Distal Radius Fracture
Conditions
Keywords
Rehabilitation, Information technologies
Brief summary
This is a randomized clinical trial of two parallel arms, aiming to compare two rehabilitation interventions: an experimental intervention including telemedicine support and remote monitoring of compliance of usual indicated exercises, versus the usual protocol of indicated exercises supported by printed material (triptych) and without remote monitoring
Detailed description
Distal radius fracture is a common pathology. The surgical indication is given by the difficulty in obtaining fracture reduction or by the instability of the fracture. The long-term functional prognosis of the wrist depends largely on patients' adherence to the prescribed indications/exercises in the immediate postoperative phase. This is a randomized clinical trial of two parallel arms, aiming to compare two rehabilitation interventions: an experimental intervention including telemedicine support and remote monitoring of compliance of usual indicated exercises, versus the usual protocol of indicated exercises supported by printed material (triptych) and without remote monitoring.
Interventions
DEVICEExperimental
A digital pad developed to help, support and monitor the adherence of patients to rehabilitation excercices post surgery
Sponsors
Hospital Clinico Mutual de Seguridad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
The outcomes assessor is a physical therapist independent of the research team, who is blind to the treatment assignment
Intervention model description
Two arms parallel design, randomized assignment, outcomes-assessor blind to the assignment
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* distal radial fracture (A2 to C3 type according to the Orthopaedic Trauma Association classification system) * indication for standard rehabilitation post-surgery
Exclusion criteria
* immediate post-surgery complication * multiple fractures or severe injuries * history of bone metabolism condition * illiterate * non-Spanish speaking * mental disorder * not familiar with electronic devices
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of Patient Related Wrist Evaluation score from Day 28 at Day 56 post ranndomization | Day 56 | Patient Related Wrist Evaluation is a 15-item validated scale, range from 0 to 100, where higher scores are worse outcomes |
| Adherence to prescribed excercise program | Day 56 | The digital pad will objectively register adherence to exercises; the control group will self-report their compliance rates with the prescribed exercises |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Grip strength | Day 28; Day 56 | Grip strength measured by dynamometer |
| Wrist flexion and extension | Day 28; Day 56 | Wrist flexion and extension measured by goniometer |
Countries
Chile
Contacts
Primary ContactFelipe S Correa
Outcome results
None listed