Addition of Unilateral Training of the Uninjured Limb to Standard Rehabilitation on Grip Strength and Manual Dexterity of Patients with Surgically Treated Distal Radius Fracture.
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Enrollment
- 52
- Locations
- 1
- Primary Endpoint
- Handgrip strength
Study Overview
Brief Summary
The objective will be to determine the effectiveness of adding unilateral upper limb postoperative training to standard rehabilitation compared to standard rehabilitation on maximum grip strength and manual dexterity in patients aged 30-50 years with surgically treated distal radius fracture. It is presumed that the addition of unilateral upper limb training will significantly improve maximum grip strength and manual dexterity at the end of the intervention period compared to the group receiving only standard rehabilitation.
Patients who agree to participate in this research will be randomly assigned to a control group (standard rehabilitation with unilateral training with mobility exercises) or an experimental group (standard rehabilitation with unilateral high-intensity strength training). The duration of the postoperative intervention will be 12 weeks. The primary variables are maximum grip strength and manual dexterity. Secondary variables are wrist mobility, forearm circumference, maximum voluntary isometric strength, functionality and health-related quality of life. Results will be measured at 0, 6 and 12 weeks postoperative.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Investigator, Outcomes Assessor)
Masking Description
Opaque sealed envelopes
Eligibility Criteria
- Ages
- 30 Years to 50 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age between 30-50 years
- •Radiological diagnosis of unilateral distal radius fracture without concomitant fractures.
- •Fracture treated surgically.
Exclusion Criteria
- •Patients with lesion of the triangular fibrocartilage.
- •Patients with distal radius fracture with consolidation disorders.
- •Patients with health conditions that cause pain or affect the motor skills of the upper limb (radiocarpal osteoarthritis, carpal tunnel syndrome, Quervain's tenosynovitis, neurodegenerative diseases, sequelae of stroke)
- •Patients with multi-site pain or chronic polyarticular diseases such as osteoarthritis or rheumatoid arthritis.
- •Unstable cardiovascular, respiratory, systemic or metabolic conditions that do not allow high-intensity physical exercise.
- •Patients who are taking nutritional supplements that interfere with the regulation of skeletal muscle strength and mass (example: whey protein, creatine, etc.)
- •Inability to understand, read and/or speak the Spanish language.
Arms & Interventions
Standard rehabilitation plus unilateral high-intensity strength exercise
Participants will undergo progressive strength training based on eccentric contractions during the mobilization and strengthening phases of standard rehabilitation.
Intervention: Standard rehabilitation (Other)
Standard rehabilitation plus unilateral high-intensity strength exercise
Participants will undergo progressive strength training based on eccentric contractions during the mobilization and strengthening phases of standard rehabilitation.
Intervention: Unilateral high-intensity strength exercise (Other)
Standard rehabilitation plus unilateral mobility exercises
Participants will undergo active mobility training of the pronation-supination movements during the mobilization and strengthening phases of standard rehabilitation
Intervention: Standard rehabilitation (Other)
Standard rehabilitation plus unilateral mobility exercises
Participants will undergo active mobility training of the pronation-supination movements during the mobilization and strengthening phases of standard rehabilitation
Intervention: Unilateral mobility exercises (Other)
Outcomes
Primary Outcomes
Handgrip strength
Time Frame: 0, 6 and 12 weeks
Jamar grip dynamometer (kilos)
Manual dexterity
Time Frame: 0, 6 and 12 weeks
Functional Dexterity Test (Seconds)
Secondary Outcomes
- Self-reported wrist function(0, 6 and 12 weeks)
- Health-related quality of life(0, 6 and 12)
- Maximum voluntary isometric strength.(0, 6 and 12 weeks)
- Self-reported upper limb function.(0, 6 and 12 weeks)
- Active range motion(0, 6 and 12 weeks)
- Pain intensity(0, 6 and 12 weeks)
- Forearm circumference(0, 6 and 12 weeks)
Investigators
Iván Alejandro Cuyul Vásquez
Principal Investigator
Universidad Catolica de Temuco