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Not yet recruitingNCT07152548Updated Sep 16, 2025

Task-oriented Exercises and Mirror Therapy After Flexor Tendon Repair

An interventional study of Task-oriented exercises and mirror therapy and Task-oriented exercises in Flexor Tendon Injury, sponsored by Cairo University. Not yet recruiting at 1 site in Egypt. Open to participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2025-09-16.

Sponsored by Cairo University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
66
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
All
01

Study summary

The main objective of the study is to explore the effect of intervention with task-oriented exercises and mirror therapy on the outcomes of hand function post flexor tendon repair.

02

Conditions studied

  • Flexor Tendon Injury
03

In context

Lead sponsor

Cairo University is the lead sponsor of 4,780 studies on the registry; 1,427 are open to participants now.

Of its 36 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria: - Ages of patients will range from 18 to 45 years. - All patients were working individuals before injury. - All patients will undergo zones of flexor tendon primary direct repair technique. - All patients will be referred by a surgeon before starting the study procedure. - All patients will enter the study having their informed consent. Exclusion Criteria: - Patients with associated vascular injuries requiring arterial repair. - Patients with associated soft tissue loss. - Patients with associated nerve injuries or bone fractures. - Patients with preexisting problems limiting joint motion. - Patients with tendon injuries in both hands. - Patients with diminished cognitive capacity. - Patients with a history of previously failed repair.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
66 participants (estimated)

Study arms

  • Active comparator
    Task-oriented exercises

    Other: Task-oriented exercises

  • Active comparator
    Mirror Therapy

    Other: Mirror Therapy

  • Active comparator
    Task-oriented exercises and mirror therapy

    Other: Task-oriented exercises and mirror therapy

Interventions

  • OtherTask-oriented exercises and mirror therapy

    Patients in this group will receive task-oriented exercises 3 sessions per week for 6 weeks.Therapy will include the following functional tasks: reaching, grasping or holding, lifting, placing objects, and counting fingers.Mirror therapy group: 3 sessions per week for 6 weeks.A mirror will be placed on the learning table, and exercises will be carried out by the patient looking into the mirror, where an unaffected limb would be placed in front of the mirror. Through looking into the mirror, the patient will assume the reflection of the unaffected limb is the affected limb. Exercises will be performed by hand opening and closing, wrist extension and flexion, squeezing, opposition, calculation, and finger flexion and extension.

  • OtherTask-oriented exercises

    Patients in this group received task-oriented exercises 3 sessions per week for 6 weeks.Therapy included the following functional tasks: reaching, grasping or holding, lifting, placing objects, and counting fingers.

  • OtherMirror Therapy

    Mirror therapy group 3sessions per week for 6 weeks. Mirror will be placed on the learning table and exercises will be carried out by the patient looking into the mirror where an unaffected limb would be placed in front of the mirror, through looking into the mirror patient will assume the reflection of the unaffected limb as the affected limb. Exercises will be performed hand opening and closing, wrist extension and flexion, squeezing, opposition, the calculation, finger flexion and extension.

06

What researchers measure

Primary outcomes

  1. ROM of wrist joints, proximal interphalangeal (PIP) joint and distal interphalangeal (DIP) joint of the involved digits of the involved hand for each patient.

    The standard values for AROM movements in the wrist and hand are: Wrist flexion: 80°-90° Wrist extension: 70°-90° Finger flexion: MCP: 85°-90° PIP: 100°-115° DIP: 80°-90° MCP extension: 30°-45°

    Time frame: pre- and post-6 weeks of treatment

Secondary outcomes

  1. the Arabic version of the Michigan Hand Outcomes Questionnaire

    The Michigan Hand Outcomes Questionnaire (MHQ) is an example of a self-reporting outcome measure commonly used for the assessment of hand injuries. The MHQ was developed in 1998 and has become a very essential tool for the measurement of health status domains, activities of daily living, overall hand function, aesthetics, work performance, and satisfaction. The Michigan Hand Outcomes Measure comprises 37 items with rating scales ranging from 1 to 5.Every single domain is scored and converted to values that range from 0 to 100. A high score indicates better results, with the exception of pain, in which a high score indicates more intense pain. The total score was calculated as the sum of the six scores divided by six.

    Time frame: pre- and post-6 weeks of treatment

07

Study locations

1 site
  • CairoU
    Cairo, Egypt
08

References and documents

Publications

  • Martinez-Fernandez MV, Sarabia-Cobo CM, Sanchez-Labraca N. Cross-cultural adaptation, reliability, validity and responsiveness of the Michigan Hand Outcomes Questionnaire (MHQ-Sp) in Spain. J Orthop Surg Res. 2024 Apr 22;19(1):256. doi: 10.1186/s13018-024-04723-x. PubMed 38649996 ↗
  • Venkatramani H, Varadharajan V, Bhardwaj P, Vallurupalli A, Sabapathy SR. Flexor tendon injuries. J Clin Orthop Trauma. 2019 Sep-Oct;10(5):853-861. doi: 10.1016/j.jcot.2019.08.005. Epub 2019 Aug 19. PubMed 31528057 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 16, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07152548
Lead sponsor
Cairo University
Responsible party
Eman Elshamy (Physiotherapist, Cairo University) — Principal investigator
First posted
Sep 3, 2025
Start date
Sep 15, 2025 (estimated)
Primary completion
Sep 15, 2026 (estimated)
Completion
Sep 15, 2026 (estimated)
Last update
Sep 16, 2025

Study contacts

Karim I Saafan, Lecturer of Physical Therapy
Contact
dr.karim.saafan@gmail.com
+201110127251
Hesham G Mahran, Professor of Physical Therapy
Contact
heshammahran@cu.edu.eg
+201030792492
Eman M Elshamy, B.Sc. of physical therapy
principal investigator · Cairo University

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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