None listed
Conditions
Brief summary
The study will evaluate the type and amount of movement that occurs during purposeful activities versus wrist range of movement exercises in people with surgery for a distal radius fracture. Exercises are routinely used after this type of surgery to restore movement to the wrist. Performance of daily activities can also be used to promote wrist movement but there is little evidence to show how much movement occurs when performing daily activities. Performing safe, light daily activities may promote better movement than exercises and could have greater clinical benefit than is currently advocated. Participants in the study will be randomised to perform a 10-minute session of a purposeful activity and a set of standard wrist exercises on the same day with a 60-minute rest period between sessions. It is hypothesised that performing a purposeful activity will produce greater quantity and quality of immediate movement than a set of active range of motion exercises and that exercises will achieve a greater maximum end range of movement than purposeful activity. The information from the study will be used to inform the development of an activity-based intervention for people with surgery of a distal radius fracture.
Interventions
The study will employ a crossover study design where participants will participate in two conditions in random order during a single session on the same day. The sessions will be supervised by the primary researcher who is a NZ registered occupational therapist and hand therapist:
• Purposeful activity (PA): 10-minute performance of a self-selected activity
• Active exercise (AE): 10-minute performance of a set of standard wrist and forearm exercises
Participants will have a 60-minute rest per
The study will employ a crossover study design where participants will participate in two conditions in random order during a single session on the same day. The sessions will be supervised by the primary researcher who is a NZ registered occupational therapist and hand therapist: • Purposeful activity (PA): 10-minute performance of a self-selected activity • Active exercise (AE): 10-minute performance of a set of standard wrist and forearm exercises Participants will have a 60-minute rest period between conditions. The sessions will be supervised by the primary researcher who is a NZ registered occupational therapist and hand therapist. Purposeful activity (PA) Participants will perform a 10-minute session of a purposeful activity. The activity will be chosen by the participant from a range of daily activities that are routinely performed between weeks four and eight following surgery. Criteria for activity • Light daily activity • Able to be graded up or down with respect to challenge • Take at least ten minutes to perform • Requires repeated movements of the hand, wrist and forearm to perform • Does not involve immersion in water • Defined according to American Occupational Therapy Association as an activity or occupation with purpose, utility or meaning Examples of such activities include: preparing and consuming a hot drink, preparing a light snack, playing a board game, general household tidying, hanging out laundry, pet care activity, craft, art or light workshop activity Prior to the performance of each condition, participants will be given the same instructions: to perform as much of the activity or set of exercises as desired; to move the wrist as much as possible during the 10 minutes; to put in as much effort as tolerated without causing pain or discomfort; to take a break or stop at any time if they wish to do so. There will be no coaching during the performance of either condition.
Sponsors
Auckland University of Technology
Study design
Allocation
Randomised controlled trial
Intervention model
Crossover
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
• Aged over 18 years • Less than four weeks postoperative • Stable fixation, deemed by surgeon to be suitable for mobilisation • Conversational English
Exclusion criteria
• Any condition or injury that significantly affects normal use of the operated e.g. severe arthritis, stroke • Concomitant fracture of another bone (except ulna styloid fracture) • Concomitant surgical repair of tendon, muscle or nerve
Outcome results
None listed