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The study aimed to investigate the effects of early sleep after action observation and motor imagery (AOMI) training sessions on manual dexterity in patients with hand immobilization after surgical fixation for metacarpals and phalanges fractures.
Fifty-one patients with hand immobilization for surgical fixation of IV or V metacarpals or first phalanges fractures will be randomized into AOMI-sleep (n=17), AOMI-control (n=17), and Control (n=17) group. AOMI-sleep and AOMI-control groups will perform an AOMI-training before sleeping or in the morning respectively, while Control group will be asked to observe landscape video-clips. Participants will be assessed for manual dexterity, hand range of motion, hand disability and quality of life at baseline before and after the training and at 1 month after the training end.
The study aimed to investigate the effects of early sleep after action observation and motor imagery (AOMI) training sessions on manual dexterity in patients with hand immobilization after surgical fixation for metacarpals and phalanges fractures.
Fifty-one patients with right hand immobilization for surgical fixation of IV or V metacarpals or first phalanges fractures will be randomized into an AOMI-sleep (n=17), AOMI-control (n=17), and Control (n=17) group. AOMI-sleep and AOMI-control groups will perform a 2-week AOMI-training including transitive manual dexterity tasks between 8:00 and 10:00 p.m. or between 8:00 and 10:00 a.m. respectively, while Control group participants will be asked to observe landscape video-clips between 8:00 and 10:00 p.m. Participants will be assessed for manual dexterity (Purdue Pegboard Test and kinematic indexes during Nine Hole Peg Test), hand range of motion (Total Active Motion) hand disability (Quick-DASH) and quality of life (EQ5D) at baseline (1 week after surgery), training end (3 weeks after surgery) and 1 month after the training end (7 weeks after surgery).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AOMI-sleep | Experimental | Observation and imagination of video-clips with motor contents before sleeping |
|
| AOMI-control | Active Comparator | Observation and imagination of video-clips with motor contents in the morning |
|
| Control | Sham Comparator | Observation and imagination of landscapes video-clips |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Action observation plus motor imagery followed by sleep | Behavioral | Participants will be asked to observe video-clips showing motor contents immediately before sleeping |
|
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Purdue Pegboard Test | Manual dexterity test | Before and after 2 weeks of training and at 1 month follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in kinematic indexes during Nine Hole Peg Test | Manual dexterity test with kinematic indexes recording | Before and after 2 weeks of training and at 1 month follow-up |
| Changes in Visual Analogue Scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Action observation plus motor imagery | Behavioral | Participants will be asked to observe video-clips showing motor contents at least 12 hours before sleeping |
|
| Control | Behavioral | Participants will be asked to observe video-clips showing landscapes before sleeping |
|
Scale assessing perceived pain
| Before and after 2 weeks of training and at 1 month follow-up |
| Changes in Quick-DASH | Questionnaire assessing upper limb disability | Before and after 2 weeks of training and at 1 month follow-up |
| Changes in EQ5D | Questionnaire assessing quality of life | Before and after 2 weeks of training and at 1 month follow-up |
| Changes in Total Active Motion | Measurement of the range of motion of V and IV fingers | Before and after 2 weeks of training and at 1 month follow-up |
| Hand-grip strength | Test of maximal strength with a dynamometer | 1-month follow-up |
| ID | Term |
|---|---|
| D006230 | Hand Injuries |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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