EFFECTIVENESS OF GRADED MOTOR IMAGERY TO PREVENT CRPS IN PATIENTS WITH DISTAL RADIUS FRACTURE AFTER SURGERY

Not Applicable

• Conditions: Wrist Fracture; Surgery; Distal Radius Fracture; CRPS (Complex Regional Pain Syndromes)
• Interventions: Other: GMI protocol; Other: Standard Rehabilitation Protocol

• Registration Number: NCT03937492
• Lead Sponsor: Ergoterapia Manoegomito Sagl

Brief Summary

The study would like show that patients who follow a protocol with GMI are less probability to develop CRPS

Detailed Description

Distal radius fractures (DRF) has a high frequency in adults. Studies show that the upper limb is frequently affected by CRPS, especially if is preceded by a fracture.

Recent studies suggest that changes in cortical structures can contribute to the onset of CRPS.

GMI is a approved and efficacy method in CRPS rehabilitation, because it trains modified cortical areas throught 3 stadies: left-right discrimination, visual motor imagery and mirror therapy.

Literature shows that there are any studies about GMI efficacy on prevention CRPS in DRF after surgery.

This study would like to demostrate that, appling GMI in the early stages of rehabilitation plus standard rehabilitation protocol of DRF after surgery, CRPS cases are reducted.

Study Timeline

• Study First Submitted: 2019-04-30
• Status Verified: 2019-05
• Study Start: 2019-05-02
• Study First Submitted QC: 2019-05-02
• Last Update Submitted: 2019-05-02
• Study First Posted: 2019-05-03
• Last Update Posted: 2019-05-03
• Primary Completion: 2020-05-02
• Study Completion: 2020-12-31

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Patients with distal radius fracture after surgery
• 18 to 75 years old
• Male and female

Exclusion Criteria

• uncompliants patients
• patients with neurological disorders or cognitive impairment
• patients with TFCC injury or both ulna and radius fractures
• patients with visually impairment
• patients who don't speak or understand oral and written italian language

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
A group	Standard Rehabilitation Protocol	In this group patients follow standard treatment after radius fracture plus GMI procol
A group	GMI protocol	In this group patients follow standard treatment after radius fracture plus GMI procol
B group	Standard Rehabilitation Protocol	In this group patients follow standard treatment after radius fracture

Primary Outcome Measures

Name	Time	Method
Range Of Motion	Baseline and 8 weeks	Change in active and passive range of motion about hand and wrist

Secondary Outcome Measures

Name	Time	Method
Patient-rated wrist/hand evaluation (prwhe)	Baseline and 8 weeks	Decrease in difficulty of doing activities of daily living and decrease pain
Jamar hand dynamometer	Baseline and 8 weeks	Improve strength
McGill pain questionnaire	Baseline and 8 weeks	Decrease pain