None listed
Conditions
Brief summary
The aim of this study is to see if adult patients who have suffered a fracture to the distal radius, which has been treated non-sugically, benefit from receiving Mulligan mobilisation with movement (MWM) plus self-MWMs. In this study the hypothesis to be tested is that adult patients who have suffered a fracture to the distal radius who receive four treatments of MWMs plus self-MWMS as well as simple ROM exercises, will demonstrate a significant difference in ROM, pain and function to patients who are treated with simple ROM exercises alone.
Interventions
The intervention group will receive four standard physiotherapy consultations (approximately 20-30 minutes each) over four weeks. These sessions will commence within one week of removal of the plaster. A participant will receive two intervention sessions within the first week, session 3 will occur one week after session 2, session 4 will occur two weeks after session 3.
The treatment will be Mulligan mobilisation with movement (MWM) into the direction used to increase supination of the forearm
The intervention group will receive four standard physiotherapy consultations (approximately 20-30 minutes each) over four weeks. These sessions will commence within one week of removal of the plaster. A participant will receive two intervention sessions within the first week, session 3 will occur one week after session 2, session 4 will occur two weeks after session 3. The treatment will be Mulligan mobilisation with movement (MWM) into the direction used to increase supination of the forearm and extension of the wrist. In addition to the therapist intervention, the participant will be taught at the first session to to do self-MWMs x 6 for forearm supination and wrist extension at home, twice a day (duration 6 minutes). They will also receive instructions by the physiotherapist to perform range of motion (ROM) exercises for the wrist (flexion, extension, pronation/supination arc), elbow (flexion/extension arc) and shoulder flexion x 5 for each exercise. The participant will be asked to do these ROM exercises twice a day (duration 4 minutes). Each home exercise session should last approximately 10 minutes; 6 minutes for the self-MWMs and 4 minutes for the ROM exercises. The home MWM and ROM sessions will continue for a duration of 4 weeks post first treatment session. Participants will be encouraged to resume graded activities using the upper limb during activities of daily living. They will all be given a booklet with advice on fracture protection, swelling control, skin care. Participants will have their attendance at the 4 Physiotherapy sessions logged in the Physiotherapist Notes - which will be supplied to the researchers after their 4th treatment session. The participants will keep a diary to log their adherence to the Self-MWMs and ROM exercises.
Sponsors
Australian Catholic University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Participants will be people who have suffered a fracture to the distal radius that has been treated non-surgically with a plaster cast. They will be required to be aged over 18 years of age.
Exclusion criteria
Surgical management of the distal radius fracture such as external fixation or open reduction with internal fixation Previous wrist fracture on the affected side within last 20 years Concurrent ipsilateral upper limb fracture A condition such as pre-existing inflammatory joint condition that might raise the risk of injury with manual therapy treatment. Signs and symptoms of complex regional pain syndrome Inability to understand written or spoken English,
Outcome results
None listed