Effects of Early Manual Therapy on Functional Outcomes After Volar Plating of Distal Radius Fractures

NCT03613922 | Completed

• 1 other identifier: TomrukDRF
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study was to investigate the effects of early manual therapy on function, pain, range of motion (ROM), hand and pinch grip strength and disability level in patients underwent volar plating after distal radius fracture (DRF). Patients were randomly divided into two groups: Routin Physiotherapy (RP) or Early Manual Therapy (EMT). While RP group received routine physiotherapy, EMT group received routine physiotherapy plus Mulligan's Mobilization With Movement technique. All treatments were done two sessions a week, through 12 weeks. Function, pain, range of motion (ROM), hand and pinch grip strength and disability level of patients were assessed. Measurements were made at postoperative week 3, 6 and 12.

Conditions

Distal Radius Fracture

Keywords

manual therapy; radius fracture; function; disability; physiotherapy

Outcome Measures

Primary Outcomes (1)

• change in the function

  Function was asssesed by using Patient Rated Wrist Evaluation (PRWE)

  postoperative week 6, 12.

Secondary Outcomes (4)

• change in the severity of pain

  postoperative day 1, postoperative week 3, 6, 12.

• change in the range of motion (ROM)

  postoperative week 3, 6, 12.

• change in hand and pinch grip strength

  postoperative week 3, 6, 12.

• change in disability

  postoperative week 6, 12.

Study Arms (2)

Early Manual Therapy Group

EXPERIMENTAL

Routine physiotherapy program plus Mulligan's Mobilization with Movement technique were applied.

Other: Early Manual Therapy; Other: Routine Physiotherapy

Routine Physiotherapy Group

ACTIVE COMPARATOR

Only routine physiotherapy program was applied

Other: Routine Physiotherapy

Interventions

Early Manual Therapy OTHER

Mulligan's Mobilization with Movement technique for radiocarpal,ulnocarpal, distal radioulnar and proximal radioulnar joints was applied.

Early Manual Therapy Group

Routine Physiotherapy OTHER

Routine physiotherapy program consisted of range of motion, flexibility and strengthening exercises, and home exercise program was applied.

Early Manual Therapy Group; Routine Physiotherapy Group

Eligibility Criteria

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

You may qualify if:

• An age of eighteen years or older
• An unstable fracture of the distal end of the radius
• Fixation with a volar locking plate
• Able to read, write, and understand Turkish
• Willing and able to attend the study

You may not qualify if:

• Previous fracture on the injured side
• Concurrent fracture in contralateral upper extremity
• Accompanied bony and soft tissue injuries other than radius fracture
• Inflammatory joint diseases, metabolic diseases and neurological diseases
• Mental and cognitive disorders that would seriously affect cooperation

Sponsors & Collaborators

• Dokuz Eylul University: lead

Study Sites (1)

Dokuz Eylul University

Izmir, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Wrist Fractures; Radius Fractures

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Study Record Dates

• First Submitted: July 26, 2018
• First Posted: August 3, 2018
• Study Start: September 1, 2015
• Primary Completion: April 1, 2018
• Study Completion: May 1, 2018
• Last Updated: November 14, 2018

Record last verified: 2018-11

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)