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| ID | Type | Description | Link |
|---|---|---|---|
| PhD University Program | Other Identifier | Universitat Autonoma de Barcelona |
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This study aimes to analyze the effectiveness of a Hand Therapy protocol in the management of patients who suffer from a tear of a lumbrical muscle, regarding on the symptoms during the clinical examination, the disability in their activities of daily living and the sports-specific function.
A prospective intervention study is performed on 50 adult climbers suffering from an injury of the 4th lumbrical muscle. They wear during 3 weeks a 5th finger extension relative motion orthosis, while pain-free sport activities are permitted using a 4th and 5th fingers buddy-taping. After three weeks, patients are told to progressively remove the splint and, after six weeks, the splint is totally removed. Symptoms in the lumbrical stress test are evaluated during the 6 weeks period using dynamometry and goniometry, Finally, Quick-Disabilities of the arm shoulder and hand questionnaire is also analyzed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lumbrical Injured Climbers | Experimental | 6-weeks relative motion splinting protocol, while pain-free sport activities are permitted |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hand Therapy Splinting Protocol | Other | Relative motion splinting protocol |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dinamometry in lumbrical stress test | Symptoms in the lumbrical stress test will be evaluated during the 6 weeks period using an adapted Jamar handgrip dynamometer on a climbing hold. The climber is told to pull on the hold until the pain starts. | It will be evaluated at 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Goniometry in lumbrical stress test | Finger flexion metacarpophalangeal joint goniometry of the 5th finger is measured during the lumbrical stress test when pain appears | It will be evaluated at 6 weeks |
| Quick-Disabilities of the arm shoulder and hand questionnaire |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Núria Carnicero | Contact | +34659105330 | nu.carnicero@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Núria Carnicero | Hand Therapy Barcelona | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hand Therapy Barcelona | Recruiting | Barcelona | Catalonia | 08010 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29591320 | Background | Lutter C, Schweizer A, Schoffl V, Romer F, Bayer T. Lumbrical muscle tear: clinical presentation, imaging findings and outcome. J Hand Surg Eur Vol. 2018 Sep;43(7):767-775. doi: 10.1177/1753193418765716. Epub 2018 Mar 28. | |
| 12631495 | Background | Schweizer A. Lumbrical tears in rock climbers. J Hand Surg Br. 2003 Apr;28(2):187-9. doi: 10.1016/s0266-7681(02)00250-4. |
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| ID | Term |
|---|---|
| D006230 | Hand Injuries |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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Participants will be asked to answer "Quick-Disabilities of the arm shoulder and hand" questionnaire before the clinical examination. In "Quick-Disabilities of the arm shoulder and hand" each item has response options and, from the item scores, scale scores are calculated, raning from o (no disability) to 100 (most severe disability). |
| It will be evaluated at 6 weeks |