Distal Radius Fracture
Conditions
Brief summary
This trial aims to develop and test the efficacy of a digital media based physical therapy protocol on patients after surgical fixation and non-operative treatment of distal radius fractures.It is hypothesized that there will not be a difference in outcomes for patients after surgical fixation of distal radius fractures with traditional physical therapy and digital media based therapy
Interventions
This intervention is a modified post immobilization protocol. This will include giving the patients a USB drive loaded with a 12 week therapy protocol presented in digital form with videos and graphical representations of exercises to be done. They will also have access to the videos and multimedia on the Oregon Health & Science University website.
This intervention is a 12 week therapist supervised clinic-based therapy protocol.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients undergoing operative treatment for distal radius fractures.
Exclusion criteria
* Poly-trauma patients with significant previous diagnosis of dementia, previous traumatic brain injury, or other reason for significant altered mental status that would interfere with their participation in therapist directed or digital based therapy will be excluded. * Patients who present to Oregon Health & Science University for physical therapy who will be treated by a physician at another non Oregon Health & Science University facility will be excluded. * Patients who are not proficient in the English language will be excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Abbreviated version of the Disabilities of the Arm, Shoulder and Hand (QuickDASH) | 12 weeks | Patient-Reported Outcome, Scale: 0 (no disability) - 100 (most severe disability) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Pain Scale | 6 weeks, 12 weeks, and 6 months | Patient-Reported Outcome, Scale: 0 (no pain) - 10 (most severe pain) |
| Veterans RAND 12-item Health Survey (VR-12) | 6 weeks, 12 weeks, and 6 months | Patient-Reported Outcome |
| Abbreviated version of the Disabilities of the Arm, Shoulder and Hand (QuickDASH) | 6 weeks, 6 months | Patient-Reported Outcome, Scale: 0 (no disability) - 100 (most severe disability) |
| Hand Grip Strength | 6 weeks, 12 weeks, and 6 months | Strength measurement |
| Wrist Circumference | 6 weeks, 12 weeks, and 6 months | Anthropometric measurement |
| Wrist Range of Motion | 6 weeks, 12 weeks, and 6 months | Wrist flexion, extension, pronation, supination, ulnar deviation, radial deviation |