The Effects of Graded Motor Imagery Training Program in Patients With Flexor Tendon Repair

Istanbul University - Cerrahpasa

Status: Completed

Conditions: Flexor Tendon Repair

Treatments: Other: exercises; Other: Exercises and Education

Study type: Interventional

Funder types: Other

Identifiers

NCT06088173

IstanbulUCSD

Details and patient eligibility

About

The aim of our study was to investigate the effects of graded motor imagery training applied during the immobilization period on hand functions, range of motion, proprioception and kinesiophobia before and after the rehabilitation program in patients with flexor tendon repair.

Full description

After flexor tendon repair, conditions such as limitation of joint movement in the injured finger, contracture, decreased proprioception, decreased hand function and skills during activities of daily living may occur due to one or more reasons. Various protocols have been applied in rehabilitation after flexor tendon repair, but the search for new treatment methods to achieve the best results continues. In this study, our aim is to reorganize the cortex and incorporate graded motor imagery training, which has been proven to be more effective in the treatment of chronic pain but promising in terms of increasing body awareness, proprioception and function, into flexor tendon rehabilitation to provide flexor tendon repair patients with more functional results and to contribute to the search for new treatment methods in the literature.

The participants who volunteered to take part in the study will be randomly divided into two groups, namely the Early passive mobilization group (Group 1) and the graded motor imagery (GMI) training (Group 2) using a computerassisted randomization program. After the groups are assigned, Group 1 will receive Modified Kleinert protocol and Group 2 will receive GMI training in addition to Modified Kleinert protocol with the help of hand recognize mobile application. A total of 6 weeks of treatment will be applied. GMI will be taught in sessions and practice will be continued at home. Both groups will use a short modified Kleinert splint for postoperatif 6 weeks. This splint does not allow the use of the hand but allows passive flexion and active extension with the help of a tire. GMI training will be given and practiced as soon as rehabilitation starts. The progression will be 2 weeks lateralization 2 weeks imagery 2 weeks mirror therapy and when the splint is removed at the end of postop 6 weeks. In the remaining sessions, standard rehabilitation will be continued in both groups.

Enrollment: 26 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Becoming a volunteer
• Being between the ages of 18-65
• Having undergone primary flexor tendon repair
• Being in postoperative week 0-3
• Injury at zone 1-3 level
• At least one of the FDS and FDP tendons is severed
• Be able to use an Android phone

Exclusion criteria

• Tendon transfer
• Orthopedic, neurologic, rheumatologic disease in the related extremity
• Associated fracture or nerve injury (except digital nerve)
• Cognitive impairment

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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26 participants in 2 patient groups

Early Passive Mobilization Group

Experimental group

Description:

This group will be given Modifiye Kleinert Protocol based rehabilitation

Treatment:

Other: exercises

Graded Motor Imagery Training Group

Experimental group

Description:

This group will be given Modifiye Kleinert Protocol and Graded Motor Imagery Training

Treatment:

Other: Exercises and Education