The purpose of this study is to compare the effectiveness of relative motion splint and metacarpophalangeal joint blocking splints in terms of sign and symptoms, hand function, occupational performance, and perception of splint wearability (comfort and satisfaction) after six weeks of TF management.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
36
Six weeks relative motion splint wear.
Six weeks metacarpophalangeal joint blocking splint wear.
Hospital Sultan Haji Ahmad Shah
Temerluh, Pahang, Malaysia
Stages of Stenosing Tenosynovitis (SST)
SST is a grading system that divides trigger finger into six stages. Stage 1 is normal; Stage 2 is uneven finger movement; Stage 3 is triggering or clicking or catching; Stage 4 is locking of finger in flexion or extension, which can be unlocked by active finger movement; Stage 5 is locking of finger in flexion or extension, which requires application of passive force to unlock; and Stage 6 is locked finger in flexion or extension
Time frame: Baseline, 6 weeks after splint wear
Visual Analog Scale (VAS) for pain
The left end of the VAS labelled as "no pain" and the right end labelled as "extreme pain".
Time frame: Baseline, 6 weeks after splint wear
Number of triggering events in ten active fists
The number of triggering events (0 - 10) can be obtained by asking the patient to make 10 active full fists.
Time frame: Baseline, 6 weeks after splint wear
Disabilities of the Arm, Shoulder and Hand (DASH) Outcome Measure
DASH is a 30-item, self-report questionnaire that range from 0-100 score, with higher scores represent more severe disability or poorer hand function.
Time frame: Baseline, 6 weeks after splint wear
Canadian Occupational Performance Measure (COPM)
COPM is a interview-based assessment tool for measuring occupational performance. The importance, satisfaction, and performance of an activity are rated using a 10-point rating scale.
Time frame: Baseline, 6 weeks after splint wear
Visual Analog Scale (VAS) for splint comfort
The left end of the VAS labelled as "not at all comfortable' and the right end labelled as "extremely comfortable".
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Time frame: Baseline, 3 and 6 weeks after splint wear
Visual Analog Scale (VAS) for splint satisfaction
The left end of the VAS labelled as "not at all satisfied" and the right end labelled as "extremely satisfied".
Time frame: Baseline, 3 and 6 weeks after splint wear