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Hand Injuries clinical trials

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NCT ID: NCT05218252 Recruiting - Hand Injuries Clinical Trials

Reconstruction of Hand Soft Tissue Defects

Start date: January 6, 2022
Phase: N/A
Study type: Interventional

Evaluation of distally based posterior interosseous artery flap in reconstructing hand soft tissue defects that may result from trauma, extensive burns, tumor resection or congenital deformities.

NCT ID: NCT05212441 Active, not recruiting - Burns Clinical Trials

ADJUNCTIVE EFFECT OF LIGHT EMITTING DIODE ON HAND GRIP STRENGTH IN BURN PATIENTS

Start date: February 25, 2022
Phase: N/A
Study type: Interventional

This study will be done to evaluate effect of applying LED before hand exercise on hand grip strength. Sixty male patients with subacute partial thickness burn of hand will be randomly allocated into two equal groups of 30 patients. The following equipment and tools will be used Measurement equipments: - For total active motion of fingers (TAM): Goniometer. - For hand grip strength: Hand grip dynamometer. Therapeutic equipment: Light emitting diode therapy (LED) device.

NCT ID: NCT05183412 Completed - Surgery Clinical Trials

Effect of Virtual Reality (VR) Therapy on Patients Undergoing Hand Surgery Under Ultrasound-guided Regional Anesthesia

Start date: January 26, 2022
Phase: N/A
Study type: Interventional

By means of an investigator-initiated, monocentric, single-blinded, prospective, randomized controlled superiority trial, the effect of virtual reality (VR) therapy on patients undergoing ambulatory hand surgery under ultrasound-guided regional nerve block will be investigated. It is hypothesized that the usage of VR during the placement of the nerve block in ambulatory hand surgery patients provides a significant decrease in pain score during anesthesia compared to without VR glasses. Additionally, an objective stress related parameter (HRV), anxiety, VR experience (immersion and presence), adverse effects and patient satisfaction are evaluated before anesthesia, during anesthesia and surgery or after surgery through validated questionnaires or measurements.

NCT ID: NCT05155670 Completed - Hand Injuries Clinical Trials

Hand Motor Rehabilitation Using a Wearable Robotic Device (WRL HX MCP)

Start date: March 26, 2021
Phase: N/A
Study type: Interventional

The purpose of this pilot study is to assess the safety and usability of the WRL HX MCP medical device, a prototypal robotic system for metacarpophalangeal joint mobilization. WRL HX MCP was developed by the Wearable Robotics Laboratory of Scuola Superiore Sant'Anna in a project funded by and in collaboration with INAIL, to fulfil the needs of patients with post-traumatic hand stiffness.

NCT ID: NCT05060900 Not yet recruiting - Hand Injuries Clinical Trials

Hand Ligament Reconstructions With Knee Collateral Ligament Allografts

Start date: September 2021
Phase: N/A
Study type: Interventional

The purpose of this study is to review the clinical outcomes following hand ligament reconstruction surgery using allograft (cadaveric) knee collateral ligaments. Currently, there is no standard procedure or devices used for hand ligament reconstruction surgery, although most techniques use some form of autograft (patients' own tissue) for the reconstruction. We believe that the use of allograft ligaments in reconstruction may eliminate the pain associated with procuring the patients' own tissue for the procedure, and prove to be a viable and preferred alternative to the multiple techniques currently used. The main procedures of this study include wrist and hand ligament reconstruction surgery (for wrist scapholunate (SL) ligaments, thumb ulnar collateral ligaments (UCL), and finger proximal interphalangeal (PIP) joint collateral ligaments) using allograft ligament, and subsequent follow up appointments where measurements and questionnaires will be completed to evaluate how hand function is doing after surgery.

NCT ID: NCT05003596 Not yet recruiting - Hand Injuries Clinical Trials

Efficacy of Steroids on Functional Outcomes After Musculoskeletal Injuries of the Hand

Start date: September 1, 2021
Phase: Phase 2/Phase 3
Study type: Interventional

Steroids are often prescribed for their anti-inflammatory effects in patients with musculoskeletal injuries. Studies have shown that steroids may reduce pain and swelling, but their effects on range of motion and functional outcomes have not been illustrated. With this study, we aim to evaluate the effect of steroids on range of motion and functional outcomes in non-operatively managed musculoskeletal injuries of the hand.

NCT ID: NCT04994405 Recruiting - Hand Injuries Clinical Trials

Lower Tourniquet Pressure Study

Start date: July 15, 2022
Phase: N/A
Study type: Interventional

This study design is a prospective, double-blinded, randomized controlled trial evaluating the quality of bloodless surgical field with lower tourniquet pressures based on systolic blood pressure (SBP) compared to standard tourniquet pressures. A secondary goal is to evaluate the effect of lower tourniquet pressures on post-operative tourniquet site pain. The rationale behind the study is to provide evidence-based guidelines on tourniquet use to continue providing quality surgical care while minimizing pain and potential harm to patients.

NCT ID: NCT04932109 Recruiting - Hand Injuries Clinical Trials

Ultrasonographic Subcutaneous Scar Scoring System for Traumatic Hand Injured Patients

Start date: January 25, 2021
Phase:
Study type: Observational

This study aims to develop an objective scar scoring system via ultrasonography and try to apply it to clinical using. This study was divided into two parts. The first part of the study is an observational study design. The scar scoring system will be developed, and its test-retest reliability and criterion-related validity will be tested in this part. The second part is also an observational study design. The clinical application of the system on traumatic injured patients is conducted in the second part. The results from this scar scoring system are correlated with hand function measurements. Moreover, every scar will be recorded three times within one month during routine rehabilitation to investigate the change.

NCT ID: NCT04930718 Not yet recruiting - Pain, Chronic Clinical Trials

Thumb and Wrist Proprioception Exercises.

Start date: June 15, 2021
Phase: N/A
Study type: Interventional

Distal radius fracture is the most common upper extremity fracture with peak incidence among older women after the fifth decade of life. Proprioception is one constituent of a complex Sensory motor control process. Proprioception requires the reception and central integration of incoming afferent signals. Although various sensory and motor deficits have been correlated with significant functional impairment after wrist trauma, limited research exists on the effects of proprioception and multi sensory training after distal radius fracture.

NCT ID: NCT04907812 Not yet recruiting - Clinical trials for Distal Radius Fracture

The Role of Tranexamic Acid in Reducing Post Operative Hand Edema After Hand and Wrist Surgery

THAW
Start date: June 1, 2021
Phase: Phase 4
Study type: Interventional

Hand edema following hand surgery is a common yet devastating side effect that can lead to early stiffness, prolonged rehabilitation and diminished function. These factors can reduce a patient's quality of life; mounting to an overall delay in recovery, return to work and daily activities. Conventional edema therapy includes cryotherapy, external compression, active and passive exercises and various types of massage. However, there is little evidence to suggest these modalities are effective. Tranexamic acid (TXA) is an antifibrinolytic that has been used in surgical disciplines for decades to aid in reducing intraoperative blood loss and consequent transfusions. Recently, the use of TXA for curbing post-operative edema and ecchymosis has shown promising results, however, its use in hand surgery has not been studied.