A1 Pulley Stretching Along With Tendon Gliding Exercises in Post-operative Patients of Trigger Finger

March 16, 2026 updated by: Riphah International University

Synergistic Effects of A1 Pulley Stretching Along With Tendon Gliding Exercises on Pain, Range of Motion, and Hand Grip Strength in Post-operative Patients of Trigger Finger.

The study was conducted to determine the synergistic effects of A1 pulley stretching along with tendon gliding exercises on pain, range of motion, and hand grip strength in post-operative patients of trigger finger

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

30

Phase

  • Not Applicable

Contacts and Locations

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

Study Locations

  • Pakistan
    • Punjab Province
      • Toba Tek Singh, Punjab Province, Pakistan, 36050
        • District Headquarters Hospital

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

  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Both gender male and female
  • Age 35 ≤ 60
  • Patients with clear wound and removed stitched
  • Symptoms of locking finger for more than 6 months
  • Positive Hueston tabletop test
  • NPRS score of 4 to 7

Exclusion Criteria:

  • Finger joint problem by joint fracture
  • Recent trauma
  • Presence of open wound, local infection
  • Known case of tumor
  • Congenital and autoimmune disorders

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

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: A1 pulley stretching along with tendon gliding exercises
Other: A1 pulley stretching

Participants comfortably seated with the arm supported on a table. The right palm placed on the couch, and the middle fingers positioned alternately on a wooden block at a 45° angle. Participants flex the middle finger while the therapist provides resistance to induce an isometric contraction.

Duration and Repetitions:

  • Each stretch: 15-30 seconds
  • 10 repetitions per session
  • sets with 30-60 seconds rest Frequency: Three times per week during therapy sessions
Other: Tendon Gliding exercises

5 glide × 3 sets:

  • Open Palm
  • Hook Fist
  • Tabletop
  • Half Fist
  • Full Fist Each glide is performed in a controlled, pain-free manner. Frequency: Three weekly supervised sessions.
Other: Standard physiotherapy treatment

Heat therapy gloves for 10 minutes TENS with frequency of 80-100 Hz at low intensity having pulse duration of 50-80μs for 10 minutes.

Paraffin wax bath at 52 degree centigrade 10 times for 15 minutes a day.
Active Comparator: Tendon gliding exercises
Other: Tendon Gliding exercises

5 glide × 3 sets:

  • Open Palm
  • Hook Fist
  • Tabletop
  • Half Fist
  • Full Fist Each glide is performed in a controlled, pain-free manner. Frequency: Three weekly supervised sessions.
Other: Standard physiotherapy treatment

Heat therapy gloves for 10 minutes TENS with frequency of 80-100 Hz at low intensity having pulse duration of 50-80μs for 10 minutes.

Paraffin wax bath at 52 degree centigrade 10 times for 15 minutes a day.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Numeric Pain Rating Scale
Time Frame: From enrollment to end of treatment 6 weeks
Numeric Pain Rating Scale (NPRS) is used to determine the level of pain in a patient. It gives people an opportunity to self-report their pain levels using a scale of zero to ten, with 0 being the absence of pain and 10 being the worst that can happen. The scale is divided into categories, 1-3 mild pain, 4-6 moderate pain, and 7- 10 severe pain.
From enrollment to end of treatment 6 weeks
Universal Goniometer
Time Frame: From enrollment to the end of treatment at 6 weeks.
goniometer is a device that is widely utilized in orthopedics and physical therapy to estimate the range of motion of a joint (ROM) and to diagnose range restrictions.
From enrollment to the end of treatment at 6 weeks.
Hand dynamometer
Time Frame: From enrollment to the end of treatment for 6 weeks.
A hand dynamometer is a tool that is used to measure the grip strength and give a quantitative measure of the muscle activity in the hand and forearm. Through pressing of the handle of the device, the user can measure the force used, and the clinicians can observe the progress and see the changes in the rehabilitation
From enrollment to the end of treatment for 6 weeks.

Collaborators and Investigators

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

Sponsor

Riphah International University

Investigators

  • Principal Investigator: Humera Mubashar, Riphah International 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 (Actual)

January 13, 2025

Primary Completion (Actual)

May 31, 2025

Study Completion (Actual)

October 31, 2025

Study Registration Dates

First Submitted

February 23, 2026

First Submitted That Met QC Criteria

March 16, 2026

First Posted (Actual)

March 19, 2026

Study Record Updates

Last Update Posted (Actual)

March 19, 2026

Last Update Submitted That Met QC Criteria

March 16, 2026

Last Verified

March 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/RCR & AHS/24/01110

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

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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