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Rupture clinical trials

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NCT ID: NCT05188391 Recruiting - Ankle Fractures Clinical Trials

A New Method for Deltoid Ruptures: Gap Sign

Start date: August 4, 2021
Phase: N/A
Study type: Interventional

"Deltoid Gap Sign" which would be a new method of examination for deltoid ligament injuries will be investigated. It will be analyzed if it is correlated with the external rotation stress test. The study is designed as a blinded, comparative and prospective trial.

NCT ID: NCT05188040 Completed - Clinical trials for Distal Radius Fracture

Effectiveness of Virtual Reality in Hand Therapy

Start date: May 16, 2022
Phase: N/A
Study type: Interventional

The purpose of this study is to determine if the use of Virtual Reality as an intervention for patients following specific hand injuries will positively affect patients with decreased hand function and reduce pain and improve outcomes. Participants will be recruited from 3 different clinics in central Kentucky.

NCT ID: NCT05174611 Recruiting - Clinical trials for Anterior Cruciate Ligament Injuries

Vitamin D to Improve Quadricep Muscle Strength

Start date: March 19, 2021
Phase: Phase 2
Study type: Interventional

Quadriceps muscle strength is one of the key determinants for patients to fulfill the Return-to-Play (RTP) criteria after an anterior cruciate ligament reconstruction (ACLR), in which the muscle size is directly linked to muscle strength. Quadriceps muscle atrophy is unavoidable after ACLR, but the rehabilitation program should increase quadriceps muscle mass. However, despite good rehabilitation compliance, some patient's progress is sub-par and fail to regain muscle mass. Quadriceps muscle atrophy can persist beyond the completion of the rehabilitation program in almost half the patients and the reason behind this is still unknown. This represents an area that requires significant investigation, as quadriceps muscle atrophy and weakness have been shown to be determinants of poor knee function, decreased performance in sports and increased risk of reinjury. Quadriceps muscle atrophy after ACLR is well documented. This can be due to a decreased ability to regain muscle mass with rehabilitation. Athletes are one of the high-risk groups for vitamin D insufficiencies. Vitamin D deficiency can potentially result in decreased hypertrophy when exercising the muscle, leading to a poorer outcome in rehabilitation. Vitamin D has long been recognized for its effect on musculoskeletal health. It can have a direct effect on muscle hypertrophy by acting on specific vitamin D receptors (VDRs) on myocytes, and sufficient or increased levels of vitamin D in patients have been found to correlate with an increase in the size, number, and strength of muscle fibres. Quadriceps muscle hypertrophy after ACLR is triggered by exercise training, facilitated by diet and a number of intrinsic factors. As the rehabilitation programs and diets are similar in patients with varying extents of quadriceps muscle atrophy, individual responses (intrinsic factors) to exercise training may account for the resulting persistent quadriceps muscle atrophy. In this study, the investigators hypothesize that the deficiency of vitamin D may contribute to persistent quadriceps atrophy and weakness. With a stringent double-blinded randomized-controlled-trial (RCT) research design, our proposal will then address the research questions: 'Does vitamin D supplements improve the vitamin D deficiency status in patients after ACL reconstruction?', and 'Does vitamin D supplements improve quadriceps muscle strength for patients after ACLR?'

NCT ID: NCT05168033 Recruiting - Clinical trials for Anterior Cruciate Ligament Rupture

Motor Imagery After Reconstruction of the Anterior Cruciate Ligament

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

The primary aim of this study is to investigate the effect of motor imagery training as an additional tool in the rehabilitation after anterior cruciate ligament reconstruction (ACLR). Therefore, ACLR patients will be recruited and randomly assigned into one of following groups: - Experimental group: Classic rehabilitation + Motor imagery training - Control group: Classic rehabilitation Both, the control and experimental group, will be submitted to a routine physiotherapy program after ACLR. In addition, the intervention group will be exposed to motor imagery training at three different time periods during the rehabilitation process (MI 1: immediately postoperative; MI 2: return to run; MI 3: change of direction). All participants will be invited for a preoperative screening, several postoperative screenings at 4-week time intervals and a final return to sport screening. At these test moments, participants will be subjected to a specific test battery consisting of subjective and objective clinical parameters. The subjective outcomes imply the patient's perception of pain and discomfort, level of participation, psychosocial well-being and overall quality of life. The objective clinical outcome measures relate to knee mobility and muscle strength, level of functioning/performance capacity and the detection of brain areas and networks involved in the processes of anxiety and worrying using EEG.

