Distal Radius Fractures, Wrist Fractures
Conditions
Keywords
Distal radius fracture, Cross-education, Rehabilitation, Exercise
Brief summary
The objective will be to determine the effectiveness of adding unilateral upper limb postoperative training to standard rehabilitation compared to standard rehabilitation on maximum grip strength and manual dexterity in patients aged 30-50 years with surgically treated distal radius fracture. It is presumed that the addition of unilateral upper limb training will significantly improve maximum grip strength and manual dexterity at the end of the intervention period compared to the group receiving only standard rehabilitation. Patients who agree to participate in this research will be randomly assigned to a control group (standard rehabilitation with unilateral training with mobility exercises) or an experimental group (standard rehabilitation with unilateral high-intensity strength training). The duration of the postoperative intervention will be 12 weeks. The primary variables are maximum grip strength and manual dexterity. Secondary variables are wrist mobility, forearm circumference, maximum voluntary isometric strength, functionality and health-related quality of life. Results will be measured at 0, 6 and 12 weeks postoperative.
Interventions
OTHERStandard rehabilitation
Protocol based on the best available evidence and to be used in all participants in both groups. The standard rehabilitation protocol will consist of three postoperative phases: Mobilization (0 to 4 weeks), Strengthening (4 to 8 weeks) and Functional phase (8 to 12 weeks). Sessions will be held 3 times a week for 12 weeks. Each session will last 1 hour and will consist of different modalities of therapeutic exercise and cryotherapy.
OTHERUnilateral high-intensity strength exercise
Participants will be seated in an armchair with armrests and will perform 4 sets of 8 repetitions of an eccentric exercise for the pronosupinator muscles with a dumbbell with adjustable weights. The training will start with an intensity of 60% of 1RM, until reaching 80% 1RM.
OTHERUnilateral mobility exercises
Participants will be seated in an armchair with armrests and will perform 4 sets of 8 repetitions of an active mobility exercise for the pronation-supination muscles using a plastic rod.
Sponsors
Universidad Catolica de Temuco
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Masking description
Opaque sealed envelopes
Eligibility
Sex/Gender
ALL
Age
30 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Age between 30-50 years * Radiological diagnosis of unilateral distal radius fracture without concomitant fractures. * Fracture treated surgically.
Exclusion criteria
* Patients with lesion of the triangular fibrocartilage. * Patients with distal radius fracture with consolidation disorders. * Patients with health conditions that cause pain or affect the motor skills of the upper limb (radiocarpal osteoarthritis, carpal tunnel syndrome, Quervain's tenosynovitis, neurodegenerative diseases, sequelae of stroke) * Patients with multi-site pain or chronic polyarticular diseases such as osteoarthritis or rheumatoid arthritis. * Unstable cardiovascular, respiratory, systemic or metabolic conditions that do not allow high-intensity physical exercise. * Patients who are taking nutritional supplements that interfere with the regulation of skeletal muscle strength and mass (example: whey protein, creatine, etc.) * Inability to understand, read and/or speak the Spanish language.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Handgrip strength | 0, 6 and 12 weeks | Jamar grip dynamometer (kilos) |
| Manual dexterity | 0, 6 and 12 weeks | Functional Dexterity Test (Seconds) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity | 0, 6 and 12 weeks | Visual Analogue Scale (0-10 centimeters) |
| Forearm circumference | 0, 6 and 12 weeks | Circumference (cm) |
| Maximum voluntary isometric strength. | 0, 6 and 12 weeks | Progressor 300, Tindeq, Norway (Kilos) |
| Active range motion | 0, 6 and 12 weeks | Wrist and forearm: Extension, flexion, pronation and supination (degree) |
| Self-reported upper limb function. | 0, 6 and 12 weeks | Quick Disabilities of Arm, Shoulder and Hand (0-100 points) |
| Self-reported wrist function | 0, 6 and 12 weeks | Patient-Rated Wrist Evaluation (0-50 points) |
| Health-related quality of life | 0, 6 and 12 | Short Form-12 (0-100 points) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Depression, anxiety and stress | 0 week | Depression, Anxiety and Stress Scale (0-63 points) |
| Treatment expectations | 0 week | Treatment Expectation Questionnaire (0-10 points) |
| Physical activity | 0 and 12 weeks | International Physical Activity Questionnaire (Categorical Score: Low, Moderate. High) |
Countries
Chile
Contacts
Primary ContactIván Cuyul Vásquez
Outcome results
None listed