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

Abstract

Object: Post-operative rehabilitation for patients with flexor tendon injuries is necessary for full recovery. This paper thus describes the study design of a randomized controlled trial assessing the effectiveness of a text message-based rehabilitation program (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 TextRehab. The activity instructions are sent to patients step by step at least once a day. All outcomes will be assessed at 6 and 12 weeks after discharge and include self-reported Patient Rated Wrist Evaluation (PRWE) as the primary outcome and self-reported Quick-Disability of Arm, Shoulder, and Hand (Quick-DASH), Visual Analogue Scale (VAS), physician reported Mayo checklist and grip strength as secondary outcomes. Results: The development of message scheduling system is completed. This trial was approved by the Medical Ethics Committee of Mashhad University of Medical Sciences. Study results are expected to be available in mid-2021. Conclusions: 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.