Clinical trial NCT06088173: The Effects of Graded Motor Imagery Training Program in Patients With Flexor Tendon Repair
Official title: The Effects of Graded Motor Imagery Training Before and After the Rehabilitation Program in Patients With Flexor Tendon Repair
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Flexor Tendon Repair
Keywords: flexor tendon
Kleinert protocol
graded motor imagery training
Lead sponsor: Istanbul University - Cerrahpasa
Sponsor class: OTHER
First posted: 2023-10-18
Enrollment: 26
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of our study was to investigate the effects of graded motor imagery training applied during the immobilization period on hand functions, range of motion, proprioception and kinesiophobia before and after the rehabilitation program in patients with flexor tendon repair.

Detailed description: After flexor tendon repair, conditions such as limitation of joint movement in the injured finger, contracture, decreased proprioception, decreased hand function and skills during activities of daily living may occur due to one or more reasons. Various protocols have been applied in rehabilitation after flexor tendon repair, but the search for new treatment methods to achieve the best results continues. In this study, our aim is to reorganize the cortex and incorporate graded motor imagery training, which has been proven to be more effective in the treatment of chronic pain but promising in terms of increasing body awareness, proprioception and function, into flexor tendon rehabilitation to provide flexor tendon repair patients with more functional results and to contribute to the search for new treatment methods in the literature.

The participants who volunteered to take part in the study will be randomly divided into two groups, namely the Early passive mobilization group (Group 1) and the graded motor imagery (GMI) training (Group 2) using a computerassisted randomization program. After the groups are assigned, Group 1 will receive Modified Kleinert protocol and Group 2 will receive GMI training in addition to Modified Kleinert protocol with the help of hand recognize mobile application. A total of 6 weeks of treatment will be applied. GMI will be taught in sessions and practice will be continued at home. Both groups will use a short modified Kleinert splint for postoperatif 6 weeks. This splint does not allow the use of the hand but allows passive flexion and active extension with the help of a tire. GMI training will be given and practiced as soon as rehabilitation starts. The progression will be 2 weeks lateralization 2 weeks imagery 2 weeks mirror therapy and when the splint is removed at the end of postop 6 weeks. In the remaining sessions, standard rehabilitation will be continued in both groups.

Eligibility criteria: Inclusion Criteria:

* Becoming a volunteer
* Being between the ages of 18-65
* Having undergone primary flexor tendon repair
* Being in postoperative week 0-3
* Injury at zone 1-3 level
* At least one of the FDS and FDP tendons is severed
* Be able to use an Android phone

Exclusion Criteria:

* Tendon transfer
* Orthopedic, neurologic, rheumatologic disease in the related extremity
* Associated fracture or nerve injury (except digital nerve)
* Cognitive impairment

Primary outcomes:
measure: Quick-DASH
timeFrame: baseline, postoperative 6th week, postoperatif 8th week
measure: Tampa Scale for Kinesiophobia
timeFrame: baseline, postoperative 6th week, postoperatif 8th week
measure: Duruöz Hand Index
timeFrame: baseline, postoperative 6th week, postoperatif 8th week
Secondary outcomes:
measure: Active Range of Motion
timeFrame: baseline, postoperative 6th week, postoperatif 8th week
measure: Passive Range of Motion
timeFrame: baseline, postoperative 6th week, postoperatif 8th week
measure: Visual Analog Scale
timeFrame: baseline, postoperative 6th week, postoperatif 8th week
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Istanbul University-Cerrahpasa
state: Büyükçekmece
Study officials:
affiliation: Istanbul Cerrahpaşa University
name: seher DURSUN
role: PRINCIPAL_INVESTIGATOR
References: