Health Behaviour Clinical Trial
— StaDinOrtOfficial title:
Treatment of the PIP Joint Flexion Contracture: Combined Static and Dynamic Orthotic Intervention Compared With Traditional Combine Therapy. A Randomized Controlled Trial
Verified date | May 2014 |
Source | University of Malaga |
Contact | n/a |
Is FDA regulated | No |
Health authority | Spain: Ethics Committee |
Study type | Interventional |
Study Design: Randomized controlled clinical study. Introduction: Physiotherapeutic
intervention aiming to restore mobility using different techniques as stretching, hot packs,
exercises, therapeutic ultrasound and orthotics. No scientific evidence has been found
correlating improved joint mobility and the use of these techniques. Application techniques
of orthoses to reshape the soft tissues have been well detailed, however, no scientific
evidence supporting their effectiveness on proximal interphalangeal joint (PIPJ) lag
extension resolution using them as a single treatment has been found.
Purpose of the Study: The purpose of the study was to test the effectiveness of static and
dynamic orthosis in patients with a PIPJ flexion retraction using them as a single treatment
compared with traditional combined therapies.
Method: 63 participants were included in the study. Patients who used splints were compared
to a control group who received conventional treatment. Active and passive mobility were
measured before the experiment and again three months after. All the patients were measured
under the same conditions and treated by the same hand therapist. The relationship between
contracture resolution and function was measured using the DASH Spanish Version.
Status | Completed |
Enrollment | 62 |
Est. completion date | January 2013 |
Est. primary completion date | September 2011 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
INCLUSION CRITERIO: - 18 years old - had given their consent - having suffered trauma to the hand or finger which has resulted in joint damage with a consequent loss of full extension of the PIPJ - duration of the injury being between four and 30 weeks. EXCLUSION CRITERIA: - Patients who had no proper joint alignment, - Patients those with a presence of nerve or tendon associated dupuytren, - campodactilea - tubular bone fractures - acute inflammatory signs - joint instability - avascular necrosis - infection of the affected finger were not included in the study. |
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Spain | Centro Tecan | Malaga |
Lead Sponsor | Collaborator |
---|---|
University of Malaga |
Spain,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Active Range of motion AROM (degrees) | AROM and function were measured in all patients at inclusion and at three months after the start of the study. which was measured using a short arm goniometer Stainless Baseline 180°. A lateral measurement following the standardized protocol recommended by the American Society of Hand Therapists was used. | baseline; post-treatment (3 moths) | No |
Secondary | Disability of the arm shoulder AND HAND (DASH QUESTIONNAIRE) | The Spanish standard version of DASH instrument (Rosales et al. 2002) (www.dash.iwh.on.ca) for measuring upper extremity disability was used as a secondary outcome measurement. The questionnaire was given to the participants the day before starting the treatment and again after three months. | baseline; post-treatment (3 moths); 24 weeks follow up | No |
Secondary | changes from postreatment Active range of Motion (AROM) degrees | AROM and function were measured in all patients at inclusion and at three months after the start of the study. which was measured using a short arm goniometer Stainless Baseline 180°. A lateral measurement following the standardized protocol recommended by the American Society of Hand Therapists was used. | 24 weeks follow up | No |
Status | Clinical Trial | Phase | |
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