NCT ID: NCT05148585 Recruiting - Clinical trials for Flexor Tendon Rupture

Efficacy Of Activity-Based Intervention On Activity, Participation And Kinesiophobia In Patients With Tendon Injury

Start date: February 24, 2020
Phase: N/A
Study type: Interventional

The aim of our study is to determine the effect of activity-based intervention on the activity, participation levels and kinesiophobia (fear of movement) of the patients by evaluating the person, environment and activity using the Person-Environment-Occupation model (PEO) in the rehabilitation of hand forearm flexor tendon injuries.

NCT ID: NCT05134688 Not yet recruiting - Clinical trials for Premature Rupture of Membrane

Magnesium Sulphate in Premature Rupture of Membranes

Start date: May 30, 2022
Phase: Early Phase 1
Study type: Interventional

To assess the outcome of using magnesium sulphate on fetus and women with preterm premature rupture of membranes

NCT ID: NCT05128474 Completed - Pain, Shoulder Clinical Trials

Effectiveness of The Neuromuscular Control-Based Exercise Training in the Treatment of Partial-Thickness Rotator Cuff Tears

Start date: December 3, 2021
Phase: N/A
Study type: Interventional

The aim of this study is to determine and compare the effects of neuromuscular control exercises for the shoulder, and standard conservative exercise programs, which are different forms of exercise and have an important role in the treatment of partial thickness rotator cuff tears on treatment. Thus, it is aimed to compare these exercise types with different mechanisms on treatment, to determine the place of neuromuscular control exercises in treatment and whether they are more effective than conventional exercises.

NCT ID: NCT05109871 Completed - Clinical trials for Anterior Cruciate Ligament Injuries

Reliability and Validity of Inline Dynamometry Study for Measuring Knee Extensor Torque

Start date: September 20, 2021
Phase: N/A
Study type: Interventional

This study will investigate the reliability and validity of an inline 'pull-type' dynamometer for measuring peak knee extensor torque. For the reliability study, healthy volunteers will be assessed by two assessors (inter-rater) at the index testing session, with testing repeated by one assessor one week later (test-retest). Validity will be investigated against isometric electromechanical dynamometry (gold standard) in patients following anterior cruciate ligament (ACL) reconstruction.

NCT ID: NCT05095415 Not yet recruiting - Clinical trials for Distal Radius Fracture

Occupational Therapy Pre-operative Education in the Orthopedic Hand Setting

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

This will be a prospective randomized control trial with a blocking method to determine the effect of an occupational therapy focused pre-operative education on 3 pre-determined diagnosis: Carpometacarpal (CMC) Arthroplasty, Distal radius fracture requiring open reduction internal fixation (ORIF) and tendon repairs of the hand. Possible participants will be recruited through Cape Fear Orthopedics & Sports Medicine and receiving care from an orthopedic surgeon & hand specialist. Researchers hypothesize that those who receive the occupational therapy consult will demonstrate improved adherence with occupational therapy appointments, improved patient perceived function, and overall improved experiences with the pre-operative patient experience.

NCT ID: NCT05093946 Recruiting - Clinical trials for Flexor Tendon Rupture

Psychometric Measurement Properties of the Michigan Hand Questionnaire in Patients After Flexor Tendon Repair

Start date: December 1, 2021
Phase:
Study type: Observational

The aim of the study is to investigate the psychometric properties of the German Version of the Michigan Hand Questionnaire in patients with flexor tendon injuries, including reliability, validity and interpretability.