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Flexor tendon repair is commonly performed to restore hand function after tendon injuries. Different rehabilitation techniques are used to improve range of motion, grip strength, and functional outcomes. This randomized controlled trial compares the effects of myofascial release and hand mobilization following flexor tendon repair. Thirty participants are randomly allocated into two groups. Outcomes include wrist range of motion, grip strength, and the QuickDASH questionnaire. The findings may help determine the effectiveness of these rehabilitation techniques following flexor tendon repair.
This randomized controlled trial aims to compare the effectiveness of myofascial release and hand mobilization following flexor tendon repair.
Thirty participants who underwent flexor tendon repair will be randomly assigned into two equal groups.
Group A will receive a hand mobilization program in addition to the conventional rehabilitation program.
Group B will receive myofascial release in addition to the conventional rehabilitation program.
Treatment will be provided according to the study protocol.
Outcome measures include wrist range of motion (flexion, extension, radial deviation, and ulnar deviation), grip strength measured using a hand dynamometer, and upper limb function assessed using the QuickDASH questionnaire.
Assessments will be performed before treatment and after completion of the rehabilitation program. The study aims to determine whether one intervention provides superior clinical outcomes compared with the other.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Myofascial Release | Experimental | Participants received myofascial release techniques combined with conventional rehabilitation following flexor tendon repair. |
|
| Hand Mobilization | Experimental | Participants received hand mobilization techniques combined with conventional rehabilitation following flexor tendon repair. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Myofascial Release | Other | Myofascial release is a manual therapy technique applied after flexor tendon repair as part of the rehabilitation program. The technique aims to improve soft tissue mobility, reduce myofascial restrictions, enhance wrist and hand range of motion, and improve functional outcomes. |
| Measure | Description | Time Frame |
|---|---|---|
| Wrist Range of Motion | Wrist flexion, extension, radial deviation, and ulnar deviation measured using a universal goniometer. | Baseline (pre-intervention) and 4 weeks |
| Grip Strength | Grip strength measured using a hand dynamometer. | Baseline (pre-intervention) and 4 weeks |
| QuickDASH Score | Upper limb function assessed using the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire. | Baseline (pre-intervention) and 4 weeks |
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Inclusion Criteria:
The subject selection will be based on the following criteria:
Exclusion Criteria:
Potential participants will be excluded if they meet one of the following criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hussin Gamal Megahed, Professor | Research Ethical Committee Faculty of Physical Therapy Cairo University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Physical Therapy, Cairo University | Giza | Giza Governorate | Egypt |
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| ID | Term |
|---|---|
| D000089803 | Myofascial Release Therapy |
| ID | Term |
|---|---|
| D008405 | Massage |
| D064746 | Therapy, Soft Tissue |
| D026201 | Musculoskeletal Manipulations |
| D000529 | Complementary Therapies |
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Participants will be randomly assigned to one of two parallel intervention groups. One group will receive hand mobilization with conventional rehabilitation, while the other group will receive myofascial release with conventional rehabilitation.
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|
| Hand Mobilization | Other | Hand mobilization is a rehabilitation technique applied after flexor tendon repair to improve tendon gliding, wrist and hand range of motion, and functional recovery. |
|
| D013812 |
| Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |