NCT03649542

Brief Summary

BACKGROUND: Wrist fractures are a common upper extremity injury treated by hand therapists. Currently, there is a dearth of published literature supporting the use Fluidotherapy® to improve pain and range of motion (ROM) in wrist fracture patients. \\OBJECTIVE: This pilot study was conducted to determine the effects of one 15-minute bout of performing active range of motion (AROM) exercises in Fluidotherapy® (EXFT) versus AROM exercises (EX) alone on pain levels and AROM in wrist fracture subjects. METHODS: Eight subjects diagnosed with a wrist fracture (distal radius fracture, distal radius/ulna fractures, or distal ulna fracture) and referred to outpatient rehabilitation/occupational therapy were recruited upon his/her initial therapy evaluation. RESULTS: There were no significant differences between EX and EXFT groups in all outcome variables except for self-reported numeric pain scores (p=0.03\*) and a trend towards significance in pronation AROM (p=0.06\*\*). Even with a small sample size (n=8) there were significant differences in self-reported pain between the two groups. CONCLUSION: This study confirms that even after one 15-minute bout of AROM exercises in Fluidotherapy® treatment, patients report improved pain tolerance and may be useful in pain management techniques after a wrist fracture.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
37

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jul 2009

Longer than P75 for not_applicable

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

July 27, 2009

Completed
4.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 13, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 13, 2014

Completed
4.6 years until next milestone

First Submitted

Initial submission to the registry

August 24, 2018

Completed
4 days until next milestone

First Posted

Study publicly available on registry

August 28, 2018

Completed
Last Updated

April 5, 2024

Status Verified

April 1, 2024

Enrollment Period

4.5 years

First QC Date

August 24, 2018

Last Update Submit

April 3, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • active range of motion (AROM)

    Using a goniometer, Scale and measured the patient's supination, pronation, wrist flexion and extension, wrist radial deviation, and wrist ulnar deviation.

    15 minutes after

Study Arms (2)

Fluidotherapy® plus exercises group (FLO)

ACTIVE COMPARATOR

The Fluidotherapy® Unit and exercises group (FLO). They were required to complete wrist exercises in Fluidotherapy® Unit box for 15 minutes with the following exercises finger abduction/adduction, finger flexion/extension, forearm supination/pronation, wrist flexion/extension, and wrist radial deviation/ulnar deviation. Each patient performed two sets of fifteen repetitions for each exercise, totaling 15-minutes.

Other: Fluidotherapy plus exercise

Exercises only group (EX)

NO INTERVENTION

They were required to complete wrist exercises in the air for 15 minutes, including abduction/adduction, finger flexion/extension, forearm supination/pronation, wrist flexion/extension, and wrist radial deviation/ulnar deviation. Each patient performed two sets of fifteen repetitions for each exercise, totaling 15-minutes.

Interventions

The Fluidotherapy® unit (ULTRA 115: Henley International, Sugar Land, Texas) is a high intensity heat modality consisting of a dry whirlpool of finely divided solid particles suspended in a heated air stream. A certified technician The cleaned the Fluidotherapy® unit per the user manual.

Also known as: Exercise Only
Fluidotherapy® plus exercises group (FLO)

Eligibility Criteria

Age18 Years - 85 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Participants must be referred to outpatient rehabilitation at St. Thomas Hospital, Akron, Ohio.
  • Patients diagnosed with a wrist fracture will include those patients with distal radius fractures, distal radius/ulna fractures, and distal ulna fractures. Patients who have had closed reductions, open reductions, internal fixation, and/or external fixation will all be included.
  • Patients will be recruited for this study if they have been cleared by the referring physician on the order to safely begin wristrange of motion.

You may not qualify if:

  • Have open wounds
  • Have Hepatitis
  • Currently have chicken pox or shingles
  • Have other serious fractures in the arm
  • Have blood circulation problems in the arms or legs
  • Do not have a physician referral to outpatient rehab
  • Fractured wrist less than 6-weeks old as of evaluation day
  • Fractured wrist over a year ago
  • Under the age of 18 and over the age of 85 years at the time of participation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Wrist Fractures

Interventions

Exercise

Condition Hierarchy (Ancestors)

Wrist InjuriesArm InjuriesWounds and InjuriesFractures, Bone

Intervention Hierarchy (Ancestors)

Motor ActivityMovementMusculoskeletal Physiological PhenomenaMusculoskeletal and Neural Physiological Phenomena

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Pre/Post
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 24, 2018

First Posted

August 28, 2018

Study Start

July 27, 2009

Primary Completion

January 13, 2014

Study Completion

January 13, 2014

Last Updated

April 5, 2024

Record last verified: 2024-04

Data Sharing

IPD Sharing
Will not share