Effects of Early Manual Therapy on Functional Outcomes After Volar Plating of Distal Radius Fractures: A Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Dokuz Eylul University
- Enrollment
- 32
- Locations
- 1
- Primary Endpoint
- change in the function
Study Overview
Brief Summary
The aim of the study was to investigate the effects of early manual therapy on function, pain, range of motion (ROM), hand and pinch grip strength and disability level in patients underwent volar plating after distal radius fracture (DRF). Patients were randomly divided into two groups: Routin Physiotherapy (RP) or Early Manual Therapy (EMT). While RP group received routine physiotherapy, EMT group received routine physiotherapy plus Mulligan's Mobilization With Movement technique. All treatments were done two sessions a week, through 12 weeks. Function, pain, range of motion (ROM), hand and pinch grip strength and disability level of patients were assessed. Measurements were made at postoperative week 3, 6 and 12.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •An age of eighteen years or older
- •An unstable fracture of the distal end of the radius
- •Fixation with a volar locking plate
- •Able to read, write, and understand Turkish
- •Willing and able to attend the study
Exclusion Criteria
- •Previous fracture on the injured side
- •Concurrent fracture in contralateral upper extremity
- •Accompanied bony and soft tissue injuries other than radius fracture
- •Inflammatory joint diseases, metabolic diseases and neurological diseases
- •Mental and cognitive disorders that would seriously affect cooperation
Arms & Interventions
Early Manual Therapy Group
Routine physiotherapy program plus Mulligan's Mobilization with Movement technique were applied.
Intervention: Early Manual Therapy (Other)
Early Manual Therapy Group
Routine physiotherapy program plus Mulligan's Mobilization with Movement technique were applied.
Intervention: Routine Physiotherapy (Other)
Routine Physiotherapy Group
Only routine physiotherapy program was applied
Intervention: Routine Physiotherapy (Other)
Outcomes
Primary Outcomes
change in the function
Time Frame: postoperative week 6, 12.
Function was asssesed by using Patient Rated Wrist Evaluation (PRWE)
Secondary Outcomes
- change in disability(postoperative week 6, 12.)
- change in the severity of pain(postoperative day 1, postoperative week 3, 6, 12.)
- change in the range of motion (ROM)(postoperative week 3, 6, 12.)
- change in hand and pinch grip strength(postoperative week 3, 6, 12.)
Investigators
Murat TOMRUK
PhD
Dokuz Eylul University