Using HandTutor With Traumatic Hand Injuries: Characterizing the System

Study Overview
=================
Brief Summary
-----------------
HandTutor is a computerized system designed to evaluate and rehabilitate hand function. It is composed of a glove with optic sensors detecting the movements of the wrist and the fingers with a biofeedback software designed to evaluate and then to exercise the hand movements through supplying a variety of computer graphic patterns. The HandTutor has been used and tested with a stroke population, and it seems potential to be used with hand injuried population. As a first step, it is important to investigate the characteristics of the system and how it is matching the hand injuried population. The purpose if this study is to characterize the HandTuror system and the focused objectives are: To examine the test-retest reliability of the system when measuring the range of motion (ROM) of the the fingers among healthy people (control group). To examine the correlation between the ROM measured by the HandTutor and the ROM measured by conventional assessment tools (goniometer). To examine the ability of the system to distinguish between healthy people and hand injured people. To examine the correlation between the performance in the HandTutor (in the games part), and the performance in functional activities. To examine the participants feedback for using the HandTutor (degree of enjoyment).

Official Title
-----------------
Using HandTutor With Traumatic Hand Injuries: Characterizing the System

Conditions
-----------------
Hand Injuries

Intervention / Treatment
-----------------
* Device: HandTutor System


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Hand Injuries causing a disfunction of one finger or more of the fingers 2nd-5th. Six weeks at least after the injury/surgery. Allowed to exercise their fingers with no contraindications according to the orthopedic surgeon instructions. With no open wounds. Exclusion Criteria: Peripheral nerves injuries. Digital nerves injuries. Sensation problems. CRPS-complex regional pain syndrome. Cognitive impairments. Head trauma.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Other
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Healthy participants<br>Healthy participants aged from 18 to 60 with no history of hand injuries recruited by convenience sampling. | Device: HandTutor System<br>* Computerized system designed to evaluate and rehabilitate hand function. It is composed of a glove with special sensors detecting the movements of the wrist and the fingers, with a biofeedback software designed to evaluate and then to exercise the hand movements through supplying a variety of computer graphic patterns.<br>|
| Experimental: Hand Injured participants<br>Participants with hand injuries aged from 18 to 60 recruited from the outpatients attending the occupational therapy clinic. | Device: HandTutor System<br>* Computerized system designed to evaluate and rehabilitate hand function. It is composed of a glove with special sensors detecting the movements of the wrist and the fingers, with a biofeedback software designed to evaluate and then to exercise the hand movements through supplying a variety of computer graphic patterns.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| range of movement (ROM) | Passive and active ROM measured by goniometer, passive and active ROM measured by HandTutor | up to 12 months after the injury | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| performance in HandTutor | The final score the participants get when exercising with the HandTutor. | up to 12 months after the injury | 
| daily life functioning | Measured by DASH-Disability of Arm,Shoulder and Hand Questionnaire, and by Jebsen-Taylor Hand Function Test. | up to 12 months after the injury | 
| motor performance skills | Measured by Purdue Pegboard Test | up to 12 months after the injury | 
| enjoyment | Measured by SFQ-Specific feedback questionnaire. | up to 12 months after the injury | 
| pain | Measured by VAS-Visual analogue scale. | up to 12 months after the injury | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Finger Fractures, Tendon Injuries, Soft Tissue Injuries