Use of Paper- Versus Digital Application-based Exercises to Support the Rehabilitation of People Operated by a Palmar Plate for an Intra-articular Distal Radius Fracture. A Multidisciplinary, Prospective, Randomized, Single-blind, Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Range of motion in flexion-extension
研究概览
简要总结
The aim of this study is to evaluate the difference between the use of paper- versus application-based (smartphone application) exercises in the rehabilitation of intra-articular fractures of the distal radius at the Cantonal Hospital of Fribourg, Switzerland.
The operation itself will proceed as usual. However, the rehabilitation will be aided by exercises based either on a paper support or on a digital application (smartphone application), in addition to follow-up by a hand therapist.
The aim is to determine which support provides the best improvement in wrist mobility and function, and to speed up the return to work.
详细描述
The aims of this study are:
- To measure range of motion (flexion and extension) of the wrist in usual post-operative hand therapy sustained by the use of a digital application-based home exercise program compared with usual post-operative hand therapy sustained by the use of paper-based (standard) home exercice program.
- To measure the following variables in usual post-operative hand therapy sustained by the use of a digital application-based home exercise program compared with usual post-operative hand therapy sustained by the use of paper-based (standard) home exercice program:
- Patient-Rated Wrist Evaluation score
- Return to work
- Retorn to leisure
- Range of motion in pronation and supination, in radial deviation and ulnar deviation
- Distal radio-ulnar joint stability
- Grip strength
- Key pinch strength
- Tripod pinch strength
- Fracture healing
- Fracture displacement
- Patient satisfaction with exercise support
- Patient participation in rehabilitation
Co-primary endpoint: range of motion (ROM) of the wrist, i.e. measured in degrees in flexion and extension.
Secondary endpoints:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Complete intra-articular DRF (classification AO 23 C1, C2 or C3)
- •Simple palmar operative approach
- •Simple palmar plate fixation
- •Age 18-65 years
- •Own either a smartphone or other wireless device
- •Consent form signed
- •French or German speaker
排除标准
- •Extra-articular or partial-articular DRF
- •Double/triple operative approaches needed
- •Bilateral procedure
- •Fracture aged than more of 2 weeks
- •Patient refusal/no informed consent
- •Inability to give informed consent
- •Previous wrist injury or surgery
- •Rheumatoid polyarthritis
结局指标
主要结局
Range of motion in flexion-extension
时间窗: From enrollment to the end of treatment at 3 months
Measurement (in degrees) of joint mobility using a goniometer
次要结局
- Wrist fonction score(From enrollment to the end of treatment at 3 months)
研究者
Estoppey Daniel
Principal Investigator
Hôpital Fribourgeois