Early Active Controlled Motion (EACM) Rehabilitation Protocol Post Open Reduction and Internal Fixation (ORIF) of Scaphoid Fractures: A Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 主要终点
- functional outcome range of motion
研究概览
简要总结
There is poor research supporting the benefits of Early Active Controlled Motion (EACM) protocols post operative scaphoid fixation. Advances in surgical fixation technique for scaphoid fractures should allow for start of earlier mobilization, however there is little evidence in the literature that supports the use of these protocols within the early phases of healing. The study uses a pre-experimental design with purposeful sample population recruitment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Date of injury and diagnosis: scaphoid fracture less than 3 weeks old
- •Waist fractures in the middle 1/3 and distal pole 1/3 of scaphoid bone.
- •Surgical procedure includes ORIF with screw fixation and/or percutaneous pin with screw fixation.
- •To be included in the study the patient needs to have started rehab within the first 10 days after surgery date.
排除标准
- •Proximal pole scaphoid fracture
- •Past medical history of diabetes and other peripheral vascular disorders.
- •History of osteopenia and osteoporosis.
- •Previously failed ORIF of scaphoid
- •Neurovascular or nerve lesion to the involved upper extremity
- •Cognitive deficits related to memory, attention span, judgment as documented in the EMR or need for a legal guardian to be a medical proxy
研究组 & 干预措施
Post scaphoid fracture with screw fixation
Post surgical rehabilitation using an early active controlled wrist motion rehab protocol that limits the amount of proximal carpal row loading forces
干预措施: Early Active Controlled Motion (EACM) (Other)
结局指标
主要结局
functional outcome range of motion
时间窗: at entry and up to 12 months
Using a goniometer measuring the angle of wrist flexion and extension NEED TO ENTER EXPECTED ROM ranges
次要结局
未报告次要终点