{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T05:51:44Z","timestamp":1789192304975,"version":"build-2803163510"},"reference-count":38,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T00:00:00Z","timestamp":1723507200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"\n Background<\/jats:title>\n Evidence supports the use of hand-based metacarpophalangeal joint (MCPJ) blocking splints as an intervention for trigger finger (TF). In practice, finger-based relative motion (RM) splints are also implemented without evidence.<\/jats:p>\n <\/jats:sec>\n \n Purpose<\/jats:title>\n This randomized comparative trial (RCT) aims to evaluate implementation of MCPJ blocking and RM splints for effectiveness, function, occupational performance and wearability after 6 weeks of TF management.<\/jats:p>\n <\/jats:sec>\n \n Methods and analysis<\/jats:title>\n Priori analysis determined 36 individuals were needed for random assignment to the RM or MCPJ blocking splint groups. Individuals must be aged \u226521 years, and diagnosed with TF involving \u22651 finger. For blinding purposes, the primary author screens for eligibility, fabricates the splints and educates. Therapist A administers the primary outcome measures Week-1 and Week-6\u2014stage of stenosing tenosynovitis and secondary outcome measures- number of triggering events in 10 active fists, visual analog scales (VAS) for pain, splint comfort and satisfaction, Disabilities of the Arm, Shoulder and Hand, and Canadian Occupational Performance Measure. Therapist B in Week-3 instructs participants in deep tissue massage and administers splint wearability VASs. The RM pencil test is used to determine the affected finger(s) MCPJ splint position i.e., more extension or flexion based on participant response. The MCPJ blocking splint holds the MCPJ in a neutral position. Analysis involves a mixed-effects ANOVA to compare Week-1 and Week-6 primary and secondary outcomes.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Recruitment and data collection are ongoing.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n Biomechanically RM splints control tendon excursion and reduce passive tendon tension while allowing unencumbered finger motion and hand function. Hence clinicians use RM splints as an intervention for TF, despite the lack of implementation evidence. This RCT implements a function-focused as well as patient-centered approach with partial blinding of assessors and participants.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n We anticipate that this study will provide evidence for the implementation of RM splints to manage adults with TF.<\/jats:p>\n <\/jats:sec>\n \n Trial registration<\/jats:title>\n \n Clinical trial registration<\/jats:bold>\n This trial is registered with ClinicalTrials.gov (\n NCT05763017<\/jats:ext-link>\n ).\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1371\/journal.pone.0307033","type":"journal-article","created":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T13:31:09Z","timestamp":1723555869000},"page":"e0307033","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":5,"title":["Relative motion splints versus metacarpophalangeal joint blocking splints in the management of trigger finger: Study protocol for a randomized comparative trial"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8128-0320","authenticated-orcid":true,"given":"Li Xian","family":"Leong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3228-5795","authenticated-orcid":true,"given":"Siaw Chui","family":"Chai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4776-9178","authenticated-orcid":true,"given":"Julianne W.","family":"Howell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanif Farhan","family":"Mohd Rasdi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nur Rahimawati","family":"Abdul Rahman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,8,13]]},"reference":[{"issue":"7507","key":"pone.0307033.ref001","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1136\/bmj.331.7507.30","article-title":"Management and referral for trigger finger\/thumb","volume":"331","author":"S Akhtar","year":"2005","journal-title":"Bmj"},{"issue":"2","key":"pone.0307033.ref002","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1007\/s12178-007-9012-1","article-title":"Trigger finger: etiology, evaluation, and treatment.","volume":"1","author":"AH Makkouk","year":"2008","journal-title":"Curr Rev Musculoskelet Med"},{"key":"pone.0307033.ref003","doi-asserted-by":"crossref","first-page":"9539206","DOI":"10.1155\/2017\/9539206","article-title":"Evaluating Hand Function in Clients with Trigger Finger.","volume":"2017","author":"D Langer","year":"2017","journal-title":"Occup Ther Int."},{"issue":"2","key":"pone.0307033.ref004","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1016\/j.jht.2017.10.016","article-title":"Conservative management of trigger finger: A systematic review.","volume":"32","author":"D Lunsford","year":"2019","journal-title":"J Hand Ther"},{"issue":"10","key":"pone.0307033.ref005","doi-asserted-by":"crossref","first-page":"1421","DOI":"10.2522\/ptj.20130135","article-title":"Multidisciplinary consensus guideline for managing trigger finger: results from the European HANDGUIDE Study","volume":"94","author":"BM Huisstede","year":"2014","journal-title":"Phys Ther"},{"issue":"2","key":"pone.0307033.ref006","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/S0894-1130(88)80049-8","article-title":"Conservative management of the trigger finger: a new approach","volume":"1","author":"RB Evans","year":"1988","journal-title":"Journal of Hand Therapy"},{"issue":"2","key":"pone.0307033.ref007","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1016\/j.jht.2023.05.016","article-title":"Orthotic intervention options to non-surgically manage adult and pediatric trigger finger: A systematic review","volume":"36","author":"LX Leong","year":"2023","journal-title":"Journal of Hand Therapy"},{"issue":"1","key":"pone.0307033.ref008","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.jht.2011.09.005","article-title":"A retrospective review to determine the long-term efficacy of orthotic devices for trigger finger.","volume":"25","author":"K. 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