Functional Recovery Measurement : Comparing Early Active Mobilization Versus Immobilization After Extensor Tendon Repair in Zones IV to VIII

Dow University of Health Sciences

Status: Completed

Conditions: Injury of Extensor Tendon of Hand (Disorder)

Treatments: Procedure: physiotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT04221113

1365

Details and patient eligibility

About

Functional recovery measurement : Comparing early active mobilization versus immobilization after extensor tendon repair in zones IV to VIII.

Immobilization for six weeks has been the postoperative protocol for the patients with hand's extensor tendon repair in our institute. In this study early mobilization of the hand i.e. also an internationally followed way, is compared with the aforementioned immobilization protocol to see which turns out to be a better option in the interest of the patient.

Full description

patients selection in both groups will be random by using close envolupe technique.

In group A ( immobilisation) physiotherapy will start by the end of 4th week and the upper limit of flexion would be 45 degrees.

In group B ( EAM) physiotherapy will start by the end of 1st week and the upper limit of flexion would be 30 degrees.

Enrollment: 50 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients of either gender having simple lacerations of extrinsic extensor tendons · of the hand in · Verdan's zones IV-VIII

  • Age range 18 to 65 years
  • Sharp Cut Injury

Exclusion criteria

• Patients with complex injured hands like significant skin loss, bone and/or joint injuries. · Flexor tendon injuries.

  • Partial tendon lacerations
  • Tendon injuries at multiple levels

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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50 participants in 2 patient groups

Group A ( Immobilization protocol)

Active Comparator group

Description:

Group A patients will receive static splints.By the end of 4 weeks the splint will be modified and patients will start doing physiotherapy. Movement at MCPJ will be from 0 to 45 degrees.

Treatment:

Procedure: physiotherapy

Group B( early active mobilization protocol).

Active Comparator group

Description:

Group B patients will receive splints in such a way that from 3rd post operative day patients will be instructed to do physiotherapy. Initially MCPJ movement will be from 0 to 30 degrees.

Treatment:

Procedure: physiotherapy