Comparison of Mobilization with Movement and Muscle Energy Technique for patients with Distal End Radius Fracture
Overview
- Phase
- Phase 4
- Status
- Completed
- Sponsor
- Sancheti Institute Of Orthopaedics and Rehabilitation
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Pain evaluation- Visual Analogue Scale
Overview
Brief Summary
BACKGROUND: Fracture of the distal radius is a common clinical problem particularly in elderly women with osteoporosis. The effects of variousphysiotherapeutic techniques have been studied with less literature proving theefficacy of one over the other.
OBJECTIVE**:.** To compare the effects of MobilizationWith Movement (MWM) and Muscle Energy Technique (MET) in patients with distalend radius fracture for reducing pain, improving Range of Motion ,Grip Strengthand Functional Status.
DESIGN: Double blinded, randomizedcontrolled trial.
METHOD: 60 patients , 40-60 yrs , withunilateral Distal End Radius Fracture included in the study and randomized withcomputer generated allocation, being 20 in each group. Group A receivedConventional Exercises, Group B Mulligan Mobilization with movement and ConventionalExercises and Group C Muscle Energy Technique and Conventional Exercises. TheVAS score, DASH score, Grip Strength and Radio-Carpal and Radio-Ulnar ROM wereevaluated before the intervention was started, at end of 2 week (supervisedintervention- minimum of 12 sessions out of 15) and at end of 4 week (homeexercise program- 15days). All groups were advised contrast bath at home andhome exercise program which included strengthening exercises. A mixed ANOVA wasdone to analyze the data obtained.
RESULTS: All 3 groups showed asignificant improvement in all the parameter over time (p<0.05) Although, incomparison among groups, MET with Conventional Exercises showed better resultsas compared to MWM with Conventional Exercises.
LIMITATIONS**:** The study included patientshaving any type of fracture of Distal End of Radius and mode of Treatment wasalso not considered.
CONCLUSION: MET, MWM and Conventional Therapyall are effective in reducing pain, improving ROM, Grip Strength and FunctionalStatus(DASH Score). MET withConventional Exercises ,being more effective as compared to other two treatmenttechniques on basis of the same outcome measure at the end of 4 weeks.
Study Design
- Study Type
- Interventional
- Allocation
- Computer generated randomization
- Masking
- Participant and Outcome Assessor Blinded
Eligibility Criteria
- Ages
- 40.00 Year(s) to 60.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •1.Pain –VAS score >5/10 2.Only Unilateral cases 3.Patient diagnosed with Distal End Radius Fracture (Post 6weeks from day of injury) Mode of Treatment selected were – Conervatively managed with Plaster of Paris cast, Closed reduction with K-wire, open reduction internal fixation with Ellis plating, External Fixator.
Exclusion Criteria
- •Patients having any recent injuries to the Hand ,Wrist, Elbow and Shoulders in the past 1 year on the ipsilateral side.
- •Patients who have had Distal End Radius Fracture in the past.
- •(Re-fracture cases due to osteoporosis or any other reasons).
Outcomes
Primary Outcomes
Pain evaluation- Visual Analogue Scale
Time Frame: 1.On the day of 1st session(Pre-treatment) | 2.At end of 2 weeks post treatment | 3.At end of 4 weeks post treatment
ROM- Wrist and Radioulnar Joint Range of Motion with half cicrle goniometer
Time Frame: 1.On the day of 1st session(Pre-treatment) | 2.At end of 2 weeks post treatment | 3.At end of 4 weeks post treatment
Function-Disability of Arm, Shoulder and Hand (DASH)
Time Frame: 1.On the day of 1st session(Pre-treatment) | 2.At end of 2 weeks post treatment | 3.At end of 4 weeks post treatment
Grip Strength- Grip Dynamometer
Time Frame: 1.On the day of 1st session(Pre-treatment) | 2.At end of 2 weeks post treatment | 3.At end of 4 weeks post treatment
Secondary Outcomes
- Pain evaluation- Visual Analogue Scale(ROM- Wrist and Radioulnar Joint Range of Motion with half cicrle goniometer)