The Use and Meaning of Wrist Orthosis for Persons With Distal Radius Fracture After Cast Removal
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Type of activities with wrist orthosis
Study Overview
Brief Summary
The aim of this study is to investigate the use and meaning of wrist orthosis in everyday occupation after cast removal for adults with non-surgical treatment of distal radius fracture.
Detailed Description
To be able to do meaningful occupations in everyday life is important for human health and well-being. We use our hands in mostly activities and the hands is also used to interpret and express feelings as a social link to others. A traumatic hand injury, such as a distal radius fracture (DRF), alter the conditions for everyday occupation for the person affected.
DRF affects 25,000 people in Sweden each year. The treatment is either conservative with a plaster cast for approximately four weeks, or surgical. At time for cast removal the fracture is clinical stable, but cannot withstand full load in everyday occupations. Normally the person has difficulties to grip and to use the hand.
The occupational therapist (OT) provide the person with information, training program and often a wrist orthosis. The purpose of the wrist orthosis is to reduce pain, risk of overload of the fracture and to facilitate the use of the hand. The wrist orthosis referred in this study is two different prefabricated (of the shelf) types; a semi-rigid orthosis in elastic fabric with a volar splint or a short elastic wrist orthosis without a splint. Both meant to be worn when the person use the hand in everyday occupation. These wrist orthosis is commonly used in Sweden.
There is a lack research of this kind of wrist orthosis after cast removal for persons with DRF. There are studies of passive treatment orthosis designed to increase movement of the wrist or to reduce pain. Those orthosis is not meant to be worn in everyday occupation. There is however support in research that semi-rigid wrist orthosis i beneficial for persons with rheumatoid arthritis.
Method:
Study Design
- Study Type
- Observational
- Observational Model
- Other
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •adults with unilateral distal radius fracture, non-operated, treated with cast for 25-31 Days
- •participants shall be treated at Sjukhusen i väster/Alingsås lasarett and get rehabilitation from occupational therapist in hospital rehabilitation clinic or in primary care rehabilitation clinic in Alingsås
Exclusion Criteria
- •At time for decasting are pain free and have less than 20 degrees reduction of ROM in the wrist
- •Another disease or injury that affects pain, joint mobility and/or strength such as rheumatoid arthritis or neurological disease.
- •Not able to communicate in Swedish, due to self-report Formulas and interview
Outcomes
Primary Outcomes
Type of activities with wrist orthosis
Time Frame: 5-6 weeks after fracture and 12 weeks after fracture
Self-reported values of type of activities with wrist orthosis, activities categorized accordingly to Canadian Occupational Performance Measure
Perceived usefulness and value of wrist orthosis in different activities
Time Frame: 5-6 weeks after fracture and 12 weeks after fracture
self-reported value of usefulness/value in different activities
Time for use of wrist orthosis
Time Frame: 5-6 weeks after fracture and 12 weeks after fracture
self-reported values of time with wrist orthosis day-time and during night
Secondary Outcomes
- Type of obstacles of the wrist orthosis(5-6 weeks after fracture and 12 weeks after fracture)
- Type of usefulness of the wrist orthosis(5-6 weeks after fracture and 12 weeks after fracture)