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The Effectiveness of Joint Mobilization in Stiff Hand Treatment

8. juli 2026 opdateret af: UMUT ERASLAN, Pamukkale University

Effects of Joint Mobilization on Hand Function in Patients With Stiff Hand: A Randomized Controlled Trial

Although various treatment modalities have been investigated for the management of stiff hand, no previous study has examined the combined use of exercise and joint mobilization. Therefore, the present study was designed to investigate the effects of peripheral joint mobilization, applied in addition to conventional exercise, on functional outcomes in patients with stiff hand.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

34

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  • Hand or forearm injury managed conservatively or surgically
  • Stiff hand criteria confirmed by Modified Weeks Test (0-20° difference between pre- and post-conditioning passive ROM)
  • No communication impairment
  • No prior neurological, orthopedic, or rheumatological condition or surgery in the affected extremity

Exclusion Criteria:

  • Circulatory disorder or Complex Regional Pain Syndrome
  • Dupuytren's disease
  • Acute inflammation in any finger within the last week
  • Fracture due to non-traumatic causes
  • Significant edema

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Joint mobilization with conventional physiotherapy
Andet: Joint Mobilization with Conventional Physiotherapy
Participants received conventional physiotherapy program (classical massage, scar massage, active and resistive hand-wrist exercises, adhesive bandage for edema control) in addition to joint mobilization. Joint mobilization was initiated at minimum 6 weeks post-injury or surgery. Participants were seated with forearm in neutral position. The joint proximal to the mobilized segment was stabilized. Distraction force was applied in the distal direction. Volar glides (8-12 repetitions) were applied for flexion deficits and dorsal glides for extension deficits according to the convex-concave rule, with each glide held at end range for approximately 30 seconds. Mobilization was applied for 4-6 minutes per joint. Total session duration: approximately 30 minutes. Frequency: 3 sessions/week for 4 weeks (12 sessions total).
Aktiv komparator: Conventional Physiotherapy Only
Andet: Conventional Physiotherapy Only
Participants received conventional physiotherapy program consisting of classical massage, scar massage, active and resistive hand-wrist exercises, and adhesive bandage for edema control. Total session duration: approximately 30 minutes. Frequency: 3 sessions/week for 4 weeks (12 sessions total).

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Range of Motion
Tidsramme: Assessments were performed at baseline, at the end of treatment (4 weeks), and at the 8-week follow-up.
Total Active Motion (TAM) assessed by metal finger goniometer.
Assessments were performed at baseline, at the end of treatment (4 weeks), and at the 8-week follow-up.
Grip Strength
Tidsramme: Assessments were performed at baseline, at the end of treatment (4 weeks), and at the 8-week follow-up.
Grip Strength was assessed by Jamar dynamometer (gross grip, pinch, pulp, lateral, tripod)
Assessments were performed at baseline, at the end of treatment (4 weeks), and at the 8-week follow-up.

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Michigan Hand Outcomes Questionnaire
Tidsramme: Assessments were performed at baseline, at the end of treatment (4 weeks), and at the 8-week follow-up.
This questionnaire evaluates the functionality of the hand and consists of 63 questions in total. Each question is scoredbetween 1-5 and the score of each section varies between 0-100. High total score indicates high satisfaction.
Assessments were performed at baseline, at the end of treatment (4 weeks), and at the 8-week follow-up.

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Pamukkale University

Efterforskere

  • Ledende efterforsker: Umut Eraslan, Pamukkale University

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

24. januar 2025

Primær færdiggørelse (Faktiske)

11. marts 2026

Studieafslutning (Faktiske)

11. marts 2026

Datoer for studieregistrering

Først indsendt

8. juli 2026

Først indsendt, der opfyldte QC-kriterier

8. juli 2026

Først opslået (Faktiske)

14. juli 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

14. juli 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

8. juli 2026

Sidst verificeret

1. juli 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • E-60116787-020-622755

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

UBESLUTET

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med Stiff Hand

Kliniske forsøg med Joint Mobilization with Conventional Physiotherapy

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