Fluidotherapy in Patients With Distal Radius Fractures

Not Applicable

Completed

• Conditions: Distal Radius Fractures; Edema Arm; Pain
• Interventions: Other: Fluidotherapy; Other: conventional rehabilitation program

• Registration Number: NCT06272877
• Lead Sponsor: Ahi Evran University Education and Research Hospital

Brief Summary

Distal radius fractures are the most common fractures when looking at upper extremity fractures. The incidence of distal radius fractures is increasing day by day, and when looking at the databases of various countries, its annual prevalence reaches 70,000 in the UK and 640,000 in the USA. Most of these fractures are related to osteoporosis and require appropriate treatment. If not, it causes loss of work force, permanent disability, and limitation in daily activities.

Fluidotherapy has also proven to be effective in reducing hand edema in patients with carpal tunnel syndrome and stroke, examining its effect on nerve conduction velocities, and warming hypothermic patients. Compared to these treatment methods, fluid therapy reduces both joint capsule and muscle temperature by 9°C and 5.7°C, respectively. has been reported to increase.

Detailed Description

Reducing pain and edema after Distal Radius fracture is an important part of postoperative rehabilitation. Various massage and mobilization methods were applied to this patient population in the postoperative period. In a recent study evaluating the effectiveness of Whirlpool treatment, it was reported that studies on the effectiveness of fluidotherapy are also needed. There is no study in the literature evaluating the effectiveness of fluidotherapy in the postoperative rehabilitation program in patients who underwent surgery for distal radius fractures.

This study aimed to evaluate the effect of adding fluidotherapy to the early rehabilitation program on pain, edema, joint range of motion and functionality after the cast is removed in patients who received conservative cast treatment due to distal radius fracture.

Study Timeline

• Study First Submitted: 2024-02-16
• Study First Submitted QC: 2024-02-16
• Study First Posted: 2024-02-22
• Study Start: 2024-03-20
• Primary Completion: 2025-01-24
• Study Completion: 2025-02-24
• Status Verified: 2025-04
• Last Update Submitted: 2025-04-09
• Last Update Posted: 2025-04-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

-Treating with a cast due to distal radius fracture being over 18 years old

Exclusion Criteria

• Presence of polytrauma
• History of previous limb-related surgery
• Hemiplegia in the involved limb
• Contracture in the involved limb
• Arterial and venous occlusions
• Lymphatic system disorders
• Heart and circulatory system disorders
• Hepatitis, Measles, Sepsis infectious diseases or fever
• Open wound on the applied hand.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental Group	Fluidotherapy	Fluidotherapy will be applied to the group in addition to the conservative rehabilitation program received by the control group. Fluidotherapy will be applied 20 minutes a day, 5 days a week for 4 weeks.
Experimental Group	conventional rehabilitation program	Fluidotherapy will be applied to the group in addition to the conservative rehabilitation program received by the control group. Fluidotherapy will be applied 20 minutes a day, 5 days a week for 4 weeks.
Control group	conventional rehabilitation program	Only the conventional rehabilitation program will be applied by a physiotherapist for 6 weeks.

Primary Outcome Measures

Name	Time	Method
Visual analog scale	6th week	Visual analog scale (VAS) was used for pain assessment. VAS is a 10-point Likert scale.A score of 0 indicates the best result, a score of 10 indicates the worst result. Higher scores indicate higher pain.
Wrist joint range of motion	6th week	Wrist joint range of motion: Measurement of wrist joint range of motion (ROM) with a goniometer is the most frequently used method in clinical practice that provides objective evaluation and error-free measurement. In our study, wrist ROM measurements will be made with a goniometer using the neutral zero method. This method is a painless and non-invasive measurement method.
Circumference (mm)	6th week	Environmental Measurement; the both hands and wrists of the patient will be measured with the help of a tape measure using the figure of eight method. The cm difference between both upper extremities will be recorded.

Secondary Outcome Measures

Name	Time	Method
Gross Grip Strength:	6th week	Jamar dynamometer wii use to evaluate gross grip strength.Higher values indicate increased grip strength
Patient-Rated Wrist Evaluation (PRWE) questionnaire	6th week	Patient-Rated Wrist Evaluation (PRWE) questionnaire: PRWE is a 15-item questionnaire.High scores indicate functional impairment designed to measure wrist pain and disability in activities of daily living.The maximum score that can be obtained from the pain subscale is 50 and the minimum is 0.; The maximum score that can be obtained from the function subscale is 50 and the minimum is 0.

Trial Locations

Locations (1)

Kirsehir Research and Training Hospital; 🇹🇷 Kirsehir, Kişrsehşr, Turkey