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Different splints are used after hand extensor tendon repair (including relative motion splint, static splint, etc.) There is no consensus regarding the benefits of either one.
The aim of this study is to compare clinical outcomes after using different orthoses and rehabilitation methods after hand extensor tendon repair.
Patients are randomly assigned after signing consent to either immobilization with a static splint or a relative motion splint. Patients are examined after 2 and 5 months postoperatively for finger range of motion, grip strength, and DASH questionnaire.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| relative motion splint | Active Comparator |
| |
| static splint | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| relative motion splint | Device | splint with ability to move the fingers |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Fingers range of motion | Range of motion in the Metacarpophalangeal joints, Proximal and Distal interphalangeal joints. | 2 months after surgical repair |
| Fingers range of motion | Range of motion in the Metacarpophalangeal joints, Proximal and Distal interphalangeal joints. | 5 months after surgical repair |
| Grip strength | Measured with the Jamar Hand Dynamometer | 2 months after surgical repair |
| Grip strength | Measured with the Jamar Hand Dynamometer | 5 months after surgical repair |
| The Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire | The scale ranges from 0-to 100 and a higher score interprets as a worse outcome. | 2 months after surgical repair |
| The Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire | The scale ranges from 0-to 100 and a higher score interprets as a worse outcome. | 5 months after surgical repair |
| Measure | Description | Time Frame |
|---|---|---|
| Fingers range of motion | Range of motion in the Metacarpophalangeal joints, Proximal and Distal interphalangeal joints. | The change between 2 and 5 months after surgical repair |
| Grip strength | Measured with the Jamar Hand Dynamometer |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rambam medical center | Haifa | Israel |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37029054 | Derived | Hardy M, Feehan L, Savvides G, Wong J. How controlled motion alters the biophysical properties of musculoskeletal tissue architecture. J Hand Ther. 2023 Apr-Jun;36(2):269-279. doi: 10.1016/j.jht.2022.12.003. Epub 2023 Apr 5. |
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| ID | Term |
|---|---|
| D013165 | Splints |
| ID | Term |
|---|---|
| D016267 | External Fixators |
| D009984 | Orthopedic Fixation Devices |
| D009983 | Orthopedic Equipment |
| D013523 | Surgical Equipment |
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| static splint |
| Device |
splint with immobility of wrist, and fingers |
|
| The change between 2 and 5 months after surgical repair |
| The Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire | The scale ranges from 0-to 100 and a higher score interprets as a worse outcome. | The change between 2 and 5 months after surgical repair |
| D004864 |
| Equipment and Supplies |
| D053831 | Surgical Fixation Devices |