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RecruitingACTRN12618001796279

Efficacy of ReHand Tablet solution for rehabilitation after trauma conditions of hand, wrist and fingers.

Efficacy of ReHand Tablet solution for rehabilitation of trauma injuries of wrist, hand and fingers, comparing ReHand Tablet app as a home-based form of rehabilitation vs the home exercise program on paper that is conventionally used in public hospital, evaluating its effects on hand clinical variables such as functionality, and on resource management.

Sponsor

Andalusian Public Foundation for the Management of Health Research in Seville

Enrollment

660 participants

Start Date

Apr 25, 2017

Study Type

Interventional

Conditions

5th metacarpal fractureCarpal tunnel syndrome surgically intervenedRhizarthrosis surgically intervenedScaphoid fractureDupuytren surgically intervened

Summary

Traumatological injuries of the wrist, hand and fingers are one of the most common and one of the costliest. According to scientific evidence, program exercises are effective for the rehabilitation of this segment. However, the format of prescribing exercises on paper is inefficient, having a need for updating. ReHand is a Tablet application (Android and iOS) developed under the guidelines of various healthcare professionals (rehabilitators, hand surgeons, physiotherapists and occupational therapists) to enhance, through controlled active work, the dexterity and functionality of the wrist, hand and finger segment after a trauma injury. Subjects are selected through consecutive sampling, concretely patients over 18 years of age, no more than 10 days after surgery or removal of immobilization, with any of the following pathologies: distal radius fracture, 5th metacarpal fracture, carpal bone fracture, carpal tunnel syndrome surgically intervened, rhizarthrosis surgically intervened, and Dupuytren surgically intervened. In the experimental condition subjects received ReHand Tablet app as a home-based form of rehabilitation, while in the control condition subjects received the home exercise program on paper that is conventionally used in public hospital. The main hypothesis is that the use of ReHand is more effective than the conventional treatment used for these conditions. This is a multicenter study carried out in Virgen del Rocío and Virgen Macarena hospitals, and in San Juan de Dios Aljarafe Hospital. The overall trial start date was 25/04/2017 and the recruitment is expected to continue until 30/04/2019. During this time, results could be published. This study was supported by the Innovation Projects Grant #0143-2017 of the Health Council of Andalusian Government.

Eligibility

Sex: Both males and femalesMin Age: 18 Yearss

Plain Language Summary

Simplified for easier understanding

Injuries to the wrist, hand, and fingers are extremely common and can significantly limit everyday activities. After surgery or having a cast removed, rehabilitation exercises are vital — but the traditional approach of handing patients a printed sheet of exercises is often poorly followed. This study is testing whether a tablet-based rehabilitation app called ReHand, which provides guided, interactive exercises designed by hand therapists and surgeons, leads to better recovery than standard paper-based exercise instructions. Participants who have recently had surgery or cast removal for conditions including wrist fractures, hand fractures, carpal tunnel surgery, or Dupuytren's contracture surgery are randomly assigned to either the ReHand app or the standard paper exercise program. Both groups are followed to measure how well the hand, wrist, and fingers recover. You may be eligible if you are 18 or older and have had one of the qualifying hand or wrist conditions, with rehabilitation starting within 10 days of surgery or cast removal. People with pre-existing neurological conditions affecting the arm, or those who are unable to cooperate with the program, are not eligible.

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Interventions

In the experimental condition subjects received ReHand Tablet app as a home-based form of rehabilitation. A 4-week home exercise intervention was performed, which had to be carried out daily by the pa

In the experimental condition subjects received ReHand Tablet app as a home-based form of rehabilitation. A 4-week home exercise intervention was performed, which had to be carried out daily by the patient autonomously at home for at least 5 days per week, starting after baseline measurement, and beginning no more than 10 days after removal of immobilization or surgical intervention. The exercise program was individualized according to pathology (e.g. the program for those patients with distal radius fracture was different from the program for carpal tunnel release patients) and lasted approximately 25 minutes per day. ReHand is a Tablet application (Android and iOS) which has a battery of specific exercises for the recovery after a trauma injury to be done touching the Tablet screen. The adherence to treatment was monitored through ReHand dashboard. Exercise example: Pinch exercise with the index finger, performing a controlled movement in a painless range guided by feedback during 25 seconds.

Locations(1)

Seville, Spain

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ACTRN12618001796279