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Hand Related Injuries | The Effect of Activity-based Training in Patients With Hand-related Injuries Grouped Using Sense of Coherence Scores

Hand Related Injuries research study

What is the primary objective of this study?

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 1. Patients with a hand-related injury will benefit from activity-based training in their rehabilitation program. 2. Patients with a weak SOC will achieve the best functional level, if activity-based training is included in their rehabilitation program. 3. 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.

Who is eligible to participate?

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)

Which medical condition, disease, disorder, syndrome, illness, or injury is researched?

Hand Related Injuries

Study Interventions

Interventions can include giving participants drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available or noninvasive approaches such as surveys, education, and interviews.

Other:Joint mobility exercises hand therapyJoint mobility exercises which are appropriate for their injury, both in the therapy setting and as a home exercise program

Other:activity-based hand therapyintervention 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.

Study Arms

Research studies and clinical trials typically have two or more research arms. An arm is a group of people who receive the same treatment in the study.

strong sense of coherence control groupPatients 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.

strong sense of coherence interventionPatients 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.

weak sense of coherence control groupPatients 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.

weak sense of coherence interventionPatients 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.

medium sense of coherence interventionPatients 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.

medium sense of coherence control groupPatients 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.

Study Status

Unknown status

Start Date: February 2014

Completed Date: November 2017

Phase: N/A

Type: Interventional

Design:

Primary Outcome: Disabilities of the Arm, Shoulder, and Hand questionnaire

Secondary Outcome: The EQ-5D Quality of life questionnaire

Study sponsors, principal investigator, and references

Principal Investigator: Hans B Tromborg, Ph.D

Lead Sponsor: Odense University Hospital

Collaborator: University of Southern Denmark

More information:https://clinicaltrials.gov/show/NCT02098564

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