Hand Therapy Approach on Lumbrical Muscle Tears in Sport Climbers

Hand Injuries Clinical Trial

Official title:

Hand Therapy Approach on Lumbrical Muscle Tears in Sport Climbers

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05694078
• Other study ID #: Lumbrical
• Secondary ID: PhD University P
• Status: Recruiting
• Phase: N/A
• Start date: December 23, 2022
• Est. completion date: March 31, 2023

Study information

• Verified date: January 2023
• Source: Hand Therapy Barcelona
• Contact: Núria Carnicero
• Phone: +34659105330
• Email: nu.carnicero[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study aimes to analyze the effectiveness of a Hand Therapy protocol in the management of patients who suffer from a tear of a lumbrical muscle, regarding on the symptoms during the clinical examination, the disability in their activities of daily living and the sports-specific function.

Description:

A prospective intervention study is performed on 50 adult climbers suffering from an injury of the 4th lumbrical muscle. They wear during 3 weeks a 5th finger extension relative motion orthosis, while pain-free sport activities are permitted using a 4th and 5th fingers buddy-taping. After three weeks, patients are told to progressively remove the splint and, after six weeks, the splint is totally removed. Symptoms in the lumbrical stress test are evaluated during the 6 weeks period using dynamometry and goniometry, Finally, Quick-Disabilities of the arm shoulder and hand questionnaire is also analyzed.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 50
• Est. completion date: March 31, 2023
• Est. primary completion date: February 28, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Adult climbers suffering from an injury of the 4th lumbrical muscle

Exclusion Criteria:

• Patients with previous treatments.
• Patients with concomitant injuries or illness

Related Conditions & MeSH terms

• Hand Injuries
• Muscle Tear
• Splints

Intervention

Other:
• Hand Therapy Splinting Protocol
Relative motion splinting protocol

Locations

Country	Name	City	State
Spain	Hand Therapy Barcelona	Barcelona	Catalonia

Sponsors (1)

Lead Sponsor	Collaborator
Hand Therapy Barcelona

Country where clinical trial is conducted

Spain, 

References & Publications (2)

Lutter C, Schweizer A, Schoffl V, Romer F, Bayer T. Lumbrical muscle tear: clinical presentation, imaging findings and outcome. J Hand Surg Eur Vol. 2018 Sep;43(7):767-775. doi: 10.1177/1753193418765716. Epub 2018 Mar 28. — View Citation

Schweizer A. Lumbrical tears in rock climbers. J Hand Surg Br. 2003 Apr;28(2):187-9. doi: 10.1016/s0266-7681(02)00250-4. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Dinamometry in lumbrical stress test	Symptoms in the lumbrical stress test will be evaluated during the 6 weeks period using an adapted Jamar handgrip dynamometer on a climbing hold. The climber is told to pull on the hold until the pain starts.	It will be evaluated at 6 weeks
Secondary	Goniometry in lumbrical stress test	Finger flexion metacarpophalangeal joint goniometry of the 5th finger is measured during the lumbrical stress test when pain appears	It will be evaluated at 6 weeks
Secondary	Quick-Disabilities of the arm shoulder and hand questionnaire	Participants will be asked to answer "Quick-Disabilities of the arm shoulder and hand" questionnaire before the clinical examination. In "Quick-Disabilities of the arm shoulder and hand" each item has response options and, from the item scores, scale scores are calculated, raning from o (no disability) to 100 (most severe disability).	It will be evaluated at 6 weeks