Distal Radius Fracture
Conditions
Keywords
manual therapy, radius fracture, function, disability, physiotherapy
Brief summary
The aim of the study was to investigate the effects of early manual therapy on function, pain, range of motion (ROM), hand and pinch grip strength and disability level in patients underwent volar plating after distal radius fracture (DRF). Patients were randomly divided into two groups: Routin Physiotherapy (RP) or Early Manual Therapy (EMT). While RP group received routine physiotherapy, EMT group received routine physiotherapy plus Mulligan's Mobilization With Movement technique. All treatments were done two sessions a week, through 12 weeks. Function, pain, range of motion (ROM), hand and pinch grip strength and disability level of patients were assessed. Measurements were made at postoperative week 3, 6 and 12.
Interventions
OTHEREarly Manual Therapy
Mulligan's Mobilization with Movement technique for radiocarpal,ulnocarpal, distal radioulnar and proximal radioulnar joints was applied.
Routine physiotherapy program consisted of range of motion, flexibility and strengthening exercises, and home exercise program was applied.
Sponsors
Dokuz Eylul University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* An age of eighteen years or older * An unstable fracture of the distal end of the radius * Fixation with a volar locking plate * Able to read, write, and understand Turkish * Willing and able to attend the study
Exclusion criteria
* Previous fracture on the injured side * Concurrent fracture in contralateral upper extremity * Accompanied bony and soft tissue injuries other than radius fracture * Inflammatory joint diseases, metabolic diseases and neurological diseases * Mental and cognitive disorders that would seriously affect cooperation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in the function | postoperative week 6, 12. | Function was asssesed by using Patient Rated Wrist Evaluation (PRWE) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change in the severity of pain | postoperative day 1, postoperative week 3, 6, 12. | Severity of pain was assessed by using Visual Analogue Scale (VAS), which ranges between 0-10 points, 0 represents no pain and 10 denotes maximum pain intensity. |
| change in the range of motion (ROM) | postoperative week 3, 6, 12. | ROM was assesed by using an universal goniometer |
| change in hand and pinch grip strength | postoperative week 3, 6, 12. | hand and pinch grip strength was assesed by using hydrolic hand and finger dynamometers. |
| change in disability | postoperative week 6, 12. | Disability level was assesed by using Disabilities of Arm, Shoulder and Hand (DASH) questionnaire. |
Countries
Turkey (Türkiye)
Outcome results
None listed