The Effect of Text Message-based Support Program (TextRehab) on Treatment Outcomes of Patients with Hand Flexor Tendon Injuries after Repair: A Randomized Controlled Trial Study Protocol

Document Type : PROTOCOL


1 Department of Medical Informatics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

2 Orthopedics Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

3 Department of Computer Engineering, Ayatollah Amoli University, Science and Research Branch, Amol, Iran

4 2 Orthopedics Research Center, Mashhad University of Medical Sciences, Mashhad, Iran 4 Orthopedic Hand and Upper Extremity Service, Massachusetts General Hospital - Harvard Medical School, Boston, MA, USA

5 1 Department of Medical Informatics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran 5 Department of Medical Informatics, University of Amsterdam, Amsterdam, The Netherlands 6 Pharmaceutical Research Center, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran


Background: Post-operative rehabilitation for patients with flexor tendon injuries is necessary for a full recovery. This
randomized controlled trial study investigates the effectiveness of a text message-based rehabilitation program (i.e.,
TextRehab) on the improvement rate of hand rehabilitation in patients with flexor tendon injuries after repair.
Methods: This study is designed as a randomized, three-month, single-center, two-arm, parallel controlled trial. A total
of 40 patients will be randomly classified as either the control or intervention group. Both groups receive usual care;
however, the intervention group is also asked to perform the designed rehabilitation activities through the TextRehab
program. The activity instructions are sent to patients step by step at least once a day. Self-reported outcomes will be
assessed at 6 and 12 weeks after discharge and include self-reported Patient Rated Wrist Evaluation, self-reported
Quick-Disability of Arm, Shoulder, and Hand, and Visual Analogue Scale. Moreover, the reports of the physician
regarding the grip strength and Total Active Motion will be assessed at week 12.
Results: The development of the message scheduling system and its contents is completed. This trial has the code of
ethics in research (removed due to blinding issues). Study results are expected to be available in mid-2021.
Conclusion: The TextRehab program is developed to provide advice, motivation, information, and care for patients
with hand flexor tendon injuries after repair. This trial provides evidence of the effectiveness of sending text messages
on persuading patients to perform home-based rehabilitation activities.
Level of evidence: Not applicable


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