Task-oriented Exercises and Mirror Therapy After Flexor Tendon Repair

Official title

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

Overview

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.

Interventions

• Other Task-oriented exercises and mirror therapy
  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
• Other Task-oriented exercises
  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.
• Other Mirror Therapy
  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 outcome measures

• 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]

Secondary outcome measures (1)

• the Arabic version of the Michigan Hand Outcomes Questionnaire [Time frame: pre- and post-6 weeks of treatment]

Eligibility criteria

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.

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

Open label

Primary purpose

Treatment

Study locations

Egypt · 1 center

• CairoU — Cairo

Publications

• Martinez-Fernandez MV, Sarabia-Cobo CM, Sanchez-Labraca N. Cross-cultural adaptation, reliability, validity and responsiveness of the Michigan Hand Outcomes Questionnaire (MHQ-Sp) in Spain. J Orthop Surg Res. 2024 Apr 22;19(1):256. doi: 10.1186/s13018-024-04723-x. PMID 38649996
• Venkatramani H, Varadharajan V, Bhardwaj P, Vallurupalli A, Sabapathy SR. Flexor tendon injuries. J Clin Orthop Trauma. 2019 Sep-Oct;10(5):853-861. doi: 10.1016/j.jcot.2019.08.005. Epub 2019 Aug 19. PMID 31528057

Identifiers

NCT: NCT07152548 · P.T.REC/012/005415

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