The Effects of Low-level Laser Therapy in Extensor Tendon Injuries Between Zones 5-8

Turkish League Against Rheumatism55 enrolled

Overview

This study examines the rehabilitation results when low-level laser therapy is applied in zone 5-8 extensor tendon injuries. Rehabilitation results will be evaluated with both objective measurements and patient reported outcome measures. The study was planned as a double-blind, placebo-controlled, randomized, two-arm study. Participants in both treatment groups will be given exercise therapy in accordance with the early active mobilization protocol and appropriate splint will be given to be used while exercising.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Tendon Injury - Hand

Interventions

low level laser therapyDEVICE

We will use laser light that has continuous wave mode, power of 100 mW, energy density of 7,5 joule/cm2, treatment time as 300 seconds.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Being between the ages of 18-65 * Primary repair due to extensor tendon injury between Zones V-VIII * Applying to the Hand Rehabilitation Policlinic at the end of the postoperative 1st week Exclusion Criteria: * Accompanying flexor tendon injury, fracture, vascular and / or nerve injury * Active using of steroids or non-steroidal anti-inflammatory drugs * Systemic infection or malignancy * Pregnant or breastfeeding women * Active wound infection * Having a cognitive dysfunction

Locations (1)

Ankara City Hospital

Ankara, Turkey (Türkiye)

Outcomes

Primary Outcomes

Change in total active motion degrees

The difference of active range of motion (ROM) measurements between injured and non-injured digit(s). ROM measurement will be made with the help of a standard hand goniometer and the measured degree will be recorded.

Time frame: Pre-intervention, immediately after the intervention, eighth week

Grip strength

Grip strength measurement will be made with the Jamar dynamometer. The measured value will be recorded in kilograms.

Time frame: Eighth week

Change in visual analog scale (VAS) score

VAS is a scale used to assess pain. Minimum value of the scale is 0 and maximum is 10. Higher scores mean a worse outcome.

Time frame: Pre-intervention, immediately after the intervention, eighth week

Change in metacarpophalangeal joint circumference

It will be used to evaluate edema in the dorsum of the hand. Measurement will be made with the help of a tape measure. The measured value will be recorded in milimeters.

Time frame: Pre-intervention, immediately after the intervention, eighth week

Secondary Outcomes

Change in quick disabilities of arm, shoulder and hand (QuickDASH) score

A scale used for measuring physical function and symptoms of upper extremities. Minimum value of the scale is 0 and maximum is 100. Higher scores mean a worse outcome.

Time frame: Pre-intervention, immediately after the intervention, eighth week

Change in short form-36 (SF-36) scores

A scale used for determining quality of life. This form evaluates the quality of life under 9 different headings. Minimum value of all headings is %0 and maximum is %100. Higher scores mean a better outcome.

Data from ClinicalTrials.gov

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