Colles Fracture, Hypomobility
Conditions
Brief summary
This study is a randomised control trial and the purpose of this study is to determine comparision of Kaltenborn Mobilization and Mobilization with Movement (MWM) in wrist Hpomobility after Colle's fracture.
Detailed description
Participants will be recruited into their respective groups using a coin toss method. Lower crossed syndrome will be assessed using the following tests: Kaltenborn mobilization at wrist Mulligan Mobilization with Movement at wrist Wrist, forearm and fingers ROM and isometric exercises. Introductory hand grip exercises Hand grip strengthening exercises
Interventions
PROCEDUREKaltenborn Mobilization
All participants received a standardized treatment regimen first. This began with the application of a hot pack or infrared therapy for 10 to 15 minutes at the start of each session. then this group will receive Kaltenborn mobilizations with each mobilization technique performed for 10 repetitions, and each repetition maintained for 2 to 3 seconds. Mobilizations included palmar (volar) glide, dorsal glide, radial glide, and ulnar glide. In addition to wrist mobilizations, anterior and posterior glides were applied to the distal radioulnar joint.
PROCEDUREMulligan Mobilization with Movement
All participants received a standardized treatment regimen first. This began with the application of a hot pack or infrared therapy for 10 to 15 minutes at the start of each session. then this group will receive Mulligan's Mobilization with Movement (MWM) technique, which involved 10 repetitions of each mobilization, with each repetition held for 2 to 3 seconds. First, a lateral glide or rotational movement of the carpal bones on the radius was applied, accompanied by the patient actively performing the intended wrist movement, such as flexion, extension, or deviation. Second, an ulnar-directed mobilization of the radius was provided simultaneously with active patient movement.
Sponsors
Foundation University Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Randomized Control Trial
Eligibility
Sex/Gender
ALL
Age
40 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Both male and female participants (40-70 years old) Participants who will have diagnosed Colle's fracture and treated conservatively by plaster cast fixation and should referred from department of orthopedic surgery Patients group with post Colle's fractures stiffness
Exclusion criteria
* Patients having diagnosed Colle's fracture and treated with invasive procedure like K wiring, ORIF etc. * Patient with Neuromuscular injuries.(diagnosed) * Rheumatoid arthritis. * Patients with metacarpal fracture or compartment syndrome, non-union.(diagnosed)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Range of Motion at wrist | 1st measurement taken before starting session (Baseline measurement) 2nd or post measurement taken after end of sessions (after 3 weeks) (2 points measurement would be taken) 9 treatment sessions in 3 weeks is total time period. | Range of Motion at wrist will be measured by goniometer |
| Wrist Pain | 1st measurement taken after 3 or 4 sessions of treatment 2nd or last/post measurement taken at end of session (after 3 weeks) (2 points measurement would be taken). | Measured by PRWE questionnaire. Patient-Rated Wrist Evaluation is a 15-item questionnaire help to assess wrist pain and disability during daily tasks The Pain Subscale consists of 5 items, ranging from 0 to 10. The total score ranges from 0 (no pain) to 50 (maximum pain). |
| Functional disability | 1st measurement taken after 3 or 4 sessions of treatment 2nd or last/post measurement taken at end of session (after 3 weeks) 2 points measurement would be taken) | Measured by PRWE questionnaire. Patient-Rated Wrist Evaluation is a 15-item questionnaire help to assess wrist pain and disability during daily tasks. The Function Subscale includes 10 questions divided into two parts-6 questions assess specific activities, and 4 questions assess usual activities. The score for this subscale also ranges from 0 (no difficulty) to 50 (maximum difficulty). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Grip Strength | 1st measurement taken before starting session (Baseline measurement) 2nd or post measurement taken after end of sessions (after 3 weeks) (2 points measurement would be taken) 9 treatment sessions in 3 weeks is total time period. | Hand held dynamometer was used to assess patient's grip strength. To assess strength, the person sat on chair with 90-degree hip and knee flexion, shoulder in adduction, and elbow flexed to 90 degrees. The forearm and wrist were in a resting position. The dynamometer is placed in the person's hand, and the therapist or examiner gently supports the base of the device. The person was asked to clench the dynamometer as hard as they can for a few seconds, maintaining a smooth and consistent effort. The dynamometer displayed the force generated by the person's grip, and the reading was recorded. The process was usually repeated multiple times (e.g., three trials) to get an average reading and ensure reliability. |
Countries
Pakistan
Contacts
Primary ContactTooba Kazmi, DPT
Outcome results
None listed