Comparison of Occupational Therapy and Home Exercises for Adults With Operatively Treated Distal Radius Fractures

NCT00438750 | Completed Results

• 1 other identifier: 2006-P-001157
• Study Type: interventional
• Target: 94
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to compare to ways of rehabilitating after surgery for distal radius fractures treated operatively with a volar plate.

Conditions

Distal Radius Fractures

Keywords

distal radius fracture; rehabilitation; volar plate fixation; DASH questionnaire

Outcome Measures

Primary Outcomes (1)

• Range of Motion in Degrees of the Wrists

  Mean arc of wrist flexion and extension six months after surgery. Normal/expected range of motion for arc of wrist flexion and extension is approximately 160 degrees.

  6 months

Secondary Outcomes (6)

• Disabilities of the Arm, Shoulder, and Hand (DASH) Questionnaire

  6 months

• 10-point Ordinal Pain Scale

  6 months

• Pinch Strength

  6 months

• Gartland and Werley Score

  6 months

• Mayo Wrist Score

  6 months

Study Arms (2)

Independent Home Exercises

EXPERIMENTAL

Subjects who learn their therapy exercises from the surgeon and practice them independently at home.

Other: Independent Excercises

Formal Therapy

EXPERIMENTAL

Subjects who follow the conventional protocol of seeing a therapist to learn and guide them in their exercises.

Other: Occupational Therapy

Interventions

Independent Excercises OTHER

Subjects provided with wrist splint and instructions for independent exercises to perform at home on their own. Subjects were advised to perform exercises as often as possible, but at least three to four times a day for a minimum of thirty minutes. There was no formal strengthening program.

Independent Home Exercises

Occupational Therapy OTHER

Subjects were prescribed formal occupational therapy with supervised exercises to regain digit, wrist, and forearm motion and to strengthen the hand. The content, frequency, and duration of the rehabilitation program were at the discretion of the treating hand therapist.

Formal Therapy

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 18 or greater.
• Isolated distal radial fracture.
• Fracture treated with volar plates, stable fixation.
• Initial treatment within 4 weeks of trauma.

You may not qualify if:

• Complex fractures that require additional or different material than volar plates.

Sponsors & Collaborators

• Massachusetts General Hospital: lead

Study Sites (1)

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

MeSH Terms

Conditions

Wrist Fractures

Interventions

Occupational Therapy

Condition Hierarchy (Ancestors)

Wrist Injuries; Arm Injuries; Wounds and Injuries; Fractures, Bone

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics

Results Point of Contact

• Title: David Ring, MD, PhD
• Organization: Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital

dring@partners.org

617-724-3953

Study Officials

• David Ring, MD, PhD

  Massachusetts General Hospital

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator; Director of Research, Hand Service

Study Record Dates

• First Submitted: February 20, 2007
• First Posted: February 22, 2007
• Study Start: January 1, 2007
• Primary Completion: May 1, 2010
• Study Completion: May 1, 2010
• Last Updated: June 8, 2012
• Results First Posted: May 28, 2012

Record last verified: 2012-06

Locations

US (1)