Addition of Unilateral Training of the Uninjured Limb to Standard Rehabilitation on Grip Strength and Manual Dexterity of Patients with Surgically Treated Distal Radius Fracture.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 52
- 试验地点
- 1
- 主要终点
- Handgrip strength
研究概览
简要总结
The objective will be to determine the effectiveness of adding unilateral upper limb postoperative training to standard rehabilitation compared to standard rehabilitation on maximum grip strength and manual dexterity in patients aged 30-50 years with surgically treated distal radius fracture. It is presumed that the addition of unilateral upper limb training will significantly improve maximum grip strength and manual dexterity at the end of the intervention period compared to the group receiving only standard rehabilitation.
Patients who agree to participate in this research will be randomly assigned to a control group (standard rehabilitation with unilateral training with mobility exercises) or an experimental group (standard rehabilitation with unilateral high-intensity strength training). The duration of the postoperative intervention will be 12 weeks. The primary variables are maximum grip strength and manual dexterity. Secondary variables are wrist mobility, forearm circumference, maximum voluntary isometric strength, functionality and health-related quality of life. Results will be measured at 0, 6 and 12 weeks postoperative.
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
- Double (Investigator, Outcomes Assessor)
盲法说明
Opaque sealed envelopes
入排标准
- 年龄范围
- 30 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age between 30-50 years
- •Radiological diagnosis of unilateral distal radius fracture without concomitant fractures.
- •Fracture treated surgically.
排除标准
- •Patients with lesion of the triangular fibrocartilage.
- •Patients with distal radius fracture with consolidation disorders.
- •Patients with health conditions that cause pain or affect the motor skills of the upper limb (radiocarpal osteoarthritis, carpal tunnel syndrome, Quervain's tenosynovitis, neurodegenerative diseases, sequelae of stroke)
- •Patients with multi-site pain or chronic polyarticular diseases such as osteoarthritis or rheumatoid arthritis.
- •Unstable cardiovascular, respiratory, systemic or metabolic conditions that do not allow high-intensity physical exercise.
- •Patients who are taking nutritional supplements that interfere with the regulation of skeletal muscle strength and mass (example: whey protein, creatine, etc.)
- •Inability to understand, read and/or speak the Spanish language.
研究组 & 干预措施
Standard rehabilitation plus unilateral high-intensity strength exercise
Participants will undergo progressive strength training based on eccentric contractions during the mobilization and strengthening phases of standard rehabilitation.
干预措施: Standard rehabilitation (Other)
Standard rehabilitation plus unilateral high-intensity strength exercise
Participants will undergo progressive strength training based on eccentric contractions during the mobilization and strengthening phases of standard rehabilitation.
干预措施: Unilateral high-intensity strength exercise (Other)
Standard rehabilitation plus unilateral mobility exercises
Participants will undergo active mobility training of the pronation-supination movements during the mobilization and strengthening phases of standard rehabilitation
干预措施: Standard rehabilitation (Other)
Standard rehabilitation plus unilateral mobility exercises
Participants will undergo active mobility training of the pronation-supination movements during the mobilization and strengthening phases of standard rehabilitation
干预措施: Unilateral mobility exercises (Other)
结局指标
主要结局
Handgrip strength
时间窗: 0, 6 and 12 weeks
Jamar grip dynamometer (kilos)
Manual dexterity
时间窗: 0, 6 and 12 weeks
Functional Dexterity Test (Seconds)
次要结局
- Self-reported wrist function(0, 6 and 12 weeks)
- Health-related quality of life(0, 6 and 12)
- Maximum voluntary isometric strength.(0, 6 and 12 weeks)
- Self-reported upper limb function.(0, 6 and 12 weeks)
- Active range motion(0, 6 and 12 weeks)
- Pain intensity(0, 6 and 12 weeks)
- Forearm circumference(0, 6 and 12 weeks)
研究者
Iván Alejandro Cuyul Vásquez
Principal Investigator
Universidad Catolica de Temuco