Effects of Early Manual Therapy on Functional Outcomes After Volar Plating of Distal Radius Fractures

Not Applicable

Completed

• Conditions: Distal Radius Fracture
• Interventions: Other: Early Manual Therapy; Other: Routine Physiotherapy

• Registration Number: NCT03613922
• Lead Sponsor: Dokuz Eylul University

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2015-09
• Primary Completion: 2018-04
• Study Completion: 2018-05
• Study First Submitted: 2018-07-26
• Study First Submitted QC: 2018-08-02
• Study First Posted: 2018-08-03
• Status Verified: 2018-11
• Last Update Submitted: 2018-11-12
• Last Update Posted: 2018-11-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 32

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Early Manual Therapy Group	Early Manual Therapy	Routine physiotherapy program plus Mulligan's Mobilization with Movement technique were applied.
Routine Physiotherapy Group	Routine Physiotherapy	Only routine physiotherapy program was applied
Early Manual Therapy Group	Routine Physiotherapy	Routine physiotherapy program plus Mulligan's Mobilization with Movement technique were applied.

Primary Outcome Measures

Name	Time	Method
change in the function	postoperative week 6, 12.	Function was asssesed by using Patient Rated Wrist Evaluation (PRWE)

Secondary Outcome Measures

Name	Time	Method
change in the severity of pain	postoperative day 1, postoperative week 3, 6, 12.	Severity of pain was assessed by using Visual Analogue Scale (VAS), which ranges between 0-10 points, 0 represents no pain and 10 denotes maximum pain intensity.
change in the range of motion (ROM)	postoperative week 3, 6, 12.	ROM was assesed by using an universal goniometer
change in hand and pinch grip strength	postoperative week 3, 6, 12.	hand and pinch grip strength was assesed by using hydrolic hand and finger dynamometers.
change in disability	postoperative week 6, 12.	Disability level was assesed by using Disabilities of Arm, Shoulder and Hand (DASH) questionnaire.

Trial Locations

Locations (1)

Dokuz Eylul University; 🇹🇷 Izmir, Turkey