Paper- vs Digital Application-based Exercises to Support Rehabilitation After Osteosynthesis of Distal Radius Fracture

NCT06005857 | Recruiting DMC

• 1 other identifier: PhysiAppHFR
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to evaluate the difference between the use of paper- versus application-based (smartphone application) exercises in the rehabilitation of intra-articular fractures of the distal radius at the Cantonal Hospital of Fribourg, Switzerland. The operation itself will proceed as usual. However, the rehabilitation will be aided by exercises based either on a paper support or on a digital application (smartphone application), in addition to follow-up by a hand therapist. The aim is to determine which support provides the best improvement in wrist mobility and function, and to speed up the return to work.

Conditions

Distal Radius Fracture

Keywords

distal radius fracture; smartphone application; post-operative rehabilitation; open reduction and internal fixation; range of motion

Outcome Measures

Primary Outcomes (1)

• Range of motion in flexion-extension

  Measurement (in degrees) of joint mobility using a goniometer

  From enrollment to the end of treatment at 3 months

Secondary Outcomes (1)

• Wrist fonction score

  From enrollment to the end of treatment at 3 months

Study Arms (2)

Experimental group

EXPERIMENTAL

The group will receive standard hand therapy program + rehabilitation program sustained by the use of a digital application.

Other: Standard hand therapy + home digital application-based exercises

Control group

ACTIVE COMPARATOR

The control group will receive a standard hand therapy program + paper-based (standard) rehabilitation program.

Other: standard hand therapy + home paper-based exercises

Interventions

Standard hand therapy + home digital application-based exercises OTHER

Standard post-operative hand rehabilitation and home digital application-based exercises

Experimental group

standard hand therapy + home paper-based exercises OTHER

Standard post-operative hand rehabilitation and home paper-based exercises

Control group

Eligibility Criteria

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

You may qualify if:

• Complete intra-articular DRF (classification AO 23 C1, C2 or C3)
• Simple palmar operative approach
• Simple palmar plate fixation
• Age 18-65 years
• Worker
• Own either a smartphone or other wireless device
• Consent form signed
• French or German speaker

You may not qualify if:

• Extra-articular or partial-articular DRF
• Double/triple operative approaches needed
• Bilateral procedure
• Fracture aged than more of 2 weeks
• Patient refusal/no informed consent
• Inability to give informed consent
• Previous wrist injury or surgery
• Rheumatoid polyarthritis

Sponsors & Collaborators

• Hôpital Fribourgeois: lead

Study Sites (1)

HFR Fribourg

Fribourg, 1708, Switzerland

RECRUITING

Related Publications (14)

• Lu C, Hu Y, Xie J, Fu Q, Leigh I, Governor S, Wang G. The Use of Mobile Health Applications to Improve Patient Experience: Cross-Sectional Study in Chinese Public Hospitals. JMIR Mhealth Uhealth. 2018 May 23;6(5):e126. doi: 10.2196/mhealth.9145.

  PMID: 29792290 BACKGROUND

• Valdes K, Gendernalik E, Hauser J, Tipton M. Use of mobile applications in hand therapy. J Hand Ther. 2020 Apr-Jun;33(2):229-234. doi: 10.1016/j.jht.2019.10.003. Epub 2020 Apr 3.

  PMID: 32253058 BACKGROUND

• Murfin M. Know your apps: an evidence-based approach to evaluation of mobile clinical applications. J Physician Assist Educ. 2013;24(3):38-40. doi: 10.1097/01367895-201324030-00008.

  PMID: 24261171 BACKGROUND

• Wallace S, Clark M, White J. 'It's on my iPhone': attitudes to the use of mobile computing devices in medical education, a mixed-methods study. BMJ Open. 2012 Aug 24;2(4):e001099. doi: 10.1136/bmjopen-2012-001099. Print 2012.

