Effectiveness of Occupation-Based Exercise Program in Zone 2 Flexor Tendon Injuries
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Occupation-Based Exercise Program, Conventional therapy group.
- Who it may be relevant to
- Registry conditions: Tendon Injuries, Zone 2 Flexor Tendon Lacerations of the Hand. Basic parameters: 18 years — 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Effectiveness of Occupation-Based Exercise Program Added to Conventional Rehabilitation Program on Hand Functions, Range of Motion, Grip Strength, Pain and Kinesiophobia in Zone 2 Flexor Tendon Injuries
Overview
Aim of the study is to evaluate the effects of a 4-week occupation-based exercise program given in addition to the conventional rehabilitation program on hand functions, range of motion, grip strength, pain and kinesiophobia in the post-operative rehabilitation of patients aged 18-65 years with zone 2 flexor tendon repair. Expected results: To prove the effectiveness of occupation-based exercises in order to reduce the failure rates seen in the rehabilitation of zone 2 flexor tendon injuries, to increase patient compliance and motivation during the rehabilitation process, to improve functional outcomes by ensuring its inclusion in conventional treatment and to increase patient satisfaction.
Interventions
- Other Occupation-Based Exercise Program
In the occupation-based exercise program, while trying to improve the range of motion and muscle strength of the hand, it is aimed to successfully return to daily life activities. For this reason daily activities are used instead of memorized range movements. In this way, the occupation-based exercise program provides a physical recovery in patients with hand injuries, while providing positive improvements in parameters related to the mind and spirit. Patients' participation, motivation and comp - Other Conventional therapy group
Conventional group treatment will be according the early passive hand rehabilitation program. Conventional group will be followed with a cast-splint made by the surgical team for the first 4 weeks within the scope of the conventional treatment program. From the 4th week onwards, the duration of splint use is gradually reduced and is completely discontinued from the 6th week onwards. At the end of the 4th week, depending on the wound condition, contrast bath, scar massage, retrograde massage, act
Primary outcome measures
- Disabilities of The Arm, Shoulder and Hand Questionnaire (DASH) [Time frame: Participants will be evaluated at 6th, 10th and 16th weeks postoperative.]
Secondary outcome measures (4)
- Modified Strickland Classification [Time frame: Participants will be evaluated at 6th, 10th and 16th weeks postoperatively.]
- Numerical Pain Rating Scale (NPRS) [Time frame: Participants will be evaluated at 6th, 10th and 16th weeks postoperatively.]
- Tampa Kinesiophobia Scale [Time frame: Participants will be evaluated at 6th, 10th and 16th weeks postoperatively]
- Grip strentgh [Time frame: Participants will be evaluated at 6th, 10th and 16th weeks postoperatively.]
Eligibility criteria
Inclusion criteria
- Between the ages of 18-65
- Flexor zone 2 injury
- At least 1 flexor digitorum superfisialis or flexor digitorum profundus tendon repair
- No visual and hearing impairment
- Have the cognitive function to coordinate and carry out simple commands
Exclusion criteria
- Concomitant flexor pollicis longus tendon injury
- Concomitant extensor tendon injury
- Accompanying fracture
- Associated median/ulnar/radial nerve injury
- Less than 50% partial flexor tendon injury
- Cognitive impairment resulting in an inability to understand and carry out simple commands
- Not being able to comply with the rehabilitation protocol to be applied after surgery
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Turkey (Türkiye) · 1 center
- Istanbul Unıversity, Istanbul Faculty of Medicine, Department of Physical Medicine and Reh — Istanbul
Identifiers
NCT: NCT07046416 · 3005950