Myofascial Release Versus Hand Mobilization After Flexor Tendon Repair

July 14, 2026 updated by: Hagar Mohamed Mahmoud Ahmed, Cairo University

Hand Mobilization Versus Myofascial Release Following Flexor Tendon Repair

Flexor tendon repair is commonly performed to restore hand function after tendon injuries. Different rehabilitation techniques are used to improve range of motion, grip strength, and functional outcomes. This randomized controlled trial compares the effects of myofascial release and hand mobilization following flexor tendon repair. Thirty participants are randomly allocated into two groups. Outcomes include wrist range of motion, grip strength, and the QuickDASH questionnaire. The findings may help determine the effectiveness of these rehabilitation techniques following flexor tendon repair.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

This randomized controlled trial aims to compare the effectiveness of myofascial release and hand mobilization following flexor tendon repair.

Thirty participants who underwent flexor tendon repair will be randomly assigned into two equal groups.

Group A will receive a hand mobilization program in addition to the conventional rehabilitation program.

Group B will receive myofascial release in addition to the conventional rehabilitation program.

Treatment will be provided according to the study protocol.

Outcome measures include wrist range of motion (flexion, extension, radial deviation, and ulnar deviation), grip strength measured using a hand dynamometer, and upper limb function assessed using the QuickDASH questionnaire.

Assessments will be performed before treatment and after completion of the rehabilitation program. The study aims to determine whether one intervention provides superior clinical outcomes compared with the other.

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

  • Egypt
    • Giza Governorate
      • Giza, Giza Governorate, Egypt
        • Faculty of Physical Therapy, Cairo University

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:

  • The subject selection will be based on the following criteria:

    • 20-45years of age
    • Post-flexor tendon repair surgery in zone 2 within 2-4 weeks
    • Ability to understand and follow study instructions
    • Willingness to participate in the rehabilitation program

Exclusion Criteria:

  • Potential participants will be excluded if they meet one of the following criteria:

    • Severe joint deformities or arthritis in the wrist or hand
    • Infections or other complications related to the tendon repair
    • History of neurological disorders or conditions affecting hand function
    • Non-compliance or contraindications to manual therapy

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: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Myofascial Release
Participants received myofascial release techniques combined with conventional rehabilitation following flexor tendon repair.
Other: Myofascial Release
Myofascial release is a manual therapy technique applied after flexor tendon repair as part of the rehabilitation program. The technique aims to improve soft tissue mobility, reduce myofascial restrictions, enhance wrist and hand range of motion, and improve functional outcomes.
Experimental: Hand Mobilization
Participants received hand mobilization techniques combined with conventional rehabilitation following flexor tendon repair.
Other: Hand Mobilization
Hand mobilization is a rehabilitation technique applied after flexor tendon repair to improve tendon gliding, wrist and hand range of motion, and functional recovery.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Wrist Range of Motion
Time Frame: Baseline (pre-intervention) and 4 weeks
Wrist flexion, extension, radial deviation, and ulnar deviation measured using a universal goniometer.
Baseline (pre-intervention) and 4 weeks
Grip Strength
Time Frame: Baseline (pre-intervention) and 4 weeks
Grip strength measured using a hand dynamometer.
Baseline (pre-intervention) and 4 weeks
QuickDASH Score
Time Frame: Baseline (pre-intervention) and 4 weeks
Upper limb function assessed using the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire.
Baseline (pre-intervention) and 4 weeks

Collaborators and Investigators

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

Sponsor

Cairo University

Investigators

  • Principal Investigator: Hussin Gamal Megahed, Professor, Research Ethical Committee Faculty of Physical Therapy Cairo University

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)

April 1, 2026

Primary Completion (Actual)

July 1, 2026

Study Completion (Actual)

July 2, 2026

Study Registration Dates

First Submitted

July 8, 2026

First Submitted That Met QC Criteria

July 14, 2026

First Posted (Actual)

July 16, 2026

Study Record Updates

Last Update Posted (Actual)

July 16, 2026

Last Update Submitted That Met QC Criteria

July 14, 2026

Last Verified

July 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • CU-PT-2026-001

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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