss. - Patients with associated nerve injuries or bone fractures. - Patients with preexisting problems limiting joint motion. - Patients with tendon injuries in both hands. - Patients with diminished cognitive capacity. - Patients with a history of previously failed repair.

Treatment and study plan

Task-oriented exercises and mirror therapy

Other

Patients in this group will receive task-oriented exercises 3 sessions per week for 6 weeks.Therapy will include the following functional tasks: reaching, grasping or holding, lifting, placing objects, and counting fingers.Mirror therapy group: 3 sessions per week for 6 weeks.A mirror will be placed on the learning table, and exercises will be carried out by the patient looking into the mirror, where an unaffected limb would be placed in front of the mirror. Through looking into the mirror, the patient will assume the reflection of the unaffected limb is the affected limb. Exercises will be performed by hand opening and closing, wrist extension and flexion, squeezing, opposition, calculation, and finger flexion and extension.

Task-oriented exercises

Other

Patients in this group received task-oriented exercises 3 sessions per week for 6 weeks.Therapy included the following functional tasks: reaching, grasping or holding, lifting, placing objects, and counting fingers.

Mirror Therapy

Other

Mirror therapy group 3sessions per week for 6 weeks. Mirror will be placed on the learning table and exercises will be carried out by the patient looking into the mirror where an unaffected limb would be placed in front of the mirror, through looking into the mirror patient will assume the reflection of the unaffected limb as the affected limb. Exercises will be performed hand opening and closing, wrist extension and flexion, squeezing, opposition, the calculation, finger flexion and extension.

Primary outcomes

  1. ROM of wrist joints, proximal interphalangeal (PIP) joint and distal interphalangeal (DIP) joint of the involved digits of the involved hand for each patient.

    Time frame: pre- and post-6 weeks of treatment

    The standard values for AROM movements in the wrist and hand are: Wrist flexion: 80°-90° Wrist extension: 70°-90° Finger flexion: MCP: 85°-90° PIP: 100°-115° DIP: 80°-90° MCP extension: 30°-45°

Secondary outcomes

  1. the Arabic version of the Michigan Hand Outcomes Questionnaire

    Time frame: pre- and post-6 weeks of treatment

    The Michigan Hand Outcomes Questionnaire (MHQ) is an example of a self-reporting outcome measure commonly used for the assessment of hand injuries. The MHQ was developed in 1998 and has become a very essential tool for the measurement of health status domains, activities of daily living, overall hand function, aesthetics, work performance, and satisfaction. The Michigan Hand Outcomes Measure comprises 37 items with rating scales ranging from 1 to 5.Every single domain is scored and converted to values that range from 0 to 100. A high score indicates better results, with the exception of pain, in which a high score indicates more intense pain. The total score was calculated as the sum of the six scores divided by six.

Study contacts

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

Hesham G Mahran, Professor of Physical Therapy

CONTACT

[email protected]

+201030792492

Karim I Saafan, Lecturer of Physical Therapy

CONTACT

[email protected]

+201110127251

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Impact of Task-oriented Exercises and Mirror Therapy on Hand Functions Post Flexor Tendon Repair

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Sep 3, 2025
Registry last updated
Sep 16, 2025

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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