Study Comparing Cyriax Mobilization and Muscle Energy Techniques for Improving Arm Function in People Recovering From Surgery for Distal Radius (Wrist) Fractures

NCT07081113 | Not Yet Recruiting

• 1 other identifier: Cyrixmob
• Study Type: interventional
• Target: 72
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study aims to compare the effects of Cyriax Mobilization and Muscle Energy Techniques (METs) on functional recovery in patients who have undergone surgical fixation of distal radius fractures. A total of 72 participants between 18 and 40 years old will be randomly assigned to two groups. One group will receive Cyriax Mobilization with conventional therapy, while the other will receive METs with conventional therapy. Treatment will last four weeks with three sessions per week. Researchers will measure grip strength, pain levels, range of motion, and functional ability using standard assessment tools. The goal is to determine which therapy is more effective in improving hand and wrist function after surgery.

Conditions

Distal Radius Fracture Fixation; Stiffness of Hand, Not Elsewhere Classified

Outcome Measures

Primary Outcomes (1)

• Grip Strength

  Measured using a hand-held dynamometer. The highest value from three trials is recorded in kilograms.

  Baseline, Week 2, Week 4

Study Arms (2)

Group A - Cyriax Mobilization

EXPERIMENTAL

Participants in this group will receive Cyriax Mobilization along with conventional physical therapy and radiocarpal mobilization.

Other: Cyriax Mobilization

Group B - Muscle Energy Techniques (METs)

EXPERIMENTAL

Participants in this group will receive Muscle Energy Techniques (reciprocal inhibition method) along with conventional physical therapy and radiocarpal mobilization.

Other: Muscle Energy Technique (MET)

Interventions

Cyriax Mobilization OTHER

Deep transverse friction massage applied to the wrist and forearm muscles, 3 sessions/week for 4 weeks, along with TENS and hot packs.

Group A - Cyriax Mobilization

Muscle Energy Technique (MET) OTHER

Isometric contractions performed against therapist resistance to improve range of motion and reduce pain, 3 sessions/week for 4 weeks.

Group B - Muscle Energy Techniques (METs)

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients aged 18 to 40 years Both male and female participants Patients in the post-operative phase (4-5 weeks after distal radius fracture fixation) Patients with post-operative wrist stiffness and limited range of motion

You may not qualify if:

• Open wounds at the fracture site or other fracture complications History of previous fracture in the same limb Comorbid conditions affecting hand function (e.g., rheumatoid arthritis) Neurological deficits (e.g., wrist drop, carpal tunnel syndrome) Pregnancy

Sponsors & Collaborators

• University of Lahore: lead

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: SPONSOR

Study Record Dates

• First Submitted: July 14, 2025
• First Posted: July 23, 2025
• Study Start: July 1, 2025
• Primary Completion: September 29, 2025
• Study Completion: November 15, 2025
• Last Updated: July 23, 2025

Record last verified: 2025-03