The Effect of Activity-based Training in Patients With Hand-related Injuries Grouped Using Sense of Coherence Scores
Background Patients with the same type of hand injury often reach different functional levels. Therefore, it is necessary to investigate what kind of rehabilitation is most efficient for each individual patient.
Research has shown that a person's "Sense of Coherence" (SOC) affects how he /she deals with disease. Furthermore, SOC can help predict final outcomes after orthopedic injuries and should therefore; be taken into consideration when planning rehabilitation. It was concluded in a study that patients with a weak SOC who have had a hand injury, may benefit from extra support to manage their everyday activities in order to reach the same final outcome as patients with a strong SOC.
Purpose To investigate two types of rehabilitation on patients with a hand-related injury (joint mobility exercises vs. activity-based training and joint mobility exercises) and to investigate whether SOC can be used as an indicator of which patients would benefit from activity-based training.
Hypotheses
- Patients with a hand-related injury will benefit from activity-based training in their rehabilitation program.
- Patients with a weak SOC will achieve the best functional level, if activity-based training is included in their rehabilitation program.
- Patients with a strong SOC will not achieve a higher functional level, if activity-based training is included in their rehabilitation program.
Study design Randomised control trial. Methods Four-hundred-twenty- patients age 18 years or older are included when referred to specialized outpatient occupational therapy after a hand-related injury. To ensure sufficient and balanced patient variation in relation to pre-rehabilitation sense of coherence, a balanced randomisation principle has been implemented.
Data will be collected through questionnaires. The questionnaires measure SOC (13 items version), function (DASH), quality of life (EQ5D) and satisfaction.
All participants will perform joint mobility exercises which are appropriate for their injury. In addition, participants who will be performing activity-based training will train with specific meaningful activities which they performed prior to the hand-related injury.
Clinical relevance The knowledge obtained will be incorporated into the planning of occupational therapy rehabilitation services for this patient group, so that the patients will receive the most optimal conditions in which to achieve their previous level of function after a hand injury.
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Tipo de estudo
Inscrição (Real)
Estágio
- Não aplicável
Contactos e Locais
Locais de estudo
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-
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Odense, Dinamarca, 5000
- Odense University Hospital
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-
Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
Inclusion Criteria:
- Patients with hand-related diagnoses (acute injuries or elective surgeries)
- Patients referred to specialized outpatient occupational therapy rehabilitation at Odense University Hospital
- Patients who are able to understand, speak and read enough Danish to participate
- 18-years of age or older
Exclusion Criteria:
- A rehabilitation treatment period under four weeks and less than three treatments
- Dementia or cognitive impairments
- Where it is not considered medically or therapeutically safe to allow the patient to be included in the randomization process.
- Patients with shoulder problems
- Patients with epicondylitis
- Patients with plexus brachialis injuries
- Patients who only have difficulty extending their non-dominant 5th finger.
- Burn injuries
- Pt. who have had a CMP joint replacement operation because of arthrosis (Swanson)
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
|
Comparador Ativo: strong sense of coherence control group
Patients with a strong sense of coherence.
Participants will perform joint mobility exercises which are appropriate for their injury, both in the therapy setting and as a home exercise program.
|
Joint mobility exercises which are appropriate for their injury, both in the therapy setting and as a home exercise program
|
|
Experimental: strong sense of coherence intervention
Patients with a strong sense of coherence.
Participants will perform joint mobility exercises which are appropriate for their injury and specific meaningful activities which they performed prior to the hand-related injury.
This will be performed both in the therapy setting and as a home exercise program.
|
intervention involve joint mobility exercises which are appropriate for their injury and training with specific meaningful activities which they performed prior to the hand-related injury.
Activity-based hand therapy will be performed both in the therapy setting and as a home exercise program.
|
|
Comparador Ativo: weak sense of coherence control group
Patients with a weak sense of coherence.
Participants will perform joint mobility exercises which are appropriate for their injury, both in the therapy setting and as a home exercise program.
|
Joint mobility exercises which are appropriate for their injury, both in the therapy setting and as a home exercise program
|
|
Experimental: weak sense of coherence intervention
Patients with a weak sense of coherence.
Participants will perform joint mobility exercises which are appropriate for their injury and specific meaningful activities which they performed prior to the hand-related injury.
This will be performed both in the therapy setting and as a home exercise program.
|
intervention involve joint mobility exercises which are appropriate for their injury and training with specific meaningful activities which they performed prior to the hand-related injury.
Activity-based hand therapy will be performed both in the therapy setting and as a home exercise program.
|
|
Experimental: medium sense of coherence intervention
Patients with a medium sense of coherence.
Participants will perform joint mobility exercises which are appropriate for their injury and specific meaningful activities which they performed prior to the hand-related injury.
This will be performed both in the therapy setting and as a home exercise program.
|
intervention involve joint mobility exercises which are appropriate for their injury and training with specific meaningful activities which they performed prior to the hand-related injury.
Activity-based hand therapy will be performed both in the therapy setting and as a home exercise program.
|
|
Comparador Ativo: medium sense of coherence control group
Patients with a weak sense of coherence.
Participants will perform joint mobility exercises which are appropriate for their injury, both in the therapy setting and as a home exercise program.
|
Joint mobility exercises which are appropriate for their injury, both in the therapy setting and as a home exercise program
|
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Prazo |
|---|---|
|
Disabilities of the Arm, Shoulder, and Hand questionnaire
Prazo: from baseline to 12 months after start of rehabilitation
|
from baseline to 12 months after start of rehabilitation
|
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
The EQ-5D Quality of life questionnaire
Prazo: From baseline to 3 months
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From baseline to 3 months
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|
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Sense of Coherence Questionnaire
Prazo: From baseline to 12 months
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13 items questionnaire
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From baseline to 12 months
|
|
Canadian Occupational Performance Measure (COPM) Canadian Occupational Performance Measure (COPM)
Prazo: From baseline to 3 months
|
From baseline to 3 months
|
|
|
Satisfaction with daily living and rehabilitation
Prazo: From baseline to12 months
|
From baseline to12 months
|
Colaboradores e Investigadores
Patrocinador
Colaboradores
Investigadores
- Cadeira de estudo: Hans B Tromborg, Ph.D, University of Southern Denmark
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Estimativa)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- REHAB123
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