Hand Therapy Approach on Lumbrical Muscle Tears in Sport Climbers

• Sponsor: Hand Therapy Barcelona (Other)
• Overall Status: Recruiting
• CT.gov ID: NCT05694078
• Collaborator: (none)
• Enrollment: 50
• Location: 1
• Arm: 1
• Anticipated Duration (Months): 3.2
• Patients Per Site Per Month: 15.5

Study Details

Study Description

Brief Summary

This study aimes to analyze the effectiveness of a Hand Therapy protocol in the management of patients who suffer from a tear of a lumbrical muscle, regarding on the symptoms during the clinical examination, the disability in their activities of daily living and the sports-specific function.

Condition or Disease	Intervention/Treatment	Phase
Muscle Tear; Hand Injuries; Splints	Other: Hand Therapy Splinting Protocol	N/A

Detailed Description

A prospective intervention study is performed on 50 adult climbers suffering from an injury of the 4th lumbrical muscle. They wear during 3 weeks a 5th finger extension relative motion orthosis, while pain-free sport activities are permitted using a 4th and 5th fingers buddy-taping. After three weeks, patients are told to progressively remove the splint and, after six weeks, the splint is totally removed. Symptoms in the lumbrical stress test are evaluated during the 6 weeks period using dynamometry and goniometry, Finally, Quick-Disabilities of the arm shoulder and hand questionnaire is also analyzed.

Study Design

• Study Type: Interventional
• Anticipated Enrollment: 50 participants
• Allocation: N/A
• Intervention Model: Single Group Assignment
• Masking: None (Open Label)
• Primary Purpose: Treatment
• Official Title: Hand Therapy Approach on Lumbrical Muscle Tears in Sport Climbers
• Actual Study Start Date: Dec 23, 2022
• Anticipated Primary Completion Date: Feb 28, 2023
• Anticipated Study Completion Date: Mar 31, 2023

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Lumbrical Injured Climbers 6-weeks relative motion splinting protocol, while pain-free sport activities are permitted	Other: Hand Therapy Splinting Protocol; Relative motion splinting protocol; Other Names: Relative Motion

Outcome Measures

Primary Outcome Measures

1. Dinamometry in lumbrical stress test [It will be evaluated at 6 weeks]

   Symptoms in the lumbrical stress test will be evaluated during the 6 weeks period using an adapted Jamar handgrip dynamometer on a climbing hold. The climber is told to pull on the hold until the pain starts.

Secondary Outcome Measures

1. Goniometry in lumbrical stress test [It will be evaluated at 6 weeks]

   Finger flexion metacarpophalangeal joint goniometry of the 5th finger is measured during the lumbrical stress test when pain appears

2. Quick-Disabilities of the arm shoulder and hand questionnaire [It will be evaluated at 6 weeks]

   Participants will be asked to answer "Quick-Disabilities of the arm shoulder and hand" questionnaire before the clinical examination. In "Quick-Disabilities of the arm shoulder and hand" each item has response options and, from the item scores, scale scores are calculated, raning from o (no disability) to 100 (most severe disability).

Eligibility Criteria

Criteria

• Ages Eligible for Study: 18 Years and Older
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Inclusion Criteria:

• Adult climbers suffering from an injury of the 4th lumbrical muscle

Exclusion Criteria:

• Patients with previous treatments.

• Patients with concomitant injuries or illness

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Hand Therapy Barcelona	Barcelona	Catalonia	Spain	08010

Sponsors and Collaborators

• Hand Therapy Barcelona

Investigators

• Principal Investigator: Núria Carnicero, Hand Therapy Barcelona

Study Documents (Full-Text)

None provided.

More Information

Publications

• Lutter C, Schweizer A, Schoffl V, Romer F, Bayer T. Lumbrical muscle tear: clinical presentation, imaging findings and outcome. J Hand Surg Eur Vol. 2018 Sep;43(7):767-775. doi: 10.1177/1753193418765716. Epub 2018 Mar 28.
• Schweizer A. Lumbrical tears in rock climbers. J Hand Surg Br. 2003 Apr;28(2):187-9. doi: 10.1016/s0266-7681(02)00250-4.

• Responsible Party: Hand Therapy Barcelona
• ClinicalTrials.gov Identifier: NCT05694078
• Other Study ID Numbers: Lumbrical; PhD University Program
• First Posted: Jan 23, 2023
• Last Update Posted: Jan 23, 2023
• Last Verified: Jan 1, 2023

• Individual Participant Data (IPD) Sharing Statement: No
• Plan to Share IPD: No
• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No
• Keywords provided by Hand Therapy Barcelona: Lumbrical; Sport Climbing; Hand Therapy; Hand Injuries; Relative Motion
• Additional relevant MeSH terms: Hand Injuries

Study Results

No Results Posted as of Jan 23, 2023