Flexor tendon injury rehabilitation regime study
Research type
Research Study
Full title
Comparison of the effect of splinting the wrist in extension versus neutral positioning during rehabilitation following zone I/II flexor tendon repair
IRAS ID
121492
Contact name
Azhar Iqbal
Contact email
Sponsor organisation
St Helens & Knowsley Teaching Hospitals NHS Trust
Research summary
Hand flexor tendons bend the fingers down towards the palm, and can be cut during a sharp penetrating injury (eg from a knife or saw). Damaged flexor tendons are repaired surgically with sutures (stitches). After a repair, a splint is applied to the fingers, hand and wrist for six to twelve weeks to protect the repair while the tendon heals and regains its normal strength.
Most rehabilitation protocols use a splint in which the wrist position is kept straight (neutral) or bent (flexed). Some groups have described splinting with the wrist cocked back (extended) and have made the argument that this may improve outcomes, as experimental data suggests that splinting the hand with the wrist extended increases the range of movement of the repaired flexor tendon (excursion), and therefore reduces the change of the tendon sticking down to the surrounding tissues (adhesion).
Previous studies have shown no adverse effects from splinting hands with the wrist extended, and no evidence tells us which wrist splint position is better (a state of clinical equipoise or apparently equivalent outcomes). This randomised trial aims to produce this evidence, and therefore improve functional outcomes for patients in future.
We propose to carry out a study to compare the outcomes (grip strength and range of movement) of flexor tendon repair in two groups of patients; one with wrists splinted in a neutral position and the other splinted in an extended position during their post-operative rehabilitation. No changes will be made to patient assessment and management, the surgery undertaken and the rehabilitation regime other than those to splint position. Previous work suggests that both positions are safe and effective.
REC name
North of Scotland Research Ethics Committee 1
REC reference
13/NS/0110
Date of REC Opinion
14 Aug 2013
REC opinion
Favourable Opinion