Comparison of Kaltenborn Mobilization and Mobilization With Movement (MWM) in Wrist Hypomobility After Colle's Fracture

Not Applicable

Recruiting

• Conditions: Colles Fracture; Hypomobility

• Registration Number: NCT07060430
• Lead Sponsor: Foundation University Islamabad

Brief Summary

This study is a randomised control trial and the purpose of this study is to determine comparision of Kaltenborn Mobilization and Mobilization with Movement (MWM) in wrist Hpomobility after Colle's fracture.

Detailed Description

Participants will be recruited into their respective groups using a coin toss method. Lower crossed syndrome will be assessed using the following tests:

Kaltenborn mobilization at wrist Mulligan Mobilization with Movement at wrist Wrist, forearm and fingers ROM and isometric exercises. Introductory hand grip exercises Hand grip strengthening exercises

Study Timeline

• Study Start: 2024-09-15
• Study First Submitted: 2025-05-28
• Primary Completion: 2025-06-30
• Study Completion: 2025-06-30
• Status Verified: 2025-07
• Study First Submitted QC: 2025-07-01
• Last Update Submitted: 2025-07-01
• Study First Posted: 2025-07-11
• Last Update Posted: 2025-07-11

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Both male and female participants (40-70 years old) Participants who will have diagnosed Colle's fracture and treated conservatively by plaster cast fixation and should referred from department of orthopedic surgery Patients group with post Colle's fractures stiffness

Exclusion Criteria

• Patients having diagnosed Colle's fracture and treated with invasive procedure like K wiring, ORIF etc.

  • Patient with Neuromuscular injuries.(diagnosed)
  • Rheumatoid arthritis.
  • Patients with metacarpal fracture or compartment syndrome, non-union.(diagnosed)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Range of Motion at wrist	1st measurement taken before starting session (Baseline measurement) 2nd or post measurement taken after end of sessions (after 3 weeks) (2 points measurement would be taken) 9 treatment sessions in 3 weeks is total time period.	Range of Motion at wrist will be measured by goniometer
Wrist Pain	1st measurement taken after 3 or 4 sessions of treatment 2nd or last/post measurement taken at end of session (after 3 weeks) (2 points measurement would be taken).	Measured by PRWE questionnaire. Patient-Rated Wrist Evaluation is a 15-item questionnaire help to assess wrist pain and disability during daily tasks The Pain Subscale consists of 5 items, ranging from 0 to 10. The total score ranges from 0 (no pain) to 50 (maximum pain).
Functional disability	1st measurement taken after 3 or 4 sessions of treatment 2nd or last/post measurement taken at end of session (after 3 weeks) 2 points measurement would be taken)	Measured by PRWE questionnaire. Patient-Rated Wrist Evaluation is a 15-item questionnaire help to assess wrist pain and disability during daily tasks. The Function Subscale includes 10 questions divided into two parts-6 questions assess specific activities, and 4 questions assess usual activities. The score for this subscale also ranges from 0 (no difficulty) to 50 (maximum difficulty).

Secondary Outcome Measures

Name	Time	Method
Grip Strength	1st measurement taken before starting session (Baseline measurement) 2nd or post measurement taken after end of sessions (after 3 weeks) (2 points measurement would be taken) 9 treatment sessions in 3 weeks is total time period.	Hand held dynamometer was used to assess patient's grip strength. To assess strength, the person sat on chair with 90-degree hip and knee flexion, shoulder in adduction, and elbow flexed to 90 degrees. The forearm and wrist were in a resting position. The dynamometer is placed in the person's hand, and the therapist or examiner gently supports the base of the device. The person was asked to clench the dynamometer as hard as they can for a few seconds, maintaining a smooth and consistent effort. The dynamometer displayed the force generated by the person's grip, and the reading was recorded. The process was usually repeated multiple times (e.g., three trials) to get an average reading and ensure reliability.

Trial Locations

Locations (1)

Foundation University College of Physical Therapy; 🇵🇰 Islamabad, Pakistan