Effectiveness of Graded Motor Imagery to Improve Hand Function in Patients With Distal Radius Fracture

NCT02838446 | Completed Phase 2

• 1 other identifier: GO 14/06
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study was to investigate of the effectiveness of Graded Motor Imagery (GMI) on hand functionality in patients with Distal Radius Fracture (DRFx). This study was carried out on 36 patients. These patients were randomly assigned to two groups: classic treatment group (n=19) and GMI group (n=17). Both groups received a 8-week (2 days a week) physical therapy and rehabilitation intervention. Outcome measurements were based on upper extremity functional status (Disability of the Arm Shoulder Hand and Michigan Hand Questionnaire scores), pain (on the rest and during the activity with Visual Analog Scale), range of motion (wrist flexion, extension, ulnar/radial deviation, supination and pronation with goniometer), grip strength (standard grip strength with Jamar hydraulic hand dynamometer; lateral, palmar and pinch strength with pinch meter).

Conditions

Distal Radius Fracture; Pain

Outcome Measures

Primary Outcomes (1)

• Physical Function and Symptoms

  Disability of the Arm, Shoulder and Hand (DASH) questionnaire scores range from 0 to 100 with a higher score indicating higher degree of disability.

  8 weeks

Secondary Outcomes (3)

• Pain intensity

  8 weeks

• Normal range of motion

  8 weeks

• Grip Strength

  8 weeks

Study Arms (2)

Cognitive Therapy

EXPERIMENTAL

Graded motor imagery program was applied in only intervention group for 8 weeks.

Procedure: Cognitive Therapy

Control

ACTIVE COMPARATOR

Rehabilitation program applied in both groups for 8 weeks. Frequency of the treatment was 2 days in per week and its duration was approximately one hour in one session.

Procedure: Cognitive Therapy

Interventions

Cognitive Therapy PROCEDURE

Graded Motor Imagery has three stages: Lateralisation (2 or 3 weeks) Motor Imagery (2 or 3 weeks) Mirror Therapy (2 or 3 weeks)

Also known as: Rehabilitation

Cognitive Therapy; Control

Eligibility Criteria

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

You may qualify if:

• ages between 18-65 years
• diagnosed with DRFx which is extra-articular
• managed with pins, internal fixation and/or cast

You may not qualify if:

• unwilling or unable to participate
• intra-articular and instable fractures containing other part of the fractures
• fractures related with the malignancy and other neurologic diseases
• existing inflammatory joint condition,
• lack of cognitive function.

Sponsors & Collaborators

• Hacettepe University: lead
• Medipol University: collaborator

Study Sites (1)

Medipol University

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Wrist Fractures; Pain

Interventions

Cognitive Behavioral Therapy; Rehabilitation

Condition Hierarchy (Ancestors)

Wrist Injuries; Arm Injuries; Wounds and Injuries; Fractures, Bone; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Behavior Therapy; Psychotherapy; Behavioral Disciplines and Activities; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PT, Ass. Prof. Dr.

Study Record Dates

• First Submitted: July 11, 2016
• First Posted: July 20, 2016
• Study Start: January 1, 2014
• Primary Completion: June 1, 2015
• Study Completion: June 1, 2015
• Last Updated: July 20, 2016

Record last verified: 2016-07

Locations

TU (1)