Coban Wrap vs Neoprene Sleeve for Jammed Finger

Overseen By Keum Yung Choi

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Unity Health Toronto

Disqualifiers: Finger injuries, PIP disease, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 2

Duration: 6 months

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine which treatment is more effective for jammed fingers: the current standard Coban wrap or a new neoprene sleeve. Each method supports the injured joint differently, and researchers seek to compare their effectiveness over time. Individuals who have jammed a finger without other finger injuries may be suitable for this trial. Participants will use one of the treatments and have their progress monitored regularly for up to six months. As an unphased trial, this study provides participants the opportunity to contribute to valuable research that could enhance future treatment options for jammed fingers.

Do I need to stop my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that Coban wraps are usually safe and effective for treating finger injuries, though some risks exist. Applying a Coban wrap too tightly can lead to serious issues, such as reduced blood flow.

Studies have also found that neoprene sleeves provide support and stability for finger injuries, helping to reduce pain and prevent further injury. Both Coban wraps and neoprene sleeves are generally safe for most people, but correct application is crucial to avoid any problems. ^{1 2 3 4 5}

Why are researchers excited about this trial's treatments?

Researchers are excited about these treatments for jammed fingers because they offer unique approaches compared to standard care like buddy taping or splinting. The Coban wrap is a compressive adhesive bandage that provides tailored support and pressure, potentially enhancing healing by stabilizing the joint more effectively than traditional methods. The Neoprene sleeve, on the other hand, is made from a synthetic rubber-like material that offers a flexible yet supportive fit, possibly improving comfort and mobility while maintaining compression. These innovations could lead to faster recovery and better outcomes for patients dealing with joint injuries.

What evidence suggests that this trial's treatments could be effective for PIP joint injuries?

This trial will compare the effectiveness of Coban wraps and Neoprene sleeves for treating jammed fingers. Studies have shown that Coban wraps, used by participants in one arm of this trial, effectively reduce swelling and improve finger joint mobility. They lessen pain during activities and enhance overall physical function, making them a reliable option for treating jammed fingers.

Participants in another arm of this trial will receive Neoprene sleeves, a newer option. Although studies have not shown a significant difference in pain relief or strength compared to other methods, neoprene materials have supported other joints, suggesting potential benefits. ^{1 4 6 7 8}

Who Is on the Research Team?

Susan Ellis

Principal Investigator

Unity Health Toronto

Are You a Good Fit for This Trial?

This trial is for individuals who have unintentionally injured their PIP joint, commonly known as a jammed finger. Participants must be able to understand and complete questionnaires in English. Those with additional injuries to the treatment finger or diseases affecting the PIP joint cannot join.

Inclusion Criteria

Read/write and speak/understand English

Capable of understanding the various questionnaires that will be employed to collect outcome measures

Exclusion Criteria

Participants with any injuries specific to the treatment finger

Participants who do not meet all of the aforementioned criteria

I have a condition affecting my finger joints.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive either a Coban wrap or a neoprene sleeve for PIP joint injuries, with outcome measures at various intervals

6 months

Initial visit, 2 weeks, 4 weeks, 3 months, 6 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

• Coban wrap
• Neoprene sleeve

Trial Overview The study compares two treatments for a jammed finger: the standard Coban wrap versus an innovative neoprene sleeve. The goal is to determine which method is more effective in managing PIP joint injuries.

How Is the Trial Designed?

Group I: Neoprene Sleeve Experimental Treatment 1 Intervention

Neoprene sleeve is an innovative treatment approach, it consists of a synthetic rubber-like material used to provide compressive support. Participants in this arm will receive a sleeve as a form of treatment with outcome measures occurring at the initial visit, 2 weeks, 4 weeks, 3 months and 6 months.

Group II: Coban wrap Active Control 1 Intervention

The Coban wrap is a compressive adhesive bandage used to joint injuries. Participants in this arm will receive a Coban wrap as a form of treatment with outcome measures occurring at the initial visit, 2 weeks, 4 weeks, 3 months and 6 months.

Who Is Running the Clinical Trial?

Unity Health Toronto

Lead Sponsor

Trials

572

Recruited

470,000+

Citations

1. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC4855130/

Effects of a Modified Hand Compression Bandage for ... Moreover, long-term outcomes showed a significant difference in MCP joint ROM. ... Coban bandaging was effective in improving the edema and finger joint ROM.

2. withpower.com withpower.com/trial/phase-wounds-and-injuries-5-2025-cb167

Coban Wrap vs Neoprene Sleeve for Jammed Finger The Coban wrap and Neoprene sleeve are unique treatments for a jammed finger as they provide external support and compression, which can help reduce swelling ...

3. dergipark.org.tr dergipark.org.tr/en/download/article-file/2032081

The efficiency of Coban bandage on acute phase edema ... Overall, we suggest that 3M Coban self-adherent wrap application also contributes to reducing pain at activity and improving physical functions following flexor ...

4. isrctn.com isrctn.com/editorial/retrieveFile/381a4f84-a4e8-4090-9da0-e348dde2ad98/34048

Protocol v1 30.5.17 Protocol Full title: A pilot, randomised, ... The garment acts as an external counter pressure [3] which compensates for the inelasticity of oedematous tissues, and, therefore improves ...

5. researchgate.net researchgate.net/publication/359272629_The_efficiency_of_Coban_bandage_on_acute_phase_edema_among_patients_undergoing_a_flexor_tendon_repair

(PDF) The efficiency of Coban bandage on acute phase ... Results Excellent, good, fair, poor results were obtained from 71 (55.5%), 46 (35.9%), 8 (6.3%), 3 (2.3%) fingers, respectively. Time of the repair has a ...

6. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC4152443/

Secondary healing of fingertip amputations: a review - PMC This article reviews the current best evidence and concepts about secondary healing in fingertip injuries.

7. digitalrepository.unm.edu digitalrepository.unm.edu/cgi/viewcontent.cgi?article=1257&context=unm_jor

Severe Ischemia of the Finger After Use of Compressive ... Use of a compressive self-adhesive Coban wrap can be helpful in treating various injuries and conditions of the extremities, but it does have some disadvantages ...

8. emedicine.medscape.com emedicine.medscape.com/article/98081-treatment

Jammed Finger Treatment & Management The usual treatment is dorsal splinting with the joint in 10-30° of flexion for 2 weeks. Such an extension block splinting limits further injury ...