Distal Radius Fracture, Pain
Conditions
Brief summary
The purpose of this study was to investigate of the effectiveness of Graded Motor Imagery (GMI) on hand functionality in patients with Distal Radius Fracture (DRFx). This study was carried out on 36 patients. These patients were randomly assigned to two groups: classic treatment group (n=19) and GMI group (n=17). Both groups received a 8-week (2 days a week) physical therapy and rehabilitation intervention. Outcome measurements were based on upper extremity functional status (Disability of the Arm Shoulder Hand and Michigan Hand Questionnaire scores), pain (on the rest and during the activity with Visual Analog Scale), range of motion (wrist flexion, extension, ulnar/radial deviation, supination and pronation with goniometer), grip strength (standard grip strength with Jamar hydraulic hand dynamometer; lateral, palmar and pinch strength with pinch meter).
Interventions
PROCEDURECognitive Therapy
Graded Motor Imagery has three stages: Lateralisation (2 or 3 weeks) Motor Imagery (2 or 3 weeks) Mirror Therapy (2 or 3 weeks)
Sponsors
Medipol University
Hacettepe University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* ages between 18-65 years * diagnosed with DRFx which is extra-articular * managed with pins, internal fixation and/or cast
Exclusion criteria
* unwilling or unable to participate * intra-articular and instable fractures containing other part of the fractures * fractures related with the malignancy and other neurologic diseases * existing inflammatory joint condition, * lack of cognitive function.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Physical Function and Symptoms | 8 weeks | Disability of the Arm, Shoulder and Hand (DASH) questionnaire scores range from 0 to 100 with a higher score indicating higher degree of disability. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity | 8 weeks | Visual Analog Scale (VAS) is used to evaluate pain intensity. The scale was consisted of a standard line labeled 0 on the left and 10 on the right. (0: no pain, 10: the worst pain). |
| Normal range of motion | 8 weeks | Active range of motions of wrist regarding flexion, extension, ulnar deviation, radial deviation, supination and pronation were evaluated with universal goniometer and recorded as degree. |
| Grip Strength | 8 weeks | Grip strength was measured in kilograms using a calibrated Jamar Hydraulic Hand Dynamometer with the elbow flexed to 90 degree. |
Countries
Turkey (Türkiye)
Outcome results
None listed