Goniometry and Goniometric Measurement on Standardised Images in Dupuytren's Disease

Dupuytren's Disease Clinical Trial

— Goniometry  

Official title:

Comparing the Accuracy of Clinical Goniometry and Goniometric Measurement on Standardised Images in Dupuytren's Disease

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06263699
• Other study ID #: S68225
• Status: Recruiting
• Start date: January 29, 2024
• Est. completion date: January 1, 2025

Study information

• Verified date: February 2024
• Source: Universitaire Ziekenhuizen KU Leuven
• Contact: Ilse Degreef, Prof. Dr.
• Phone: +32 16 33 88 43
• Email: ilse.degreef[@]uzleuven.be
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Measuring range of motion (ROM) is essential in detecting musculoskeletal deficits, monitoring the effects of treatment and progression of the disease. In Dupuytren's disease the active and passive extension deficits (AED, PED) of digits 4 and 5 are usually clinically measured using a universal, short arm goniometer which is considered the standard of care. Using the goniometer can be time consuming. Measuring the extension deficit on a standardised picture could improve follow up, since it is a faster and easier process to take a picture and upload it to the patients files. Though this gives rise to the question whether this kind of measurement would be equally accurate and reliable in comparison to regular clinical measurement using a goniometer.

Description:

Measuring range of motion (ROM) is essential in detecting musculoskeletal deficits, monitoring the effects of treatment and progression of the disease. In Dupuytren's disease the active and passive extension deficits (AED, PED) of digits 4 and 5 are usually clinically measured using a universal, short arm goniometer which is considered the standard of care. Using the goniometer to measure the extension deficit of both fingers, for both the proximal interphalangeal (PIP) and metacarpophalangeal (MCP) joint can be a time consuming process. A lot of clinicians have limited time per patient, which leads to partially or completely missing data due to not performing the measurements. Measuring the extension deficit on a standardised picture could improve follow up, since it is a faster and easier process to take a picture and upload it to the patients files. Though this gives rise to the question whether this kind of measurement would be equally accurate and reliable in comparison to regular clinical measurement using a goniometer. Establishing the difference between both methods is essential to monitor change, which makes a statistical comparison of accuracy of both methods very valuable for patients with Dupuytren's disease. Furthermore, a lot of clinicians have collected and stored standardised pictures of their patient's hands over the years. Therefore this study could solidify the available data through these images, which provide valuable information for future follow up. Furthermore, proper patient education could provide the clinician with standardised images taken by the patient himself, leading to improved follow up, if images and clinical measurement prove to be equally accurate.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 59
• Est. completion date: January 1, 2025
• Est. primary completion date: January 1, 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Older than 18 years of age
• Current AED in digit 4 or 5, in the MCP or PIP joint

Exclusion Criteria:

• Abnormalities to the fingers other than Dupuytren's disease which make goniometry impossible (e.g. amputation, arthrodesis of finger joints, deformations due to rheumatoid arthritis etc.)
• Patient's unable to give a written participating consent.
• Younger than 18 years of age.

Related Conditions & MeSH terms

• Dupuytren Contracture
• Dupuytren's Disease

Intervention

Procedure:
• ROM measurement of the MCP and PIP joints in digits 4 and 5
standardised picture of the hand in maximal active extension, with the back of the hand positioned on the table's surface

Locations

Country	Name	City	State
Belgium	Universitaire Ziekenhuizen KU Leuven	Leuven	Vlaams-Brabant

Sponsors (1)

Lead Sponsor	Collaborator
Universitaire Ziekenhuizen KU Leuven

Country where clinical trial is conducted

Belgium, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Active Extension Deficits (AED)	AED in the MCP and PIP joints of digit 4 and 5 are measured by using a goniometer	Baseline