Goniometry and Goniometric Measurement on Standardised Images in Dupuytren's Disease

Last updated: April 10, 2025
Sponsor: Universitaire Ziekenhuizen KU Leuven
Overall Status: Active - Not Recruiting

Phase

N/A

Condition

Dupuytren's Disease

Treatment

ROM measurement of the MCP and PIP joints in digits 4 and 5

Clinical Study ID

NCT06263699
S68225
  • Ages > 18
  • All Genders

Study Summary

Measuring range of motion (ROM) is essential in detecting musculoskeletal deficits, monitoring the effects of treatment and progression of the disease. In Dupuytren's disease the active and passive extension deficits (AED, PED) of digits 4 and 5 are usually clinically measured using a universal, short arm goniometer which is considered the standard of care. Using the goniometer can be time consuming. Measuring the extension deficit on a standardised picture could improve follow up, since it is a faster and easier process to take a picture and upload it to the patients files. Though this gives rise to the question whether this kind of measurement would be equally accurate and reliable in comparison to regular clinical measurement using a goniometer.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Older than 18 years of age

  • Current AED in digit 4 or 5, in the MCP or PIP joint

Exclusion

Exclusion Criteria:

  • Abnormalities to the fingers other than Dupuytren's disease which make goniometryimpossible (e.g. amputation, arthrodesis of finger joints, deformations due torheumatoid arthritis etc.)

  • Patient's unable to give a written participating consent.

  • Younger than 18 years of age.

Study Design

Total Participants: 59
Treatment Group(s): 1
Primary Treatment: ROM measurement of the MCP and PIP joints in digits 4 and 5
Phase:
Study Start date:
January 29, 2024
Estimated Completion Date:
June 01, 2025

Study Description

Measuring range of motion (ROM) is essential in detecting musculoskeletal deficits, monitoring the effects of treatment and progression of the disease. In Dupuytren's disease the active and passive extension deficits (AED, PED) of digits 4 and 5 are usually clinically measured using a universal, short arm goniometer which is considered the standard of care. Using the goniometer to measure the extension deficit of both fingers, for both the proximal interphalangeal (PIP) and metacarpophalangeal (MCP) joint can be a time consuming process. A lot of clinicians have limited time per patient, which leads to partially or completely missing data due to not performing the measurements. Measuring the extension deficit on a standardised picture could improve follow up, since it is a faster and easier process to take a picture and upload it to the patients files. Though this gives rise to the question whether this kind of measurement would be equally accurate and reliable in comparison to regular clinical measurement using a goniometer. Establishing the difference between both methods is essential to monitor change, which makes a statistical comparison of accuracy of both methods very valuable for patients with Dupuytren's disease. Furthermore, a lot of clinicians have collected and stored standardised pictures of their patient's hands over the years. Therefore this study could solidify the available data through these images, which provide valuable information for future follow up. Furthermore, proper patient education could provide the clinician with standardised images taken by the patient himself, leading to improved follow up, if images and clinical measurement prove to be equally accurate.

Connect with a study center

  • Universitaire Ziekenhuizen KU Leuven

    Leuven, Vlaams-Brabant 3000
    Belgium

    Site Not Available

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