Colles fracture
Conditions
Interventions
The participants will be randomly allocated to the intervention and control groups via a sequence of numbers generated by a computer program (1:1 ratio). Neither the participants nor the therapist res
(2) a reverse dart-throwing exercise with precision of the first interosseous space
and (3) a scapular retraction exercise. To avoid pain and muscle fatigue, patients were doing short duration and low intensity exercises. The dose was 8-10 times for each exercise, maintaining the tas
E02.779.474
Sponsors
Universidad de las Americas
CDT Hospital San Borja de Arriaran
Eligibility
Age
60 Years to 75 Years
Inclusion criteria
Inclusion criteria: subjets aged 60 years or older; with medical diagnosis of extra-articular multifragmentary type FRD A3 after AO classification; with a conservative shape with a more simulated closed reducer; who accept and sign informed consent.
Exclusion criteria
Exclusion criteria: Subjects that present some immediate complication after the removal of immobilization as a painful regional type I complex;carpal tunnel syndrome etc; treated with some surgical intervention for the reduction and or external fixation of radius fracture (flying plate, Kirschner needles); with some degree of cognitive impairment with a mini mental less than 26 points.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expected result 1- It is expected to find a improve in wrist function assessed through the Patient-Rated Wrist Evaluation (PRWE) in the participants of the supervised physiotherapy program compared to home exercises ;Result found 1- Patients assigned to supervised physiotherapy showed an improvement of PRWE questionnaire from 6-month to 1-year follow-up, mean change was -8.7 points (95% CI: -12.32 to -5.08, p < 0.001) | — |
Secondary
| Measure | Time frame |
|---|---|
| Expected result 2- It is expected to find a improve in pain intensity assessed through the Visual Analogue Scale (VAS) in the participants of the supervised physiotherapy program compared to home exercises;Result found 2- Patients assigned to supervised physiotherapy showed an improvement of VAS from 6-month to 1-year follow-up, mean change was -0.35 cm (95% CI: -0.69 to 0.01, p = 0.045); Expected result 3- It is expected to find a improve in pain grip strength assessed through the JAMAR dynamometer in the participants of the supervised physiotherapy program compared to home exercises;Result found 3- Patients assigned to supervised physiotherapy showed an improvement of grip strength from 6-month to 1-year follow-up, mean change was 9.9% (95% CI: 2.74 to 16.98, p = 0.007) ; Expected result 4- It is expected to find a improve in range of motion (ROM) assessed through the goniometerin the participants of the supervised physiotherapy program compared to home exercises;Result found 4- Patients assigned to supervised physiotherapy showed an improvement of ROM from 6-month to 1-year follow-up, mean change was 5 degrees (95% CI: 1.63 to 8.36, p = 0.004) for active wrist flexion and 9.1 degrees (95% CI: 4.47 to 13.63, p < 0.001) for active wrist extension | — |
Countries
Chile
Contacts
Public ContactFelipe Araya Quintanilla
Universidad de las Americas
Outcome results
None listed