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โ† Trials
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Effectiveness of Exercise Relative Motion Orthoses for Limited Finger Joint Motion

RecruitingNAAges 18 Years - anyAllInsel Gruppe AG, University Hospital Bern
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In plain words

What the trial is, and whether it could suit you

This randomized controlled trial investigates the effectiveness of two exercise orthosis designs-the Relative Motion Flexion (RMF) and Relative Motion Extension (RME) orthoses-for improving motion in patients with proximal interphalangeal joint (PIPJ) flexion or extension deficits. A total of 148 adult patients with acute hand injuries and a minimum 10ยฐ difference between active and passive PIP joint motion will be enrolled. Participants are stratified by their primary motion deficit and randomized to either the exercise orthosis or placebo orthosis group. The orthosis is worn for 4 weeks, with follow-up assessments at weeks 6 and 8 to evaluate range of motion and patient satisfaction. All participants will continue standard hand therapy throughout the study.

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * PIPJ motion deficit with a minimum difference of 10ยฐ between passive and active motion * To have an acute injury, i.e. operated on or within maximum 6 weeks of accident * Only one hand is affected * Adult patients over 18 years of age * Understanding German, French or English * Hand therapy treatment in-house at Inselspital in Bern * Ability to give informed consent as documented by signature Exclusion Criteria: * Previous injuries to the hand or PIPJ (e.g., intra-articular fractures, PIPJ ligament damage) that may limit baseline joint mobility and influence responsiveness to the intervention. * Presence of conditions such as osteoarthritis (OA) or rheumatoid arthritis (RA) that may affect PIPJ stiffness, pain, or inflammation. * Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia * Boutonniere deformity * Minors (below 18 years of age)
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What it tests

  • PIP extension deficit treated with an exercise RMF orthosis
  • PIP extension deficit treated with a placebo RMF orthosis
  • PIP flexion deficits treated with a placebo RMF orthosis
  • PIP flexion deficits treated with an exercise RME orthosis
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Where

1 site
University Hospital Bern
Bern, Switzerland
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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