  PMID: 22923627 BACKGROUND

• Lyngcoln A, Taylor N, Pizzari T, Baskus K. The relationship between adherence to hand therapy and short-term outcome after distal radius fracture. J Hand Ther. 2005 Jan-Mar;18(1):2-8; quiz 9. doi: 10.1197/j.jht.2004.10.008.

  PMID: 15674780 BACKGROUND

• Wakefield AE, McQueen MM. The role of physiotherapy and clinical predictors of outcome after fracture of the distal radius. J Bone Joint Surg Br. 2000 Sep;82(7):972-6. doi: 10.1302/0301-620x.82b7.10377.

  PMID: 11041584 BACKGROUND

• Brehmer JL, Husband JB. Accelerated rehabilitation compared with a standard protocol after distal radial fractures treated with volar open reduction and internal fixation: a prospective, randomized, controlled study. J Bone Joint Surg Am. 2014 Oct 1;96(19):1621-30. doi: 10.2106/JBJS.M.00860.

  PMID: 25274787 BACKGROUND

• Kay S, McMahon M, Stiller K. An advice and exercise program has some benefits over natural recovery after distal radius fracture: a randomised trial. Aust J Physiother. 2008;54(4):253-9. doi: 10.1016/s0004-9514(08)70004-7.

  PMID: 19025505 BACKGROUND

• Christensen OM, Kunov A, Hansen FF, Christiansen TC, Krasheninnikoff M. Occupational therapy and Colles' fractures. Int Orthop. 2001;25(1):43-5. doi: 10.1007/s002640000183.

  PMID: 11374267 BACKGROUND

• Ezzat A, Baliga S, Carnegie C, Johnstone A. Volar locking plate fixation for distal radius fractures: Does age affect outcome? J Orthop. 2016 Feb 22;13(2):76-80. doi: 10.1016/j.jor.2016.01.001. eCollection 2016 Jun.

  PMID: 27053837 BACKGROUND

• Mattila VM, Huttunen TT, Sillanpaa P, Niemi S, Pihlajamaki H, Kannus P. Significant change in the surgical treatment of distal radius fractures: a nationwide study between 1998 and 2008 in Finland. J Trauma. 2011 Oct;71(4):939-42; discussion 942-3. doi: 10.1097/TA.0b013e3182231af9.

  PMID: 21986738 BACKGROUND

• Al Khudairy A, Hirpara KM, Kelly IP, Quinlan JF. Conservative treatment of the distal radius fracture using thermoplastic splint: pilot study results. Eur J Orthop Surg Traumatol. 2013 Aug;23(6):647-50. doi: 10.1007/s00590-012-1042-8. Epub 2012 Jul 14.

  PMID: 23412175 BACKGROUND

• Jerrhag D, Englund M, Karlsson MK, Rosengren BE. Epidemiology and time trends of distal forearm fractures in adults - a study of 11.2 million person-years in Sweden. BMC Musculoskelet Disord. 2017 Jun 2;18(1):240. doi: 10.1186/s12891-017-1596-z.

  PMID: 28576135 BACKGROUND

• Court-Brown CM, Caesar B. Epidemiology of adult fractures: A review. Injury. 2006 Aug;37(8):691-7. doi: 10.1016/j.injury.2006.04.130. Epub 2006 Jun 30.

  PMID: 16814787 BACKGROUND

MeSH Terms

Conditions

Wrist Fractures

Condition Hierarchy (Ancestors)

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

Study Officials

• Thomas TM Mészaros, MD

  HFR Fribourg, Hôpital Cantonal

  STUDY DIRECTOR

Central Study Contacts

Daniel DE Estoppey

CONTACT

0041 26 306 27 90; daniel.estoppey@gmail.com

Thomas TM Mészaros, MD

CONTACT

0041 26 306 27 90; thomas.meszaros@h-fr.ch

Study Design

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

Study Record Dates

• First Submitted: August 9, 2023
• First Posted: August 23, 2023
• Study Start: January 23, 2024
• Primary Completion: March 15, 2024
• Study Completion: June 30, 2025
• Last Updated: April 23, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will not share

Locations

CH (1)