ClinicalTrials.gg
CompletedNCT07482397Updated Mar 19, 2026

A1 Pulley Stretching Along With Tendon Gliding Exercises in Post-operative Patients of Trigger Finger

An interventional study of A1 pulley stretching and Tendon Gliding exercises in Trigger Finger, sponsored by Riphah International University. Completed at 1 site in Pakistan. Open to participants aged 36 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-03-19.

Sponsored by Riphah International University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 1 month after the study started (first participant enrolled Jan 2025, registered Feb 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
36 Years to 60 Years
Sex
All
01

Study summary

The study was conducted to determine the synergistic effects of A1 pulley stretching along with tendon gliding exercises on pain, range of motion, and hand grip strength in post-operative patients of trigger finger

02

Conditions studied

  • Trigger Finger

Keywords

  • Trigger finger
  • A1 pulley stretching
  • Tendon- glinding exercises
  • postoperative rehabilitation
  • Range of motion
  • Grip strength
  • Randomized controlled trial
03

In context

Trigger Finger Disorder

93 studies on the registry are indexed under Trigger Finger Disorder; 22 are open to participants now.

This study's enrollment of 30 is below the median of 66 across 75 interventional studies indexed under Trigger Finger Disorder.

Browse Trigger Finger Disorder studies →

Lead sponsor

Riphah International University is the lead sponsor of 2,193 studies on the registry; 650 are open to participants now.

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

04

Who can participate

Ages eligible
36 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Both gender male and female
  • Age 35 ≤ 60
  • Patients with clear wound and removed stitched
  • Symptoms of locking finger for more than 6 months
  • Positive Hueston tabletop test
  • NPRS score of 4 to 7

Exclusion criteria

Exclusion Criteria:

  • Finger joint problem by joint fracture
  • Recent trauma
  • Presence of open wound, local infection
  • Known case of tumor
  • Congenital and disorders
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    A1 pulley stretching along with tendon gliding exercises

    Other: A1 pulley stretching · Other: Tendon Gliding exercises · Other: Standard physiotherapy treatment

  • Active comparator
    Tendon gliding exercises

    Other: Tendon Gliding exercises · Other: Standard physiotherapy treatment

Interventions

  • OtherA1 pulley stretching

    Participants comfortably seated with the arm supported on a table. The right palm placed on the couch, and the middle fingers positioned alternately on a wooden block at a 45° angle. Participants flex the middle finger while the therapist provides resistance to induce an isometric contraction. Duration and Repetitions: * Each stretch: 15-30 seconds * 10 repetitions per session * sets with 30-60 seconds rest Frequency: Three times per week during therapy sessions

  • OtherTendon Gliding exercises

    5 glide × 3 sets: * Open Palm * Hook Fist * Tabletop * Half Fist * Full Fist Each glide is performed in a controlled, pain-free manner. Frequency: Three weekly supervised sessions.

  • OtherStandard physiotherapy treatment

    Heat therapy gloves for 10 minutes TENS with frequency of 80-100 Hz at low intensity having pulse duration of 50-80μs for 10 minutes. Paraffin wax bath at 52 degree centigrade 10 times for 15 minutes a day.

06

What researchers measure

Primary outcomes

  1. Numeric Pain Rating Scale

    Numeric Pain Rating Scale (NPRS) is used to determine the level of pain in a patient. It gives people an opportunity to self-report their pain levels using a scale of zero to ten, with 0 being the absence of pain and 10 being the worst that can happen. The scale is divided into categories, 1-3 mild pain, 4-6 moderate pain, and 7- 10 severe pain.

    Time frame: From enrollment to end of treatment 6 weeks

  2. Universal Goniometer

    goniometer is a device that is widely utilized in orthopedics and physical therapy to estimate the range of motion of a joint (ROM) and to diagnose range restrictions.

    Time frame: From enrollment to the end of treatment at 6 weeks.

  3. Hand dynamometer

    A hand dynamometer is a tool that is used to measure the grip strength and give a quantitative measure of the muscle activity in the hand and forearm. Through pressing of the handle of the device, the user can measure the force used, and the clinicians can observe the progress and see the changes in the rehabilitation

    Time frame: From enrollment to the end of treatment for 6 weeks.

