- ICH GCP
- Register voor klinische proeven in de VS.
- Klinische proef NCT02435979
Proximal Strengthening for the Management of Wrist Pain
Proximal Strengthening for the Management of Wrist Pain: A Randomized Controlled Trial
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
This will be a non-blinded randomized controlled trial using a sample of consecutive patients with wrist pain. Patients who are referred to Nationwide Children's Hospital Hand therapy clinics with a primary complaint of wrist pain will be considered for this study.
Patients will be randomly assigned to one of two treatment groups; The proximal strengthening group or Traditional Hand Therapy Group. Both treatment groups will be evaluated and treated by the certified hand therapists for 2 sessions per week for 4 weeks. Both groups will receive similar treatment durations of 45-60 minutes per session based on each patient's individual needs.
Proximal strengthening group-The experimental proximal strengthening group consists of treatment where the hand therapist address specific impairments at the wrist and hand for 20-30 minutes at each treatment session. Patients allocated to this treatment group will also perform a standardized proximal strengthening protocol consisting of cervical, periscapular, and shoulder strengthening exercises. Depending on the pace and guidance needed for these exercises 25-30 minutes will be spent on proximal strengthening exercises. As the patients endurance and strength increased the repetitions and/or resistance of these exercises will increase.
Traditional Hand Therapy Group This active comparator group consists of treatment where the hand therapist address specific impairments at the wrist and hand for 45-60 minutes at each treatment session. Treatment can include stretching, motion, and strengthening exercises. As the patients endurance and strength increased the repetitions and/or resistance of these exercises will increase. Modalities for pain control and tissue mobility, and bracing or splinting if necessary. All treatments for the traditional hand therapy treatment group will occur seated at the hand therapy treatment table.
Studietype
Inschrijving (Werkelijk)
Fase
- Niet toepasbaar
Contacten en locaties
Studie Locaties
-
-
Ohio
-
Columbus, Ohio, Verenigde Staten, 43205
- Nationwide Children's Hospital Sports and Ortho PT Ortho Center
-
Columbus, Ohio, Verenigde Staten, 43213
- Nationwide Children's Hospital Sports and Ortho PT East Broad
-
Dublin, Ohio, Verenigde Staten, 43017
- Nationwide Children's Hospital Sports and Ortho PT Dublin
-
Westerville, Ohio, Verenigde Staten, 43082
- Nationwide Children's Hospital Sports and Ortho PT Westerville
-
-
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion Criteria:
- Wrist pain
Exclusion Criteria:
- <8 years of age
- any neurological disorder
- Juvenile rheumatoid arthritis
- juvenile idiopathic arthritis
- Wrist fractures < 16 weeks from date of injury or surgery
- Tendon repair
- Nerve injury or repair
- Inability to follow directions
- Inability to attend follow-up appointments
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
---|---|
Experimenteel: Proximal strengthening + hand therapy
Patients in this group will perform traditional hand therapy for 30 minutes and proximal strengthening of the core, cervical spine, and shoulder complex for up to 30 minutes
|
Treatment can include stretching, motion, and strengthening exercises.
As the patients endurance and strength increased the repetitions and/or resistance of these exercises will increase.
Modalities for pain control and tissue mobility, and bracing or splinting if necessary.
All treatments for the traditional hand therapy treatment group will occur seated at the hand therapy treatment table.
Patients will perform a standardized proximal strengthening protocol consisting of cervical, periscapular, and shoulder strengthening exercises.
Depending on the pace and guidance needed for these exercises 25-30 minutes will be spent on proximal strengthening exercises.
As the patients endurance and strength increased the repetitions and/or resistance of these exercises will increase.
|
Actieve vergelijker: Traditional hand therapy
This group will receive traditional hand therapy for 45-60 minutes each session.
|
Treatment can include stretching, motion, and strengthening exercises.
As the patients endurance and strength increased the repetitions and/or resistance of these exercises will increase.
Modalities for pain control and tissue mobility, and bracing or splinting if necessary.
All treatments for the traditional hand therapy treatment group will occur seated at the hand therapy treatment table.
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
---|---|---|
Change in Patient Rated Wrist Evaluation (PRWE) score
Tijdsspanne: 4 weeks (From initial evaluation to discharge)
|
The PRWE is a 15 item self-report questionnaire which measure pain and function.
