Distal Radius Fractures, Edema Arm, Pain
Conditions
Keywords
Distal Radius Fractures, edema, pain, physical therapy, fluidotherapy
Brief summary
Distal radius fractures are the most common fractures when looking at upper extremity fractures. The incidence of distal radius fractures is increasing day by day, and when looking at the databases of various countries, its annual prevalence reaches 70,000 in the UK and 640,000 in the USA. Most of these fractures are related to osteoporosis and require appropriate treatment. If not, it causes loss of work force, permanent disability, and limitation in daily activities. Fluidotherapy has also proven to be effective in reducing hand edema in patients with carpal tunnel syndrome and stroke, examining its effect on nerve conduction velocities, and warming hypothermic patients. Compared to these treatment methods, fluid therapy reduces both joint capsule and muscle temperature by 9°C and 5.7°C, respectively. has been reported to increase.
Detailed description
Reducing pain and edema after Distal Radius fracture is an important part of postoperative rehabilitation. Various massage and mobilization methods were applied to this patient population in the postoperative period. In a recent study evaluating the effectiveness of Whirlpool treatment, it was reported that studies on the effectiveness of fluidotherapy are also needed. There is no study in the literature evaluating the effectiveness of fluidotherapy in the postoperative rehabilitation program in patients who underwent surgery for distal radius fractures. This study aimed to evaluate the effect of adding fluidotherapy to the early rehabilitation program on pain, edema, joint range of motion and functionality after the cast is removed in patients who received conservative cast treatment due to distal radius fracture.
Interventions
OTHERFluidotherapy
Fluidotherapy is a dry environment created by mobilizing solid particles using heated air flow. Fluidotherapy will be applied 20 minutes a day, 5 days a week for 4 weeks.
The conventional rehabilitation program determined before the study will be implemented by a physiotherapist in the hospital for 6 weeks.
Sponsors
Ahi Evran University Education and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Masking description
The Investigator and the outcomes assesor will be different persons. Statician will be different person.
Intervention model description
Randomised controlled
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
-Treating with a cast due to distal radius fracture being over 18 years old
Exclusion criteria
* Presence of polytrauma * History of previous limb-related surgery * Hemiplegia in the involved limb * Contracture in the involved limb * Arterial and venous occlusions * Lymphatic system disorders * Heart and circulatory system disorders * Hepatitis, Measles, Sepsis infectious diseases or fever * Open wound on the applied hand.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual analog scale | Baseline | Visual analog scale (VAS) was used for pain assessment. VAS is a 10-point Likert scale.A score of 0 indicates the best result, a score of 10 indicates the worst result. Higher scores indicate higher pain. |
| Wrist joint range of motion | Baseline | Wrist joint range of motion: Measurement of wrist joint range of motion (ROM) with a goniometer is the most frequently used method in clinical practice that provides objective evaluation and error-free measurement. In our study, wrist ROM measurements will be made with a goniometer using the neutral zero method. This method is a painless and non-invasive measurement method. |
| Circumference (mm) | Baseline | Environmental Measurement; the both hands and wrists of the patient will be measured with the help of a tape measure using the figure of eight method. The cm difference between both upper extremities will be recorded. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Gross Grip Strength: | Baseline | Jamar dynamometer wii use to evaluate gross grip strength.Higher values indicate increased grip strength |
| Patient-Rated Wrist Evaluation (PRWE) questionnaire | Baseline | Patient-Rated Wrist Evaluation (PRWE) questionnaire: PRWE is a 15-item questionnaire.High scores indicate functional impairment designed to measure wrist pain and disability in activities of daily living.The maximum score that can be obtained from the pain subscale is 50 and the minimum is 0. The maximum score that can be obtained from the function subscale is 50 and the minimum is 0. |
Countries
Turkey (Türkiye)
Outcome results
None listed