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| Name | Class |
|---|---|
| National Institute of Geriatrics, Rheumatology and Rehabilitation, Poland | NETWORK |
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The goal of this study is to present the author's thumb orthosis with a butonier deformity and its effect on hand function, strength, dexterity and pain levels in relation to patients wearing factory-made orthopedic supplies. It is planned to include about 60 people in the study (30 people each in the group with thermoplastic orthoses and 30 participants with factory-made orthoses)
The main questions it aims to answer are:
1. How much improvement in dexterity will the patient wearing the orthosis get? 2. By how much will the grip strength of the whole hand and pincer grip strength improve with the orthosis? 3. How will wearing the orthosis affect the pain associated with the disease? Participants will
4. completion of the DASH questionnaire 6. assessment of the NRS pain scale in relation to the period of 6 months before the start of the study 7. Likert scale - evaluation of satisfaction with the use of the orthosis 8. the Kapandji scale Researchers will compare patients with thermoplastic orthosis and patients with fabric orthosis to see which is more functional.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Grip strength | Other | Using a hydraulic handgrip dynamometer by Saehan according to the procedure to measure grip strength |
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| DASH Questionnaire | Other | The DASH questionnaire assesses upper limb disability and consists of 30 questions in the general section and an additional work module with 4 questions and a sport/instrument playing module with 4 questions. Assess symptoms and the inability to perform certain activities based on health status. |
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| Likert scale | Other | Measurement strategy, used in surveys to gain knowledge about the degree of acceptance of the orthosis |
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| Kapandji score | Other | Is a tool useful for assessing the opposition of the thumb |
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| NRS scale | Other | Requires the patient to rate their pain on a defined scale |
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| Pinch strength |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Thermoplastic orthosis | Device | The use of the author's orthosis is aimed at correcting the anatomical alignment of the MP (metacarpophalangeal) joints, IP (interphalangeal) by properly tensioning the central extensor band and the lateral bands of the thumb's extensor apparatus. It should significantly increase the mobility of the hand in connection with improving hand grip and reducing pain. |
| Measure | Description | Time Frame |
|---|---|---|
| Grip strength | Measurement of grip strength and of the right and left hands with a dynamometer in an orthosis and without an orthosis. | 6 month |
| DASH -Disabilities of the Arm, Shoulder and Hand | The DASH questionnaire assesses upper limb disability and consists of 30 questions in the general section and an additional work module with 4 questions and a sport/instrument playing module with 4 questions. In the DASH a higher scores indicate a greater level of disability and severity, whereas, lower scores indicate a lower level of disability. The score on test ranges from 0 (no disability) to 100 (most severe disability) | 6 month |
| Likert scale | Measurement strategy, used surveys through which knowledge about the degree of acceptance of the product can be obtained. Participants provide data using a four-point strongly disagree, disagree, agree, strongly agree | 6 month |
| Kapandji score | Is a tool useful for assessing the opposition of the thumb. A score of 0 indicates no opposition, a score of 10 indicates maximal opposition. | 6 month |
| NRS - Numerical Rating Scale | Requires the patient to rate their pain on a defined scale. Ranges from 0 to 10. zero being an example of someone with no pain and ten being the worst pain possible. | 6 month |
| pinch strength | pincer grip strength of the right and left hands with a dynamometer in an orthosis and without an orthosis. | 6 month |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Magdalena Kolasińska, MSc | Contact | +48609219822 | magdalena.kolasinska@awf.edu.pl | |
| Teresa Sadura-Sieklucka, Phd | Contact | teresa.sadura@awf.edu.pl |
| Name | Affiliation | Role |
|---|---|---|
| Magdalena Kolasińska, Msc | University of Physical Education in Warsaw | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Terapia Ręki Magda Kolasińska | Recruiting | Warsaw | Masovian Voivodeship | 01-494 | Poland |
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| Other |
Using a hydraulic handgrip dynamometer by Saehan according to the procedure to measure grip strength |
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| Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji im. prof. dr hab. med. Eleonory Reicher | Recruiting | Warsaw | Masovian Voivodeship | 02-637 | Poland |
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