The primary objective is to compare the two different rehabilitation protocols relative motion flexion and short splint regarding patients'satisfaction in patients with flexor tendon injuries in Zone I and II after 13 and 26 weeks post-surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
30
3-5 days after tendon repair the patient will start with hand therapy and the described protocol.
3-5 days after tendon repair the patient will start with hand therapy and the described protocol.
Inselspital, Bern University Hospital
Bern, Switzerland
RECRUITINGChange in patient satisfaction
The satisfaction with the outcome will be evaluated by asking the patient a Single Assessment Numeric Evaluation (SANE) question: "How satisfied are you with your hand on a scale from 0 (not satisfied at all) to 10 (fully satisfied)?
Time frame: 13 and 26 weeks after tendon repair
Michigan Hand Questionnaire (MHQ)
The MHQ is a hand specific questionnaire used to measure the ability in daily function. The total score ranges from 0 to 100, with higher scores indicating better performance.
Time frame: 6, 13 and 26 weeks after tendon repair
Disabilities of Shoulder, Arm and Hand Questionnaire
The DASH questionnaire is a region-specific outcome instrument. The patient will rate 30-items about disability or symptoms by rating the degree of difficulty in doing various activities. The scores of all items are used to calculate a score ranging from 0 (no disability) to 100 (most severe disability).
Time frame: 6, 13 and 26 weeks after tendon repair
Range of motion
The range of motion will be measured with a goniometry.
Time frame: 6, 13 and 26 weeks after tendon repair
Grip Strength
Grip Strength will be measured with the JAMAR Dynamometer.
Time frame: 13 and 26 weeks after tendon repair
Level of pain
The patient will be asked to rate the pain from 0 to 10. 0 indicates no pain, 10 the worst possible pain. The patient rate the pain while relaxed and during exercises.
Time frame: 6, 13 and 26 weeks after tendon repair
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Number of therapy sessions
The number of therapy sessions will be counted after 26 weeks or at the end of of therapy if after 26 weeks measurement.
Time frame: 26 weeks after tendon repair
Ten Test
The Ten Test is a measure of discriminative sensation, whereby the patient describes the sensation from no sensation "0" to normal sensation "10" on an 11-point Likert scale.
Time frame: 6, 13 and 26 weeks after tendon repair
Patients specific function scale
The patient defines three to five activities that are difficult or that he/she is unable to perform due to the hand injury. The patient is asked to rate the difficulty associated with each activity from 0 to 10. 0 is defined as not able to do the activity and 10 is able to do the activity normally.
Time frame: 6, 13 and 26 weeks after tendon repair
Work Productivity and Activity Impairment Questionnaire
The WPAI is a quantitative assessment of absenteeism, presenteeism, and overall productivity loss attributable to a specific health problem during the previous 7 days.
Time frame: 6, 13 and 26 weeks after tendon repair
Rupture rate/ Complications
Tendon rupture will be documented
Time frame: 26 weeks after tendon repair
Complications
complications will be documented (e.g. CRPS, infection)
Time frame: 26 weeks after tendon repair