It has been found valid and reliable for measure changes in pain and function for patients with wrist pain.
The minimal clinical important difference of this scale is 14 (Sorensen, 2013).
|
4 weeks (From initial evaluation to discharge)
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
---|---|---|
Change in Grip Dynamometer strength
Tijdsspanne: 4 weeks (From initial evaluation to discharge)
|
Grip strength will be measured using a Jamar dynamometer on 2nd setting with elbow at 90 deg and shoulder in adduction at the patient's side, with the patient seated.
Grip strength will be expressed as a percentage of body weight to account for differences in patients size and strength.
|
4 weeks (From initial evaluation to discharge)
|
Medewerkers en onderzoekers
Sponsor
Publicaties en nuttige links
Algemene publicaties
- Alexander M, Franko OI, Makhni EC, Zurakowski D, Day CS. Validation of a modern activity hand survey with respect to reliability, construct and criterion validity. J Hand Surg Eur Vol. 2008 Oct;33(5):653-60. doi: 10.1177/1753193408093810.
- Metzler W, Kessler G, Benzer W, Mahr G. [Ophthalmological significance of stenosing carotid processes]. Wien Med Wochenschr. 1990 Jul 31;140(14):387-9. German.
- Emery K, De Serres SJ, McMillan A, Cote JN. The effects of a Pilates training program on arm-trunk posture and movement. Clin Biomech (Bristol, Avon). 2010 Feb;25(2):124-30. doi: 10.1016/j.clinbiomech.2009.10.003. Epub 2009 Oct 30.
- Kalra N, Seitz AL, Boardman ND 3rd, Michener LA. Effect of posture on acromiohumeral distance with arm elevation in subjects with and without rotator cuff disease using ultrasonography. J Orthop Sports Phys Ther. 2010 Oct;40(10):633-40. doi: 10.2519/jospt.2010.3155.
- Kong YK. The effects of co-ordinating postures with shoulder and elbow flexion angles on maximum grip strength and upper-limb muscle activity in standing and sitting postures. Int J Occup Saf Ergon. 2014;20(4):595-606. doi: 10.1080/10803548.2014.11077077.
- MacDermid JC. Development of a scale for patient rating of wrist pain and disability. J Hand Ther. 1996 Apr-Jun;9(2):178-83. doi: 10.1016/s0894-1130(96)80076-7. No abstract available.
- Park JK, Buchholz B. Effects of work surface height on muscle activity and posture of the upper extremity during simulated pipetting. Ergonomics. 2013;56(7):1147-58. doi: 10.1080/00140139.2013.799234. Epub 2013 Jun 6.
- Sorensen AA, Howard D, Tan WH, Ketchersid J, Calfee RP. Minimal clinically important differences of 3 patient-rated outcomes instruments. J Hand Surg Am. 2013 Apr;38(4):641-9. doi: 10.1016/j.jhsa.2012.12.032. Epub 2013 Mar 6.
Studie record data
Bestudeer belangrijke data
Studie start
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- IRB15-00251
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
product vervaardigd in en geëxporteerd uit de V.S.
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .
Klinische onderzoeken op hand therapy
-
Teachers College, Columbia UniversityEmory University; Thrasher Research FundVoltooidCerebrale parese | Kinderen | Hemiplegie | PediatrischVerenigde Staten
-
Duke UniversityThe John A. Hartford FoundationVoltooid
-
Northwestern UniversityEunice Kennedy Shriver National Institute of Child Health and Human Development...Werving
-
Seoul National University HospitalSMG-SNU Boramae Medical CenterVoltooid
-
Hospices Civils de LyonVoltooid
-
National and Kapodistrian University of AthensVoltooidArtralgie | Systemische lupus erythematosusGriekenland
-
Chang Gung Memorial HospitalVoltooidGezonde volwassenen | Patiënten met een beroerteTaiwan
-
Hospices Civils de LyonWerving
-
Baylor College of MedicineNational Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)Actief, niet wervendArtrose van de handVerenigde Staten
-
The University of Hong KongThe Hong Kong Polytechnic UniversityVoltooidCervicale myelopathieHongkong