Treatment of trigger finger with metacarpophalangeal joint blocking orthosis vs relative motion extension orthosis: a randomized clinical trial
| dc.contributor.author | Yendi, Burcu | |
| dc.contributor.author | Atılgan, Esra | |
| dc.contributor.author | Namaldi, Seda | |
| dc.contributor.author | Ayhan Kuru, Çiğdem | |
| dc.date.accessioned | 2025-06-13T06:03:28Z | |
| dc.date.available | 2025-06-13T06:03:28Z | |
| dc.date.issued | 2024 | |
| dc.department | İstanbul Medipol Üniversitesi, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü | |
| dc.description.abstract | Background: The metacarpophalangeal joint blocking orthosis (MCPJ-BO) is one of the first-line orthotic treatment for patients with trigger finger (TF). Relative motion extension orthosis (RME-O) has recently emerged as a treatment option for various hand disorders involving TF. Purpose: The primary objective of this study was to compare the effectiveness of 6 weeks of orthotic treatment with the MCPJ-BO and the RME-O for pain relief. Function and satisfaction with the orthosis were assessed as secondary objectives. Study design: Randomized clinical study. Methods: Thirty patients with an average age of 50 years with Froimson stage 1-3 A1 pulley triggering participated in the study. They were randomly assigned to either the MCPJ-BO (n = 15; 10 females, five males) or the RME-O group (n = 15; 12 females, three males). The orthoses were worn full time for 6 weeks. All patients received patient education, activity modification, and flexor tendon gliding exercises as part of the rehabilitation program. Pre- and post-assessments included Numeric Pain Rating Scale, Disability of the Arm, Shoulder, and Hand questionnaire, and Quebec User Evaluation of Satisfaction with Assistive Technology questionnaire. The Mann-Whitney U test was conducted to analyze the difference between the two groups. Results: There were no significant differences between the two groups in pain and function before treatment (p < 0.05). Within-group comparisons indicated that both orthoses relieved pain, but the MCPJ-BO group achieved greater pain relief (p = 0.001). There was a significant improvement in function in the MCPJ-BO group, with a mean change of 12.7 (p = 0.0001). The overall success rates for the MCPJ-BO group and RME-O group were 60% and 27%, respectively. Patients in both groups had high satisfaction with the orthosis. Conclusions: MCPJ-BO and RME-O could be used for pain relief in the treatment of TF. The MCPJ-BO appears to be more effective than the RME-O in improving function. | |
| dc.identifier.citation | Yendi, B., Atılgan, E., Namaldi, S. ve Ayhan Kuru, Ç. (2024). Treatment of trigger finger with metacarpophalangeal joint blocking orthosis vs relative motion extension orthosis: a randomized clinical trial. Journal of Hand Therapy, 37(3), 311-318. http://dx.doi.org/10.1016/j.jht.2023.10.008 | |
| dc.identifier.doi | 10.1016/j.jht.2023.10.008 | |
| dc.identifier.endpage | 318 | |
| dc.identifier.issn | 0894-1130 | |
| dc.identifier.issn | 1545-004X | |
| dc.identifier.issue | 3 | |
| dc.identifier.pmid | 38302383 | |
| dc.identifier.scopus | 2-s2.0-85184079921 | |
| dc.identifier.scopusquality | Q2 | |
| dc.identifier.startpage | 311 | |
| dc.identifier.uri | http://dx.doi.org/10.1016/j.jht.2023.10.008 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12511/12960 | |
| dc.identifier.volume | 37 | |
| dc.identifier.wos | WOS:001316407100001 | |
| dc.identifier.wosquality | Q1 | |
| dc.indekslendigikaynak | Web of Science | |
| dc.indekslendigikaynak | Scopus | |
| dc.indekslendigikaynak | PubMed | |
| dc.institutionauthor | Atılgan, Esra | |
| dc.institutionauthorid | 0000-0002-6381-5982 | |
| dc.language.iso | en | |
| dc.relation.ispartof | Journal of Hand Therapy | |
| dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | |
| dc.rights | info:eu-repo/semantics/embargoedAccess | |
| dc.subject | Function | |
| dc.subject | Pain | |
| dc.subject | Relative Motion Splint | |
| dc.subject | Satisfaction | |
| dc.subject | Static Splint | |
| dc.subject | Triggering | |
| dc.title | Treatment of trigger finger with metacarpophalangeal joint blocking orthosis vs relative motion extension orthosis: a randomized clinical trial | |
| dc.type | Article |