07

Study locations

1 site
  • District Headquarters Hospital
    Toba Tek Singh, Punjab Province 36050, Pakistan
08

References and documents

Publications

  • Saito T, Nakamichi R, Nakahara R, Nishida K, Ozaki T. The Effectiveness of Rehabilitation after Open Surgical Release for Trigger Finger: A Prospective, Randomized, Controlled Study. J Clin Med. 2023 Nov 20;12(22):7187. doi: 10.3390/jcm12227187. PubMed 38002801 ↗
  • Abdolrazaghi H, Ramin M, Molaei H. Comparison the Range of Motion Following Early Versus Late Active Mobilization after Repairing Surgery on Flexor Tendon Injury in the Zone II: A Randomized Clinical Trial. World J Plast Surg. 2023;12(2):29-33. doi: 10.52547/wjps.12.2.29. PubMed 38130384 ↗
  • Tanaka S, Uehara K, Sugimura R, Miura T, Ohe T, Tanaka S, Morizaki Y. Evaluation of the first annular pulley stretch effect under isometric contraction of the flexor tendon in healthy volunteers and trigger finger patients using ultrasonography. BMC Musculoskelet Disord. 2021 May 6;22(1):421. doi: 10.1186/s12891-021-04299-1. PubMed 33957913 ↗
  • Dardas AZ, VandenBerg J, Shen T, Gelberman RH, Calfee RP. Long-Term Effectiveness of Repeat Corticosteroid Injections for Trigger Finger. J Hand Surg Am. 2017 Apr;42(4):227-235. doi: 10.1016/j.jhsa.2017.02.001. PubMed 28372638 ↗
  • Nadar MS. Orthosis vs. exercise for the treatment of adult idiopathic trigger fingers: A randomized clinical trial. Prosthet Orthot Int. 2024 Dec 1;48(6):713-719. doi: 10.1097/PXR.0000000000000294. Epub 2023 Oct 20. PubMed 37870373 ↗
  • Yamazaki A, Matsuura Y, Kuniyoshi K, Suzuki T, Akasaka T, Ozone E, Matsuyama Y, Mukai M, Yamazaki T, Ohara T, Sasho T, Ohtori S. A1 pulley stretching treats trigger finger: A1 pulley luminal region under digital flexor tendon traction. Clin Biomech (Bristol). 2020 Feb;72:136-140. doi: 10.1016/j.clinbiomech.2019.11.018. Epub 2019 Dec 7. PubMed 31865255 ↗
  • Ahmed E, Atteya MR, Alansari A, Youssef R, Ismail R, Safoury YA, Alrawaili SM, Abutaleb E, Eldesoky M. A randomized controlled trial comparing controlled active motion and early passive mobilization protocols for rehabilitation of repaired flexor tendons in zone II. J Hand Ther. 2025 Oct-Dec;38(4):817-824. doi: 10.1016/j.jht.2025.02.014. Epub 2025 Mar 15. PubMed 40090773 ↗
  • Minkhorst K, Munn A, MacDermid J, Grewal R. Does Orthosis Improve Outcomes of Conservative Treatment in Trigger Fingers? A 3-Arm Prospective Randomized Controlled Trial. Arch Phys Med Rehabil. 2025 Dec;106(12):1798-1806. doi: 10.1016/j.apmr.2025.05.015. Epub 2025 May 29. PubMed 40449569 ↗
  • Lunsford D, Valdes K, Hengy S. Conservative management of trigger finger: A systematic review. J Hand Ther. 2019 Apr-Jun;32(2):212-221. doi: 10.1016/j.jht.2017.10.016. Epub 2017 Dec 28. PubMed 29290504 ↗
  • Chevalley S, Wangberg V, Ahlen M, Stromberg J, Bjorkman A. Passive Mobilization With Place-and-Hold Versus Active Mobilization Therapy After Flexor Tendon Repair: 5-Year Minimum Follow-Up of a Randomized Controlled Trial. J Hand Surg Am. 2024 Dec;49(12):1165-1172. doi: 10.1016/j.jhsa.2024.08.011. Epub 2024 Oct 5. PubMed 39365244 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2025 to primary completion in May 2025, 4 months.

Of 34 interventional studies with no phase under Trigger Finger Disorder, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 41. This study's 4 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 23, 2026
First posted
Mar 19, 2026
StartActual
Jan 13, 2025
Primary completionActual
May 31, 2025
CompletionActual
Oct 31, 2025
Last update
Mar 19, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07482397
Responsible party
Sponsor
First posted
Mar 19, 2026
Start date
Jan 13, 2025
Primary completion
May 31, 2025
Completion
Oct 31, 2025
Last update
Mar 19, 2026

Study contacts

Humera Mubashar
principal investigator · Riphah International University

Oversight

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

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This study is completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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