Task-oriented Exercises and Mirror Therapy After Flexor Tendon Repair

Официальное название

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

Обзор

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.

Вмешательства

• Другое 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
• Другое 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.
• Другое 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.

Первичные конечные точки

• ROM of wrist joints, proximal interphalangeal (PIP) joint and distal interphalangeal (DIP) joint of the involved digits of the involved hand for each patient. [Срок оценки: pre- and post-6 weeks of treatment]

Вторичные конечные точки (1)

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

Критерии участия

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.

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

Открытое

Основная цель

Лечение

Центры проведения

Египет · 1 центр

• CairoU — Cairo

Публикации

• 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

Идентификаторы

NCT: NCT07152548 · P.T.REC/012/005415

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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