The Cognitive-Functional Relationship in Geriatric Hand-Forearm Injuries

January 30, 2026 updated by: UMUT ERASLAN, Pamukkale University

Investigation of the Relationship Between Cognitive and Functional Status in Geriatric Patients With Hand-Forearm Injuries

Considering the complex structure of hand-forearm injuries and the long rehabilitation process, it is important to investigate factors associated with recovery in geriatric individuals. Therefore, this study aimed to examine the relationship between cognitive status and functional outcomes in geriatric individuals with hand-forearm injuries.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Estimated)

34

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Older Adult

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

Volunteer geriatric individuals who were treated conservatively or surgically for hand and forearm injuries at the hand surgery clinic of a university hospital, and who were referred to the hand rehabilitation unit will be included.

Description

Inclusion Criteria:

  • Being over 65 years of age
  • Having sufficient communication skills and auditory-visual abilities to complete cognitive tests

Exclusion Criteria:

  • Inability to perform functional tests due to active wounds, open fractures, or severe pain
  • Inability to administer cognitive tests due to aphasia or severe hearing or visual impairment

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Geriatric patients with hand-forearm injuries
Other: Questionnaire and Physical Exam
Injury severity will be assessed using the Modified Hand Injury Severity Score. At week 12 after the injury or surgery, cognitive status by Mini-Mental Test, upper extremity function by Upper Extremity Functional Index, pain intensity by Visual Analog Scale, and grip-pinch strength will be evaluated.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Grip-pinch strength
Time Frame: At 12th week after injury or surgery
Grip strength will be measured using a Jamar hand dynamometer according to the procedure recommended by the American Society of Hand Therapists. Pinch strength will be measured using a Jamar pinch gauge in four positions: tip pinch, pulp pinch, lateral pinch, and tripod pinch. Results will be recorded in kilograms.
At 12th week after injury or surgery
Perceived pain intensity
Time Frame: At 12th week after injury or surgery
Perceived pain intensity will be assessed using the Visual Analog Scale. The evaluation will be performed on a 10-cm line ranging from "no pain" to "worst possible pain.
At 12th week after injury or surgery
Modified Hand Injury Severity Score
Time Frame: At baseline
A scoring system that evaluates the severity of hand and forearm injuries based on integumentary, skeletal, motor, and neurovascular components. The total score is obtained by summing the scores of all components and is divided into four categories: minor (<20), moderate (21-50), severe (51-100), and major (>101) injury.
At baseline
Standardized Mini-Mental Test
Time Frame: At 12th week after injury or surgery
This test will be used to assess the cognitive levels of the participants. The test consists of five subdomains: orientation, registration, attention and calculation, recall, and language, and is scored out of a total of 30 points. The results are evaluated as follows; 27-30 points: within normal limits, 24-27 points: mild cognitive impairment, and below 24 points: severe cognitive impairment.
At 12th week after injury or surgery
Upper Extremity Functional Index
Time Frame: At 12th week after the injury or surgery
A 20-item scale used to assess upper extremity function and is scored using a 0-5 Likert-type rating, with a total score ranging from 0 to 80. Lower scores indicate that the individual has difficulty performing activities as a result of an upper extremity problem.
At 12th week after the injury or surgery

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Pamukkale University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

February 23, 2026

Primary Completion (Estimated)

December 30, 2026

Study Completion (Estimated)

December 30, 2026

Study Registration Dates

First Submitted

January 23, 2026

First Submitted That Met QC Criteria

January 23, 2026

First Posted (Actual)

January 30, 2026

Study Record Updates

Last Update Posted (Actual)

February 3, 2026

Last Update Submitted That Met QC Criteria

January 30, 2026

Last Verified

January 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • E-60116787-020-808743

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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