Forearm Fracture
Conditions
Keywords
fracture, immobilisation, cross-education, muscle strength
Brief summary
The cross-training phenomenon is the increase in muscle strength in the contralateral limb when one limb is exercised. Limited studies have shown that it prevents immobilisation-induced muscle weakness in healthy volunteers. The aim of this study was to evaluate the effect of strengthening the contralateral extremity on muscle strength and range of motion in the immobilised extremity in patients who had undergone immobilisation for forearm fractures.
Interventions
PROCEDUREisokinetic strengthening exercise
Participants' isokinetic strength measurements will be assessed using the Cybex II Humac Norm isokinetic dynamometer. A strengthening programme will be performed for a total of 12 sessions, 3 days a week for 4 weeks, at 20 degrees of flexion, 20 degrees of extension, 60-90 and 180 degrees/s speed. At the beginning and end of the 12th session, isokinetic and isometric muscle performance tests will be performed on the healthy wrist, and isometric wrist flexor and extensor strength measurements will be performed in neutral position 1 week after removal of the cast on the fractured wrist.
PROCEDUREconventional exercise programm
The immobilised limb was given finger grip exercises.
Sponsors
Dilara Ekici Zincirci
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Participants will not know which group they have been assigned to, and the researchers evaluating the results will not know which group participants have been assigned to.
Intervention model description
prospective randomized controlled double-blind clinical trial
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Traumatic unilateral forearm fracture (treated surgically or conservatively and immobilised in a cast)
Exclusion criteria
* Previous upper limb surgery/joint disease - deformity affecting hand-wrist function * Any neurological condition affecting the upper extremity (stroke, Parkinson's disease; multiple sclerosis, reflex sympathetic dystrophy, peripheral nerve injury)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Wrist isometric flexion muscle strength | 1 year | The isometric flexion strength of the fractured wrist will be measured using an isokinetic dynamometer at the first week after immobilisation has ceased. |
| Wrist isometric extansion muscle strength | 1 year | The isometric extansion strength of the fractured wrist will be measured using an isokinetic dynamometer at the first week after immobilisation has ceased. |
Countries
Turkey (Türkiye)
Outcome results
None listed