Clinical trial NCT03847935: Trigger Finger Treatment
Official title: Trigger Finger Treatment - An Outcomes Study. Comparing 6 Traditional Treatment Techniques
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Trigger Finger
Trigger Digit
Stenosing Tenosynovitis
Keywords: treatment outcome
hand therapy
physical therapy
occupational therapy
Lead sponsor: University of Massachusetts, Lowell
Sponsor class: OTHER
Collaborators: name: University of Massachusetts, Worcester
First posted: 2019-02-20
Enrollment: 86
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: patients undergoing medical treatment or hand therapy for trigger finger in digits #2-5 at the hand clinic. Patients were dropped from the study if they had changed to a different treatment.

Brief summary: Trigger finger is a common disorder of the hand which causes pain at the A1 pulley, inflammation, stiffness and/or snapping during movement. This observational study compared all of the possible treatments and combinations of treatments for trigger finger at the A1 pulley, including surgery, cortisone injections and hand therapy.

Detailed description: Trigger finger is a common disorder of the hand which causes pain at the A1 pulley, inflammation, stiffness or snapping during movement. This can be very debilitating. Current treatment includes local steroid injection, oral NSAIDS, resting orthoses, physical or occupational therapy and surgical intervention. The aim of this prospective study with an observational design was to determine the outcome between surgical, hand therapy rehabilitation, and corticosteroid injection interventions for trigger finger. There were 6 treatment groups: surgery, corticosteroid injection, 1 visit of hand therapy for orthosis fabrication and therapeutic exercise, hand therapy in combination with cortisone injection, Modality hand therapy alone (ongoing visits) or with corticosteroid injections.

Eligibility criteria: Inclusion Criteria:

* trigger finger in digit 2-5

Exclusion Criteria:

* if prior treatment for trigger finger, or Trigger thumb

Primary outcomes:
measure: Change in Functional use using Quick DASH 6 weeks
timeFrame: Day 1, 6 weeks
measure: Change in Functional use using Quick DASH 3 months
timeFrame: Day 1, 3 months
measure: Change in Functional use using Quick DASH 6 months
timeFrame: Day 1, 6 months
measure: Change in Edema 6 weeks
timeFrame: day 1, 6 weeks
measure: Change in Edema 3 months
timeFrame: day 1, 3 months
measure: Change in Edema 6 months
timeFrame: day 1, 6 months
measure: Change in Pain on a likert scale 6 weeks
timeFrame: 1 day, 6 weeks
measure: Change in Pain on a likert scale 3 months
timeFrame: 1 day, 3 months
measure: Change in Pain on a likert scale 6 months
timeFrame: 1 day, 6 months
measure: Change in Range of motion 6 weeks
timeFrame: 1 day, 6 weeks
measure: Change in Range of motion 3 months
timeFrame: 1 day, 3 months
measure: Change in Range of motion 6 months
timeFrame: 1 day, 6 months
measure: Change in Severity or Grade of triggering 6 weeks
timeFrame: 1 day, 6 weeks
measure: Change in Severity or Grade of triggering 3 months
timeFrame: 1 day, 3 months
measure: Change in Severity or Grade of triggering 6 months
timeFrame: 1 day, 6 months
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
affiliation: Associate Professor, University of Massachusetts Lowell
name: Erika S. Lewis, Ed.D
role: PRINCIPAL_INVESTIGATOR
References:
citation: Lewis E, Fors L, Tharion WJ. Interrater and intrarater reliability of finger goniometric measurements. Am J Occup Ther. 2010 Jul-Aug;64(4):555-61. doi: 10.5014/ajot.2010.09028.