Distal Radius Fracture
Conditions
Keywords
Distal Radius Fracture, kinesiotaping, edema
Brief summary
Kinesio tape is used successfully in the control of edema related to the extremity, especially in the control of lymphedema that develops after surgery.Kinesiotape is a non-allergic elastic tape applied to the skin surface.There are publications showing that kinesio tape applications are beneficial for edema control after interventional procedures such as anterior cruciate ligament surgery and knee prosthesis related to orthopedic surgical interventions. There is no publication on the effectiveness of kinesio tape application in the control and rehabilitation of post-cast edema of wrist fractures.It is planned to investigate the positive effects of kinesio tape in edema control and rehabilitation.
Detailed description
The prevalence of distal radius fracture is increasing day by day. Circular cast is applied in 70-80% of patients treated for distal radius fractures.During the rehabilitation of patients after plaster application, joint stiffness, swelling on the hand and wrist, and edema are frequently encountered.Edema in the hand and wrist negatively affects the daily activities of patients, their quality of life, wrist and finger functions. Edema is the main problem in rehabilitation after upper extremity injuries.It is known that fibrosis and adhesions in soft tissues develop as a result of prolonged extremity edema. Elevation, massage, cold application, pressure gloves are used for edema control. Kinesio tape is used successfully in the control of edema related to the extremity, especially in the control of lymphedema that develops after surgery.Kinesiotape is a non-allergic elastic tape applied to the skin surface. Kinesio Tape working mechanism opens the distance between the skin and subcutaneous tissues after it is applied to the skin and increases lymphatic drainage. Kinesio tape also has the effect of supporting the joint and soft tissues around the joint. Research on kinesio tape has generally focused on the control of lymphedema that develops after breast cancer surgery or stroke. There are publications showing that kinesio tape applications are beneficial for edema control after interventional procedures such as anterior cruciate ligament surgery and knee prosthesis related to orthopedic surgical interventions. Considering the studies conducted for edema control in patients treated for distal radius fractures, the effect of massage applications on edema has been investigated and it has been shown that massage has positive effects on edema control and wrist functions(9). In another study, the effectiveness of modified massage methods in the treatment of edema was investigated and its positive effects were observed. There is no publication on the effectiveness of kinesio tape application in the control and rehabilitation of post-cast edema of wrist fractures. It is planned to investigate the positive effects of kinesio tape in edema control and rehabilitation.
Interventions
OTHERkinesiotaping
Kinesio tape will be attached with lymphedema technique. The bands will be removed prior to each assessment so that they do not affect the evaluator's blinding. After evaluation, the new tape will be fitted by the invesitgatör
OTHERexercise
Wrist, finger, elbow range of motion and stretching exercises will be taught to the patients and given as home exercises. In addition, patients will be given a leaflet containing illustrated and explanatory exercise visuals.
Sponsors
Ahi Evran University Education and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
The person who evaluates the outcome criteria and the person who makes the interventions are different. The person who evaluates the outcome criteria is blind.
Intervention model description
Randomized controlled trial
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
1. Patients who underwent plaster treatment for distal radius fracture 2. Patients over 18 years old
Exclusion criteria
1. To have been treated for lymphedema in the upper extremity before 2. Patients who have been operated for breast cancer 3. Bilateral distal raidus fracture 4. History of previous surgery related to the same extremity 5. Pathological fracture 6. Open fracture, active infection in the involved extremity 7. Presence of diseases with clinical course with peripheral edema such as heart failure, pulmonary hypertension 8. Cognitive dysfunction that impairs perception of test instructions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| volume measurement | 0 (baseline) | The volume measurement of the patients after the cast will be measured with the upper extremity volumetric measuring device. The measurement will be made in comparison with each intact extremity. The measurement will be made standing up and at room temperature.Both extremity volume data will be recorded. The volume measurement of the patients after the cast will be measured with the upper extremity volumetric measuring device.The measurement will be made in comparison with each intact extremity. The measurement will be made standing up and at room temperature. Both extremity volume data will be recorded. |
| range of motion measurement | 0 (baseline) | Wrist joint range of motion (ROM) measurement with goniometer is the most commonly used method that provides objective evaluation and error-free measurement in clinical practice. In our study, wrist ROM measurements will be made with a goniometer using the neutral zero method. |
| Diameter Measurement | 0 (baseline) | Both hands and wrists of the patient will be measured with the figure of eight method with the help of a tape measure.In addition, measurements will be made at the level of the bilateral wrist, metacarpophalangeal joint, and 6 cm proximal to the wrist. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| functionality | 0 (baseline) | The short version of the Arm, Shoulder and Hand Questionnaire (Quick-DASH) Disability will be used to evaluate the functional status of the patients. Quick-DASH is a self-report questionnaire designed to measure physical function and symptoms in people with upper extremity musculoskeletal conditions. Turkish validity and reliability was established. |
Countries
Turkey (Türkiye)
Outcome results
None listed