Clinical Trials Logo

Clinical Trial Summary

This study will be a randomized controlled trial comparing proximal strengthening vs. traditional hand therapy for patients with wrist pain. Patients will attend 2 hand therapy sessions per week for 4 weeks. Change in patient function and pain as measured by the patient rated wrist evaluation will be the primary outcome of interest


Clinical Trial Description

This will be a non-blinded randomized controlled trial using a sample of consecutive patients with wrist pain. Patients who are referred to Nationwide Children's Hospital Hand therapy clinics with a primary complaint of wrist pain will be considered for this study.

Patients will be randomly assigned to one of two treatment groups; The proximal strengthening group or Traditional Hand Therapy Group. Both treatment groups will be evaluated and treated by the certified hand therapists for 2 sessions per week for 4 weeks. Both groups will receive similar treatment durations of 45-60 minutes per session based on each patient's individual needs.

Proximal strengthening group-The experimental proximal strengthening group consists of treatment where the hand therapist address specific impairments at the wrist and hand for 20-30 minutes at each treatment session. Patients allocated to this treatment group will also perform a standardized proximal strengthening protocol consisting of cervical, periscapular, and shoulder strengthening exercises. Depending on the pace and guidance needed for these exercises 25-30 minutes will be spent on proximal strengthening exercises. As the patients endurance and strength increased the repetitions and/or resistance of these exercises will increase.

Traditional Hand Therapy Group This active comparator group consists of treatment where the hand therapist address specific impairments at the wrist and hand for 45-60 minutes at each treatment session. Treatment can include stretching, motion, and strengthening exercises. As the patients endurance and strength increased the repetitions and/or resistance of these exercises will increase. Modalities for pain control and tissue mobility, and bracing or splinting if necessary. All treatments for the traditional hand therapy treatment group will occur seated at the hand therapy treatment table. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT02435979
Study type Interventional
Source Nationwide Children's Hospital
Contact
Status Completed
Phase N/A
Start date May 2015
Completion date July 2019

See also
  Status Clinical Trial Phase
Not yet recruiting NCT05060900 - Hand Ligament Reconstructions With Knee Collateral Ligament Allografts N/A
Withdrawn NCT02970097 - Single Shot Infraclavicular Brachial Plexus Block vs Local Infiltration After Wrist Arthroscopy Surgery N/A
Recruiting NCT04370626 - The Canadian Prospective Pragmatic Perilunate Outcomes Trial
Completed NCT03038581 - Comparison of Self-inflicted Deep Wrist Injuries to Traumatic Deep Wrist Injuries
Completed NCT01012271 - Diagnostic Accuracy of Direct MR Arthrography Of The Wrist At 1.5, 3.0 And 7.0T N/A
Completed NCT04842669 - Effects of Low Level Laser Therapy On Exercise Induced Muscle Damage in Wrist Flexors Of Untrained Young Adults N/A
Recruiting NCT03830775 - A Prospective Randomized Double Blinded Controlled Trial of Non-Operative Management of TFCC Injuries N/A
Recruiting NCT06086392 - Perineural Dexamethasone in Supraclavicular Brachial Plexus Block for Anesthesia After Pediatric Hand/Wrist Surgery Phase 4
Withdrawn NCT02591810 - Treatment Options for Acute Distal Radioulnar Joint Instability N/A
Recruiting NCT06046404 - Refraining From Closed Reduction of Dislocated Distal Radius Fractures in the Emergency Department N/A
Completed NCT01857570 - Volume CT of the Wrist and Carpus After Trauma N/A
Completed NCT06426433 - Investigation of The Effects of Proprioceptive Exercise Training on Motor Performance Parameters in Healthy Adults N/A
Completed NCT04739644 - Robot-based Wrist Rehabilitation in Orthopaedics: Efficacy and Comparison With Traditional Methods N/A
Active, not recruiting NCT06067074 - Cost-effectiveness, Volar Locking Plate or Non-operative Treatment Distal Radius Fracture N/A
Recruiting NCT02401568 - Morphologic and Biomechanical Analysis of the Carpal Ligaments N/A
Terminated NCT02058303 - Study of A Long Lasting Local Anesthestic for Hand, Wrist or Finger Surgery Phase 4
Completed NCT03788954 - Effect of Kinesiotaping on Wrist Kinematics and Functional Performance N/A
Completed NCT02630290 - Addition of Dexmedetomidine to Ropivacaine-induced Supraclavicular Block (ADRIB Trial) Phase 4
Withdrawn NCT04527588 - Italian Translation of the Michigan Hand Outcomes Questionnaire
Active, not recruiting NCT02911610 - Assessment of Arthroscopy in Patients Undergoing Wrist Fracture N/A