Trial reportBMC musculoskeletal disorders2026
Item-level reanalysis of DASH outcomes after flexor tendon repair using Svensson's non-parametric method.
Trial report in BMC musculoskeletal disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04385485 (Passive Mobilization With Place and Hold Versus Active Motion Therapy After Flexor Tendon Repair), which is not on this map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Passive Mobilization With Place and Hold Versus Active Motion Therapy After Flexor Tendon Repair: 5-year Minimum Follow-up of A Randomized Controlled Trial
Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo examine longitudinal item-level changes in the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire after flexor tendon repair and to compare outcomes between passive mobilisation with place-and-hold exercises and true active mobilisation.
designRandomised controlled trial with follow-ups at 3, 6, and 12 months postoperatively. SUBJECTS/PATIENTS: Sixty-four patients were randomised before rehabilitation; 54 completed follow-up.
methodsDASH responses were reanalysed using Svensson’s non-parametric rank-based method to evaluate systematic group-level changes and individual variability at the item level.
resultsSymptom items showed the greatest deterioration relative to baseline, with 37–69% of patients reporting persistent impairment at 12 months. Patients most often rated symptom items as ‘mild’ and ‘moderate’. All symptom items and three of four social functioning items demonstrated significant changes at each follow-up, whereas only 8 of 21 activity items were consistently significant. No statistically significant differences were observed between treatment groups.
conclusionOne year after flexor tendon repair, patients continued to report difficulties, particularly with symptoms (stiffness, weakness, pain) and social interaction, while activity limitations were less prominent. These challenges were consistent across the cohort and did not differ between mobilisation protocols. Item-level analysis provided insights beyond total DASH scores, highlighting the clinical value of this approach.
trial registrationThe original randomized controlled trial was conducted in accordance with the CONSORT guidelines and was registered on ClinicalTrials.gov, PRS (Protocol Registration and Result System) (ClinicalTrials.gov Identifier NCT04385485 protocol ID 1001). The trial was retrospectively registered on 2017-07-04. The present study represents a secondary analysis, specifically an itemlevel reanalysis, of data from this trial.
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