Distal radius fracture wrist fracture
Conditions
Interventions
Patients are randomized either to receive rehabilitation using the serious game
(intervention group) or to standard treatment (control group).
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Any type of closed distal radius fracture with no injury to the skin of the affected limb. 2. Good position after reposition or operative fixation, defined by = 18 years. 7. Written informed consent.
Exclusion criteria
Exclusion criteria: 1. Polytraumatized patients (Injury Severity Score >=16). 2. Bilateral wrist fractures or other injuries to the affected limb. 3. Patients with other disease or injury affecting use of wrist or range of motion (including Parkinson*s disease, having had a cerebral vascular accident, amyotrophic lateral sclerosis, neuropathy of any kind) 4. Previous fractures or any condition affecting the injured wrist with residual pain, loss of function or range of motion. 5. Any medical contra-indication to start rehabilitation within 5 days after operation or cast removal, as decided by the treating specialist. 6. Insufficient proficiency of Dutch or English in speech and written language, or inability to complete the Dutch questionnaires. 7. Not in the possession of, or able to obtain for the duration of our study, a smartphone compatible with our serious game. 8. Visual impairment preventing proper use of the smartphone-based game.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint is the change in functional outcome between baseline and follow-up as measured by the self-reported Patient-Rated Wrist Evaluation (PRWE) scores. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes are the active and passive range of motion, grip strength, pain, and self-reported treatment adherence. | — |
Countries
Netherlands
Outcome results
None listed