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

Cairo University (CU)

Status: Not yet enrolling

Conditions: Hand Injuries

Treatments: Other: Instrument Assisted Soft Tissue Mobilization; Other: traditional therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT07009197

P.T.REC/012/005611

Details and patient eligibility

About

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

Full description

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.

Enrollment: 42 estimated patients

Sex: All

Ages: 20 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 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

Exclusion criteria

• 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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

42 participants in 2 patient groups

Instrument Assisted Soft Tissue Mobilization

Experimental group

Description:

Twenty-one patients will receive instrument-assisted soft tissue mobilization and traditional therapy three times a week for four weeks.

Treatment:

Other: traditional therapy

Other: Instrument Assisted Soft Tissue Mobilization

traditional therapy

Active Comparator group

Description:

Twenty-one patients will receive traditional therapy three times a week for four weeks.

Treatment:

Other: traditional therapy