The Cognitive-Functional Relationship in Geriatric Hand-Forearm Injuries
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age66+
SponsorPamukkale University
About this trial
Considering the complex structure of hand-forearm injuries and the long rehabilitation process, it is important to investigate factors associated with recovery in geriatric individuals. Therefore, this study aimed to examine the relationship between cognitive status and functional outcomes in geriatric individuals with hand-forearm injuries.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Being over 65 years of age
Having sufficient communication skills and auditory-visual abilities to complete cognitive tests
Disqualifiers
Inability to perform functional tests due to active wounds, open fractures, or severe pain
Inability to administer cognitive tests due to aphasia or severe hearing or visual impairment
Trial population
Volunteer geriatric individuals who were treated conservatively or surgically for hand and forearm injuries at the hand surgery clinic of a university hospital, and who were referred to the hand rehabilitation unit will be included.
Trial design
Design model
Cohort
Time perspective
Cross-sectional
Treatments tested in this trial
Questionnaire and Physical Exam
Other interventionInjury severity will be assessed using the Modified Hand Injury Severity Score. At week 12 after the injury or surgery, cognitive status by Mini-Mental Test, upper extremity function by Upper Extremity Functional Index, pain intensity by Visual Analog Scale, and grip-pinch strength will be evaluated.
Treatment groups
34 Participants
are divided into 1 treatment groupGroup A: Geriatric patients with hand-forearm injuries1 intervention
Trial outcomes
Primary outcomes
1
Modified Hand Injury Severity Score
A scoring system that evaluates the severity of hand and forearm injuries based on integumentary, skeletal, motor, and neurovascular components. The total score is obtained by summing the scores of all components and is divided into four categories: minor (\<20), moderate (21-50), severe (51-100), and major (\>101) injury.
Time frame
At baseline2
Standardized Mini-Mental Test
This test will be used to assess the cognitive levels of the participants. The test consists of five subdomains: orientation, registration, attention and calculation, recall, and language, and is scored out of a total of 30 points. The results are evaluated as follows; 27-30 points: within normal limits, 24-27 points: mild cognitive impairment, and below 24 points: severe cognitive impairment.
Time frame
At 12th week after injury or surgery3
Upper Extremity Functional Index
A 20-item scale used to assess upper extremity function and is scored using a 0-5 Likert-type rating, with a total score ranging from 0 to 80. Lower scores indicate that the individual has difficulty performing activities as a result of an upper extremity problem.
Time frame
At 12th week after the injury or surgery4
Grip-pinch strength
Grip strength will be measured using a Jamar hand dynamometer according to the procedure recommended by the American Society of Hand Therapists. Pinch strength will be measured using a Jamar pinch gauge in four positions: tip pinch, pulp pinch, lateral pinch, and tripod pinch. Results will be recorded in kilograms.
Time frame
At 12th week after injury or surgerySponsors and contacts
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Source ClinicalTrials.gov
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