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Physiotherapy in conservatively managed distal radius fractures

Outcomes and cost effectiveness of physiotherapy, self directed therapy and advice sheets following conservatively managed distal radius fractures: A prospective randomised controlled trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN62731680
Enrollment
120
Registered
2015-11-19
Start date
2015-10-12
Completion date
Unknown
Last updated
2026-01-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Topic: Musculoskeletal disorders

Interventions

Participants are randomly allocated to one of three groups. Group 1: Participants are given an advice sheet and a physiotherapy department leaflet (control group) Group 2: Participants are provided w

Sponsors

Nottingham University Hospitals NHS Trust
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 70 Years

Inclusion criteria

Inclusion criteria: 1. Aged between 18 and 70 years at the time of fracture 2. Able to give informed consent 3. Any fracture of the distal radius within 3cm of the radiocarpal joint will be considered for inclusion (including intraarticular fractures, fractures with comminution, associated ulnar styloid fracture, dorsal and volar displacement patterns) provided it has been deemed suitable for conservative management by the treating physician. 4. Fracture treated with immobilisation (plaster of paris / fibreglass cast / splint) worn constantly for between 5 and 7 weeks 5. English should be the patient's first language

Exclusion criteria

Exclusion criteria: 1. A fracture which extends beyond 3 cm of the radiocarpal joint 2. Any patient with bilateral fractures 3. A fracture which has been immobilised outside of the range of 5 and 7 weeks 4. Any patient who is deemed to be unlikely to be able to adhere to the trial procedure or complete the questionnaires (e.g. drug dependence or cognitive impairment) 5. Current participation in another ongoing study 6. Evidence of complex regional pain syndrome 7. Post plaster stiffness of the fingers which prevents the patient from being able to place their hand flat on a tabletop 8. Any previous fracture of the wrist or carpal bones whether treated operatively or conservatively

Design outcomes

Primary

MeasureTime frame
Symptoms and ability in the affected arm are measured using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire at baseline, 6 , 12 and 52 weeks.

Secondary

MeasureTime frame
1. EQ5D at baseline, 6 , 12 and 52 weeks 2. Patient Evaluation Measure (PEM) at baseline, 6, 12 and 52 weeks 3. Routine Outcome Measures (ROM) at 6, 12 and 52 weeks

Countries

England, United Kingdom

Contacts

Public ContactJessica Nightingale

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026