Effect of Instrument Assisted Soft Tissue Mobilization on Hand Post Surgical Scars in Primary Flexor Tendons Repair in Zone v

Обзор

this study will be conducted to investigate the effect of instrument assisted soft tissue mobilization on hand post surgical scars in primary flexor tendons repair in zone v

Подробное описание

The hand plays an important role in independent daily living and in communication with the environment. As the most mobile part of the upper extremity, the hand is actively used in everyday life and professional fields. The flexor tendons of the hand are critical for normal hand function. Injury to these tendons can result in absent finger and wrist flexion, and a subsequent loss of overall hand function. The surgical techniques used to repair these tendons have improved in the past few decades, as have the postoperative rehabilitation protocols. In spite of these advances, flexor tendon repairs continue to be plagued by postoperative scar formation, which limits tendon gliding and prevents a full functional recovery. Many different treatment methods can reduce the trauma and surgical scars. Manual scar treatment is one of these methods. Manual scar therapy to be effective requires applying physiological stimuli adequately to the phase of wound healing. Scar tissue therapy is a treatment for reducing pain and functional limitations, improving pliability, reducing hyper-pigmentation, pruritus, fascial adhesions, to reduce scar thickness and smooth surface area. Instrument assisted soft tissue mobilization (IASTM) is a soft-tissue treatment technique where an instrument is used to provide a mobilizing stimulus to positively affect scar tissue and myofascial adhesion.

Вмешательства

• Другое Instrument Assisted Soft Tissue Mobilization
  the treatment will start by disinfect the instrument between patients to avoid transfer of infections. It is recommended to disinfect the instrument with intermediate-level disinfectants (e.g. isopropyl alcohol), then wash it with soap and water to remove any residuals of the chemical disinfectant off the instrument. If the tools contacts blood, bodily fluids, mucous membranes, or non-intact skin then disinfecting it with high-level disinfectant should be done .IASTM will be done at 30-60 degree
• Другое traditional therapy
  the patients will receive traditional therapy in the form of ultrasound, scar massage, and stretching exercises.

Первичные конечные точки

• scar assessment [Срок оценки: up to four weeks]

Вторичные конечные точки (2)

• range of motion [Срок оценки: up to four weeks]
• handgrip strength [Срок оценки: up to four weeks]

Критерии участия

Критерии включения

• Both sex will be included in this research
• Hand scar in zone v
• Age varying from 20 to 40
• Hand scar formed post primary flexor tendons repair

Критерии исключения

• Vascular injuries requiring arterial repair
• Soft tissue loss
• Fractures
• Tendon in-juries of other zones
• Preexisting problems such as arthritis limiting joint motion
• unhealed wounds or age of scar under 6 weeks

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT07009197 · P.T.REC/012/005611

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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