NCT05883410

The Effect of Two Different Protocol in Wrist Joint Limitation After Distal Radius End Fractures

Completed NA Last updated 13 February 2024

What this trial tests

NA trial testing Exercise in Distal Radius Fracture in 34 participants. Completed in 25 January 2024.

Timeline

30 May 2023

Primary endpoint
15 July 2023

25 January 2024

Quick facts

Lead sponsor	Biruni University
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	single
Primary purpose	treatment
Enrollment	34
Start date	30 May 2023
Primary completion	15 July 2023
Estimated completion	25 January 2024
Sites	1 location across Turkey (Türkiye)

Drugs / interventions tested

• Exercise
• PNF Technique
• Mulligan Mobilization

Conditions studied

• Distal Radius Fracture — all drugs for Distal Radius Fracture →
• Wrist Fracture — all drugs for Wrist Fracture →

Sponsor

Biruni University

Who can join

Adults 18 to 65, any sex, with Distal Radius Fracture or Wrist Fracture. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Distal radius fractures are among the most common fractures treated by hand therapists. These patients are most conservatively treated with closed reduction and cast immobilization. Since there is an immobilization process after both treatments, a limitation in the range of motion of the joint occurs in patients. For this reason, most of the treatment models applied in rehabilitation are about restoring the range of motion of the joint. In general, kinesiophobia occurs due to joint limitation and pain. Loss of proprioception occurs in patients with mobility and desire as a result of kinesiophobia. By investigating the techniques used in rehabilitation, the more correct one for the patient can be selected. There is no clear result in the literature about which of the application methods is more effective. The aim of the study is to compare the effects of proprioceptive neuromuscular facilitation (PNF) based stretching and Mulligan mobilization on pain, proprioception (joint position sense), wrist functionality, muscle strength and kinesiophobia in patients with joint limitation after distal radius end fracture. Thirty-four individuals aged 18-65 who were referred to a physiotherapy and rehabilitation program after distal radius end fracture will be included in the study. Individuals will be randomized into two groups. In the study, algometer and Visual Analogue Scale (VAS) were used to evaluate the pain intensity of the patients, universal goniometer for the evaluation of the forearm and wrist joint range of motion, microFET®2 Digital Handheld Dynamometer for the evaluation of the strength of the wrist flexor and extensor muscles, ulnar and radial deviation muscles. device will be used. The functional use of the wrist of the individuals is using the patient-based wrist assessment questionnaire (Patient Graded Wrist Assessment PRWE), the sense of attachment position for proprioception, and the Tampa Kinesiophobia Scale (TKS) for kinesiophobia. In our study, an exercise program will be applied with a physiotherapist for 6 weeks, 2 days a week, 45 minutes. To the first group; In addition to the traditional treatment, Mulligan mobilization will be applied, and the second group will be applied to the PNF techniques, 'hold-relax' in addition to the traditional treatment. It can be considerable that both techniques applied in our study may have positive effects on pain, kinesiophobia and proprioception.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.