Effectiveness of Fluidotherapy in Patients With Conservatively Treated Distal Radius Fractures
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Visual analog scale
研究概览
简要总结
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.
详细描述
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.
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
The Investigator and the outcomes assesor will be different persons. Statician will be different person.
入排标准
- 年龄范围
- 18 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Treating with a cast due to distal radius fracture being over 18 years old
排除标准
- •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.
研究组 & 干预措施
Fluidotherapy Group
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.
干预措施: Fluidotherapy (Other)
Fluidotherapy Group
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.
干预措施: conventional rehabilitation program (Other)
Control group
Only the conventional rehabilitation program will be applied by a physiotherapist for 6 weeks.
干预措施: conventional rehabilitation program (Other)
结局指标
主要结局
Visual analog scale
时间窗: 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
时间窗: 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)
时间窗: 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.
次要结局
- Gross Grip Strength:(6th week)
- Patient-Rated Wrist Evaluation (PRWE) questionnaire(6th week)
研究者
Levent Horoz
Principal Investigator
Ahi Evran University Education and Research Hospital