Patients with distal radius fractures treated with volar locking plate fixation Radius fractures Rehabilitation Exercise Therapy Randomized controlled trial
Conditions
Interventions
Participants in this group receive a self-directed home exercise program via a unique QR code linked to an instructional video hosted on a secure cloud platform (Google Drive). A physiatrist provided
Experimental Other,No Intervention Other
Video-based exercise,Physician-guided exercise
Sponsors
Maharat Nakhon Ratchasima Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Patients diagnosed with displaced intra-articular distal radius fracture who have undergone surgical management via volar locking plate fixation. 2. Aged between 18 and 75 years. 3. Newly diagnosed distal radius fracture. 4. Ability to effectively communicate in the Thai language. 5. Ability to access and utilize video-based media via a smartphone or other compatible digital devices, either by the patient or their primary caregiver. 6. Willingness to participate in the study and provide written informed consent.
Exclusion criteria
Exclusion criteria: 1. Patients who received additional fixation methods alongside the locking volar plate, such as K-wire fixation. 2. Patients with co-existing injuries or inflammatory conditions (e.g., arthritis) or peripheral nerve injuries affecting the ipsilateral upper extremity. 3. Patients with a history of Stroke, Traumatic Brain Injury (TBI), or Spinal Cord Injury (SCI) resulting in motor deficits or weakness in the affected upper limb. 4. Patients requiring or requesting continuous, supervised physical therapy sessions conducted by a therapist. 5. Patients with cognitive impairments or communication disorders that impede their ability to understand, learn, or adhere to the exercise instructions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Thai version of the Patient-Rated Wrist Evaluation score at 2 weeks, 6-8 weeks and 12-14 weeks post-surgery Patient reported outcome using Th-PRWE questionnaire | — |
Secondary
| Measure | Time frame |
|---|---|
| Wrist range of motion at 2 weeks, 6-8 weeks and 12-14 weeks post-surgery Using a standard goniometer,Handgrip strength at 2 weeks, 6-8 weeks and 12-14 weeks post-surgery Measured in kilograms using a calibrated hand dynamometer,Knowledge Assessment Score at 2 weeks, 6-8 weeks and 12-14 weeks post-surgery Using a custom-developed questionnaire | — |
Countries
Thailand
Contacts
Public ContactThitiwad Rueangsaowapong
Department of Rehabilitation Medicine
Outcome results
None listed