Effectiveness of Sensory Training in Distal Radius Fractures: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- Monofilament Test
研究概览
简要总结
This randomized controlled trial examines the effectiveness of sensory training in patients undergoing rehabilitation for distal radius fractures. Forty-four participants (aged 18-65, with no prior upper extremity injuries) will be randomly assigned to a control group (conventional physiotherapy) or an experimental group (conventional physiotherapy plus sensory training, including desensitization and proprioception exercises). Assessments will be conducted at baseline, 4 weeks, and 8 weeks using grip strength, sensory function, fine motor skills, pain level, and functional capacity measures. The study aims to compare the impact of sensory training versus conventional physiotherapy on pain reduction, sensory recovery, grip strength, and functional hand use.
详细描述
This study aims to investigate the effectiveness of sensory training in patients with distal radius fractures. Designed as a randomized controlled trial, the study will include 44 participants aged 18-65 years who have not had a prior upper extremity injury and are in the rehabilitation phase after a fracture. Participants will be randomly assigned to either the control group (receiving conventional physiotherapy) or the experimental group (receiving conventional physiotherapy plus sensory training, including desensitization and proprioception exercises).
Assessments will be conducted before treatment, at 4 weeks, and at 8 weeks. The evaluation tools will include grip strength (hand dynamometer & pinch meter), sensory function (monofilament test), fine motor skills (Nine-Hole Peg Test - NHPT), pain level (Numerical Pain Rating Scale - NPRS), and functional capacity (DASH questionnaire).
The aim of this study is to compare the effects of sensory training versus conventional physiotherapy on pain reduction, sensory recovery, grip strength, and functional hand use.
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
- 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
- •Aged 18-65 years
- •Diagnosed with distal radius fracture
- •In the rehabilitation phase after fracture healing
- •No prior upper extremity injuries
- •No neurological or psychiatric disorders affecting hand function
- •Able to comply with the rehabilitation program
排除标准
- •Any other musculoskeletal injury affecting the upper limb
- •Previous upper extremity surgeries
- •Severe neuropathy or sensory disorders
- •Uncontrolled chronic pain conditions
结局指标
主要结局
Monofilament Test
时间窗: on the first day, four and eight week change
The monofilament test is a clinical assessment method used to evaluate sensory function and detect peripheral nerve damage. It is widely used in physiotherapy and neurology to measure tactile sensitivity and identify sensory impairments. 1. The patient is comfortably seated, and the test area is exposed. 2. Applying the monofilament: * The monofilament is placed perpendicularly to the skin surface. * It is gently pressed until it reaches its bending point (held for approximately 1-2 seconds). 3. Patient response: The patient is asked to indicate when they feel the touch. 4. Recording results: The areas where the patient does or does not feel the stimulus are noted, creating a sensory map.
Numerical Pain Rating Scale
时间窗: on the first day, four and eight week change
The Numeric Pain Rating Scale (NPRS) is a measurement method based on the patient's numerical expression of pain. It is commonly used to determine the intensity of pain and track changes during the treatment process. Test Procedure Explaining the Scale to the Patient: A scale ranging from 0 to 10 is shown to the patient. 0 = No pain, 10 = The most intense pain imaginable. The patient is asked to choose the number that best represents their current pain.
次要结局
- Grip Strength(on the first day, four and eight week change)
- Nine-Hole Peg Test(on the first day, four and eight week change)
- Disabilities of the Arm, Shoulder, and Hand (DASH) Questionnaire(on the first day, four and eight week change)
研究者
Tugba Civi Karaaslan
Asst. Prof. Dr.
Istanbul University - Cerrahpasa