Distal Radial Fractures in Adult Patients: 4 Weeks Versus 6 Weeks of Cast Immobilization-A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Quick Disability of Arm, Shoulder, and Hand (Quick DASH)
研究概览
简要总结
Post-intervention outcomes comparing casting in distal radius fractures of four weeks versus six weeks.
详细描述
Cast immobilization for 6 weeks remains the mainstay of therapy for distal radius fractures. To challenge the therapeutic time frame, participants will be randomized into two arms, and the treatment arm will undergo immobilization for 4 weeks. Outcomes will be assessed at cast removal and then at 3 and 6 months prospectively using the Quick-DASH score and the DASH score (only at 6 months).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with DRF undergoing conservative management with cast immobilization
- •Age between 18 to 50 years.
排除标准
- •Any syndromic patients
- •Any patients with musculoskeletal disease
- •Patients having osteoporosis
- •Post-menopausal females
- •Ages less than 18 or greater than 50
- •Patients presenting with intra-articular fractures
研究组 & 干预措施
Cast immobilization for six weeks
Scotch cast immobilization for a period of six weeks applied to distal radius fractures
干预措施: Short Arm Cast for Distal Radius Fracture for six weeks (Procedure)
Cast immobilization for four weeks
Scotch cast immobilization for a period of four weeks applied to distal radius fractures.
干预措施: Short Arm Cast for Distal Radius Fracture for four weeks (Procedure)
结局指标
主要结局
Quick Disability of Arm, Shoulder, and Hand (Quick DASH)
时间窗: Six weeks (Cast Removal)
Quick Disability of Arm, Shoulder, and Hand (Quick DASH) score is calculated using a formula based on responses to an 11-item questionnaire. Scores range from 0 to 100, where 0 indicates no disability and 100 indicates the most severe disability.
Quick Disability of Arm, Shoulder, and Hand (Quick DASH)
时间窗: 3 months after cast removal
Quick Disability of Arm, Shoulder, and Hand (Quick DASH) score is calculated using a formula based on responses to an 11-item questionnaire. Scores range from 0 to 100, where 0 indicates no disability and 100 indicates the most severe disability.
Disability of Arm, Shoulder, and Hand Score
时间窗: 6 months post-removal of cast immobilizations
The Disability of Arm, Shoulder, and Hand Score (DASH) is a 30-item questionnaire with scores ranging from 1 to 5 for each item. The final scores are formulated from 0 to 100, where a higher score indicates greater disability and a lower score indicates little to no disability.
Quick Disability of Arm, Shoulder, and Hand Score (Quick DASH)
时间窗: Four weeks (Cast Removal)
Quick Disability of Arm, Shoulder, and Hand (Quick DASH) score is calculated using a formula based on responses to an 11-item questionnaire. Scores range from 0 to 100, where 0 indicates no disability and 100 indicates the most severe disability.
Quick Disability of Arm, Shoulder, and Hand (Quick DASH)
时间窗: 6 months after cast removal
Quick Disability of Arm, Shoulder, and Hand (Quick DASH) score is calculated using a formula based on responses to an 11-item questionnaire. Scores range from 0 to 100, where 0 indicates no disability and 100 indicates the most severe disability.
次要结局
- Palmar Flexion(6 months post-cast immobilization removal.)
- Dorsiflexion(6 months post-cast immobilization removal.)
- Radial Deviation(6 months post-cast immobilization removal)
- Ulnar Deviation(6 months post-cast immobilization removal.)
研究者
Mohammad Zeeshan Haider
Resident Doctor
Liaquat National Hospital & Medical College