Rehabilitation Programmes for Scapholunate Instability

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

2 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-08-01

Study Completion Date

2018-08-01

Brief Summary

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Two different exercises approaches were tested in patients with Scapho-Lunate (SL) instability; one to strengthen the tendons in static positions and the other to strengthen the tendons whilst the wrist is moving.

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Detailed Description

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Scapho-Lunate (SL) instability is the most common form of wrist instability, but is complex to diagnose and is often missed entirely. The natural progression of SL instability has been suggested to lead to osteoarthritis. The management of SL instability can be broadly divided into conservative and surgical, with the former being the first option taken by most medical professionals, which primarily involves physiotherapy. The evidence base for physiotherapy management of SL instability is limited; however cadaver research has identified loading some of the wrist tendons may stabilise the scaphoid and lunate.There is currently no research as to whether this clinically makes any difference to the patients symptoms, or how to do it. This research therefore aimed to test the protocol and methods, and act as a platform for larger studies, to investigate this.

Two different exercises approaches were tested; one to strengthen the tendons in static positions and the other to strengthen the tendons whilst the wrist is moving.

Conditions

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Wrist Strain Wrist Sprain Scaphoid-Lunate Instability

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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isometric training programme

'Home exercise programme' consisting of isometric exercises with participants followed up at week 1, 4, 6 and 8.

Group Type EXPERIMENTAL

Home exercise program

Intervention Type OTHER

Home exercise programme with participants followed up at week 1, 4, 6 and 8.

isotonic training programme

'Home exercise programme' consisting of isotonic exercises with participants followed up at week 1, 4, 6 and 8.

Group Type EXPERIMENTAL

Home exercise program

Intervention Type OTHER

Home exercise programme with participants followed up at week 1, 4, 6 and 8.

Interventions

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Home exercise program

Home exercise programme with participants followed up at week 1, 4, 6 and 8.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Ages eighteen to sixty,
* wrist pain,
* confirmed scapholunate ligament disruption on MRA or XR (partial or full),
* referred from orthopaedic wrist specialist,
* for conservative management,
* consent to trial.

Exclusion Criteria

* Under eighteen or over sixty years,
* previous fracture,
* degenerative changes in the wrist,
* previous surgery,
* complex regional pain syndrome or diagnosis of rheumatological conditions,
* no wrist injection in preceding twelve months or other wrist conditions.

Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No