Neuromuscular Stimulation in the Distal Radius Fractures
The Effectiveness of Neuromuscular Stimulation in the Rehabilitation of Operated Distal Radius Fractures
1 other identifier
interventional
36
0 countries
N/A
Brief Summary
Distal radius fractures (DRFs) are fractures affecting the wrist and occurring in the distal portion of the radius bone. DRFs can also be classified as Colles, Barton, Smith, and Hutchinson/Chauffeur fractures according to the characteristics of the fracture. The incidence of these fractures shows a bimodal distribution. In young adults, distal radius fractures occur more often as a result of high-energy traumas (e.g., traffic accidents or impacts during contact sports), while in older adults, especially during winter months, low-energy falls from standing height (falling onto an outstretched hand) are a more common cause.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Sep 2026
Shorter than P25 for not_applicable
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
First Submitted
Initial submission to the registry
August 7, 2026
CompletedFirst Posted
Study publicly available on registry
August 10, 2026
CompletedStudy Start
First participant enrolled
September 1, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2027
Study Completion
Last participant's last visit for all outcomes
June 1, 2027
August 10, 2026
August 1, 2026
8 months
August 7, 2026
August 7, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (8)
Visual analog scale
A visual analog scale will be used to evaluate the patients' current pain severity. This scale is one of the frequently preferred scales to evaluate the pain intensity of patients during rest, activity and night. The scale has a 10 cm long line where the patient can mark the intensity of pain. The patient will be asked to indicate the degree of pain intensity between no pain (left part) and unbearable pain (right part) of the line.
Baseline
Visual analog scale
A visual analog scale will be used to evaluate the patients' current pain severity. This scale is one of the frequently preferred scales to evaluate the pain intensity of patients during rest, activity and night. The scale has a 10 cm long line where the patient can mark the intensity of pain. The patient will be asked to indicate the degree of pain intensity between no pain (left part) and unbearable pain (right part) of the line.
4th week
Edema
Edema measurement will be done using a thin measuring tape, measuring in figure-eight increments, and recorded in centimeters.
Baseline
Edema
Edema measurement will be done using a thin measuring tape, measuring in figure-eight increments, and recorded in centimeters.
4th week
Grip Strength
The Jamar hand dynamometer, recommended by the American Association of Hand Therapists (AETD) and considered the gold standard due to its high validity and reliability in numerous studies, will be used to measure hand grip strength. Hand grip strength will be measured in the standard position recommended by the AETD: seated, with shoulder adduction and neutral rotation, elbow 90 degrees flexion, forearm mid-rotation and supported, and wrist in neutral position. According to the test procedure, three consecutive measurements of hand grip strength will be taken, and the averages will be recorded in kilograms.
Baseline
Grip Strength
The Jamar hand dynamometer, recommended by the American Association of Hand Therapists (AETD) and considered the gold standard due to its high validity and reliability in numerous studies, will be used to measure hand grip strength. Hand grip strength will be measured in the standard position recommended by the AETD: seated, with shoulder adduction and neutral rotation, elbow 90 degrees flexion, forearm mid-rotation and supported, and wrist in neutral position. According to the test procedure, three consecutive measurements of hand grip strength will be taken, and the averages will be recorded in kilograms.
4th week
Pinch Strength
Pinch strength measurement will be performed in the standard position recommended by AETD; sitting position, shoulder in adduction and neutral rotation, elbow 90 degrees flexion, forearm in mid-rotation and supported, wrist in neutral position. According to the test procedure, 3 consecutive measurements will be taken for pinch strength and the averages will be recorded in kg.
Baseline
Pinch Strength
Pinch strength measurement will be performed in the standard position recommended by AETD; sitting position, shoulder in adduction and neutral rotation, elbow 90 degrees flexion, forearm in mid-rotation and supported, wrist in neutral position. According to the test procedure, 3 consecutive measurements will be taken for pinch strength and the averages will be recorded in kg.
4th week
Secondary Outcomes (2)
Patient-Reported Wrist Assessment Questionnaire
Baseline
Patient-Reported Wrist Assessment Questionnaire
4th week
Study Arms (2)
Traditional Treatment
ACTIVE COMPARATORIndividuals in this group will undergo passive, active-assisted, and active hand and wrist joint exercises. The exercises will be tailored to protocols reported as safe and effective in the literature.
Neuromuscular Stimulation
EXPERIMENTALIndividuals in this group will receive neuromuscular stimulation in addition to the Traditional Treatment protocol.
Interventions
active joint movements of the hand and wrist, passive, active-assisted and active stretching exercises
Neuromuscular stimulation will be applied to the m. flexor digitorum superficialis and m. flexor digitorum profundus muscles.
Eligibility Criteria
You may qualify if:
- Patients who underwent open reduction and volar plate surgery due to distal radius fracture (DRF) evaluated with plain radiography and CT scans.
You may not qualify if:
- Polytrauma
- Surgical intervention other than volar plate
- History of surgery on the affected extremity
- Injury to multiple anatomical sites in the affected extremity
- Hemiplegia or contracture in the affected extremity
- Major complications such as postoperative neurovascular injury and hematoma
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (3)
Horoz L, Karacay BC, Ceylan I, Cakmak MF. Is home-based real-time video conferencing telerehabilitation as effective as conventional face-to-face rehabilitation in patients with operated for distal radius fracture? A single-blind, randomized prospective study. Turk J Phys Med Rehabil. 2024 Apr 26;70(4):506-516. doi: 10.5606/tftrd.2024.13739. eCollection 2024 Dec.
PMID: 40028408BACKGROUNDCigdem-Karacay B, Horoz L, Ceylan I, Alkan H. Effectiveness of instrument-assisted soft tissue mobilization in patients operated for distal radius fracture: A randomized controlled blinded clinical study. J Hand Ther. 2026 Jan-Mar;39(1):236-244. doi: 10.1016/j.jht.2025.05.009. Epub 2025 Jul 5.
PMID: 40619299BACKGROUNDCigdem-Karacay B, Horoz L, Ceylan I, Alkan H. The effectiveness of dry heat treatment (fluidotherapy) in patients with distal radius fracture followed conservatively: a single-blinded, randomized controlled clinical study. Rev Assoc Med Bras (1992). 2025 Dec 8;71(11):e20250806. doi: 10.1590/1806-9282.20250806. eCollection 2025.
PMID: 41370488BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Basak Cigdem Karacay, Assoc Prof
Kirsehir Ahi Evran Universitesi
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Masking Details
- Outcomes Assessor is unaware of the groups.
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr
Study Record Dates
First Submitted
August 7, 2026
First Posted
August 10, 2026
Study Start (Estimated)
September 1, 2026
Primary Completion (Estimated)
May 1, 2027
Study Completion (Estimated)
June 1, 2027
Last Updated
August 10, 2026
Record last verified: 2026-08
Data Sharing
- IPD Sharing
- Will not share