Kinesiophobia and Functional Outcomes in Hand Injuries

ConditionHand Injuries
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorEbru Aloğlu Çiftçi

About this trial

Hand and forearm injuries are among the most common traumatic injuries and may result in substantial functional limitations, reduced work capacity, and decreased quality of life. Despite advances in surgical repair techniques, recovery outcomes vary considerably among individuals with similar injury characteristics. Psychological factors, particularly fear of movement or reinjury (kinesiophobia), may influence rehabilitation participation and functional recovery after injury.

The aim of this prospective observational study is to investigate the relationship between early kinesiophobia levels and functional outcomes in adults who undergo surgical treatment for traumatic hand or forearm lacerations. Kinesiophobia will be assessed during the acute post-injury period (within 1-5 days after injury) using the Tampa Scale of Kinesiophobia. Injury severity will be evaluated using the Modified Hand Injury Severity Classification (MHISC/MEYCS).

Participants will be followed for 12 weeks after injury. Functional recovery will be assessed at the 8th week using the Buck-Gramcko Score and the Sollerman Hand Function Test, and at the 12th week using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and hand grip strength measurements.

The study will examine whether higher levels of early kinesiophobia are associated with greater injury severity and poorer functional recovery. Findings from this study may help identify patients at risk for delayed recovery and support the development of early rehabilitation strategies targeting psychological as well as physical aspects of hand injury recovery.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

None

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • Standard Surgical Treatment and Routine Postoperative Care

    Other intervention

    Participants with traumatic hand or forearm injuries will receive surgical treatment and postoperative management according to routine clinical practice and the treating surgeon's decision. No experimental treatment, device, medication, or rehabilitation protocol will be administered as part of the study. The study is observational in nature and aims to evaluate the relationship between early kinesiophobia levels, injury severity, and subsequent functional outcomes following standard surgical care.

Treatment groups

100 Participants
are divided into 4 treatment groups
Group A: Minor Injury GroupExperimental treatment 1 intervention
Group B: Moderate Injury GroupExperimental treatment 1 intervention
Group C: Severe Injury GroupExperimental treatment 1 intervention
Group D: Major Injury GroupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Disabilities of the Arm, Shoulder and Hand (DASH) Score

Functional disability and symptoms of the upper extremity assessed using the Turkish version of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. The study will evaluate the association between early kinesiophobia levels measured within 1-5 days after injury and functional outcomes at 12 weeks following surgically treated hand and forearm injuries.

Time frame
12 weeks after injury

Secondary outcomes

1

Hand Grip Strength

Grip strength of the injured hand measured using a standard hand dynamometer. Three measurements will be obtained and the mean value will be recorded.

Time frame
12 weeks after injury
2

Buck-Gramcko Functional Score

Hand function, pain, and range of motion assessed using the Buck-Gramcko scoring system to evaluate intermediate-term functional recovery.

Time frame
8 weeks after injury
3

Sollerman Hand Function Test Score

Hand function during activities of daily living assessed using the Sollerman Hand Function Test.

Time frame
8 weeks after injury
4

Tampa Scale of Kinesiophobia (TSK) Score

Fear of movement and reinjury assessed using the Turkish version of the Tampa Scale of Kinesiophobia during the acute post-injury period.

Time frame
Within 1-5 days after injury

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Ebru Aloğlu Çiftçi

Lead sponsor

Istinye University

Sponsor institution

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