CRPS (Complex Regional Pain Syndromes), Distal Radius Fracture, Surgery, Wrist Fracture
Conditions
Keywords
GMI, CRPS, Distal radius fracture
Brief summary
The study would like show that patients who follow a protocol with GMI are less probability to develop CRPS
Detailed description
Distal radius fractures (DRF) has a high frequency in adults. Studies show that the upper limb is frequently affected by CRPS, especially if is preceded by a fracture. Recent studies suggest that changes in cortical structures can contribute to the onset of CRPS. GMI is a approved and efficacy method in CRPS rehabilitation, because it trains modified cortical areas throught 3 stadies: left-right discrimination, visual motor imagery and mirror therapy. Literature shows that there are any studies about GMI efficacy on prevention CRPS in DRF after surgery. This study would like to demostrate that, appling GMI in the early stages of rehabilitation plus standard rehabilitation protocol of DRF after surgery, CRPS cases are reducted.
Interventions
OTHERGMI protocol
This group follow GMI program split in 3 step: 1. left/right descrimination 2. visual motor imagery 3. mirror therapy Patients perform this exercises 3 times every day and they have checks in therapy al least twice a week.
This group follow standard rehabilitation protocol, with active and passive motion of upper limb structure, including hand, wrist, elbow, shoulder. Patients perform this exercises 3 times every day and they have checks in therapy al least twice a week.
Sponsors
Ergoterapia Manoegomito Sagl
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients with distal radius fracture after surgery * 18 to 75 years old * Male and female
Exclusion criteria
* uncompliants patients * patients with neurological disorders or cognitive impairment * patients with TFCC injury or both ulna and radius fractures * patients with visually impairment * patients who don't speak or understand oral and written italian language
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Range Of Motion | Baseline and 8 weeks | Change in active and passive range of motion about hand and wrist |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient-rated wrist/hand evaluation (prwhe) | Baseline and 8 weeks | Decrease in difficulty of doing activities of daily living and decrease pain |
| Jamar hand dynamometer | Baseline and 8 weeks | Improve strength |
| McGill pain questionnaire | Baseline and 8 weeks | Decrease pain |
Contacts
Primary ContactSusanna Pagella
Backup ContactAlessandra Viola
Outcome results
None listed