Photobiomodulation Therapy on Pain and Range of Motion Following Flexor Tendon Repair

Cairo University (CU)

Status: Completed

Conditions: Low Level Laser Therapy; Photobiomodulation Therapy; Flexor Tendon Rupture; Flexor Tendon Repair

Treatments: Other: physical therapy program; Other: medical treatment; Device: Low Level laser therapy; Device: Placebo low level laser therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06761950

Reham-005391

Details and patient eligibility

About

The purpose of the study was to evaluate the therapeutic effect of low-level laser in improving pain and ROM following flexor tendon repair surgery.

Full description

Flexor tendon injury is a common issue requiring early postoperative mobilization. Prolonged immobilization can lead to complications such as muscle atrophy, joint stiffness, osteoarthritis, infection, pain, joint cartilage ulceration, joint contracture, and tendon rupture. Low level laser therapy has been shown to accelerate inflammation, promote fibroblast proliferation, regulate procollagen messenger ribonucleic acid synthesis, accelerate bone repair and remodeling, encourage wound revascularization, and accelerate tissue repair. This study aims to evaluate the effectiveness of Low level laser therapy in pain management and improving range of motion after flexor tendon repair.

Enrollment: 44 patients

Sex: All

Ages: 20 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Forty-four patients of both genders with age ranged between 20 to 50 years will participate in this study.
• All patients with zone II and III flexor tendon injuries, will be suffered from pain following flexor tendon repair surgery.
• All patients with zone II and III flexor tendon injuries, will be suffered from limitation of range of motion deficiency following flexor tendon repair surgery
• All patients enrolled to the study will have their informed consent.

Exclusion criteria

• A wound in the affected area
• Rheumatoid arthritis.
• Epilepsy or any psychological disorders
• Myelopathy or radiculopathy
• exposed hand tendons.
• Concomitant finger fractures, joint injuries, replantation or revascularizations, extensor tendon injury or crush injuries.
• Impairment of cognitive, perceptual or psychological function that would impede ability to follow verbal instruction.
• Multiple injuries to one flexor tendon, simultaneous injuries to bone and extensor tendons, skin loss, noncompliant patients or patients under 10 years, and gross contaminations of wounds.
• patients with tendon repair associated with a skin graft, nerve injury, arterial injury, systemic disease (e.g. diabetes mellitus), wound infection,

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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44 participants in 2 patient groups

Low Level Laser Therapy

Experimental group

Description:

This group included 22 patients with zone II, and III flexor tendon injuries whom have pain and limited range of motion post flexor tendon repair surgery and received low-level laser therapy, 3 sessions per week, for a period of 4 weeks in addition to their physical therapy program and medical treatment

Treatment:

Device: Low Level laser therapy

Other: medical treatment

Other: physical therapy program

placebo low level laser therapy

Active Comparator group

Description:

This group included 22 patients with zone II, and III flexor tendon injuries whom have pain and limited range of motion after flexor tendon repair surgery and received placebo low-level laser therapy, 3 sessions per week for 4 weeks in addition to their physical therapy program and medical treatment.

Treatment:

Device: Placebo low level laser therapy

Other: medical treatment

Other: physical therapy program