Controlled Active Motion vs Early Passive Mobilization for Flexor Tendons Repair

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age25-50
SponsorUniversity of Hail

About this trial

a randomized controlled trial tends to compare 2 rehabilitation approaches - early passive mobilization (EPM) and controlled active motion (CAM) - that are commonly used in the treatment of post-surgical flexor tendon repair of the hand

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

males or females

between 25-50 years

Post-surgical repair of the flexor digitorum profundus (FDP) and superficialis (FDS) tendons of a single-digit

the case should be recent (2-3 days post-surgical)

Disqualifiers

age below 25 or above 50

a systemic disease affecting hand joints such as rheumatic arthritis

thumb flexor tendon repair will be excluded

chronic cases

Trial design

Design model

Parallel

Treatments tested in this trial

  • Early passive mobilization

    Other intervention

    a rehabilitation protocol for post-surgical repair of flexor tendons of the hand

  • Controlled active motion

    Other intervention

    a rehabilitation protocol for post-surgical repair of flexor tendons of the hand

Treatment groups

50 Participants
are divided into 2 treatment groups
Group A: Early passive mobilization groupExperimental treatment 1 intervention
Group B: Controlled active motion groupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Total active motion (TAM)

Active range of motion in proximal interphalangeal joint (PIP) and the distal interphalangeal joint (DIP) of the injured digits will be measured by manual hand goniometry. Outcome will be expressed by Strickland formula. TAM (%) = (Active flexion of PIP+DIP) - Extension Lag of both joints/175× 100 This formula can determine the percentage of recovery of TAM. The results of TAM (%) are classified in four categories: "Excellent, good, fair, and poor"

Time frame
at baseline
2

Total active motion (TAM)

This formula can determine the percentage of recovery of TAM. The results of TAM (%) are classified in four categories: "Excellent, good, fair, and poor" This formula determined the percentage of recovery of TAM. The results of TAM (%) were classified in four categories: "Excellent, good, fair, and poor"

Time frame
after the 12th week of intervention
3

handgrip strength

Hand dynamometer (Jammer dynamometer) will be used to evaluate hand grip strength. Measurements will be taken for both hands for three times. The mean of three trials will be taken for every measurement occasion. The mean value in the injured hand will be expressed as percentage of the mean value in the non-injured hand as follows: % of hand grip strength = Mean grip strength in the involved hand/ Mean grip strength in the uninvolved hand × 100.

Time frame
baseline
4

handgrip strength

Hand dynamometer (Jammer dynamometer) will be used to evaluate hand grip strength. Measurements will be taken for both hands for three times. The mean of three trials will be taken for every measurement occasion. The mean value in the injured hand will be expressed as percentage of the mean value in the non-injured hand as follows: % of hand grip strength = Mean grip strength in the involved hand/ Mean grip strength in the uninvolved hand × 100.

Time frame
after the 12th week of intervention

Secondary outcomes

Other outcomes

Sponsors and contacts

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