There was preliminary evidence from one trial that exercise to the non-injured arm during immobilisation might lead to short-term benefits on increasing grip strength and range of movement following distal radius fracture .
There is emerging evidence that current prescribed exercise regimens may not be effective in reducing impairments and improving activity following an upper limb fracture .
Starting exercise early combined with a shorter immobilisation period is more effective than starting exercise after a longer immobilisation period .
QUESTION What is the effect of exercise on increasing participation and activity levels and reducing impairment in the rehabilitation of people with upper limb fractures ?
Bruder AM , Shields N , Dodd KJ , Taylor NF ( 2017 ) Prescribed exercise programs may not be effective in reducing impairments and improving activity during upper limb fracture rehabilitation : a systematic review .
Effect of exercises with weight vests and a patient education programme for women with osteopenia and a healed wrist fracture: a randomized, controlled trial of the OsteoACTIVE programme
Background Exercise programmes have shown to be important for the prevention of fractures in patients with established osteoporosis . However , few studies have evaluated the effect of such programmes for women with low bone mineral density ( BMD ) ( osteoporosis or osteopenia ) who have already suffered a fracture . Studies have indicated that exercise programmes concentrating on muscular strength and dynamic balance have a positive effect on significant risk factors for falls such as quadriceps strength and balance . The aim of the present study was to assess the effect of a 6-month exercise programme and a patient education component ( OsteoACTIVE ) on quadriceps strength , BMD , dynamic balance , walking capacity , physical activity level and quality of life in postmenopausal women with osteopenia and a previous wrist fracture . Methods Eighty postmenopausal women with low BMD and a healed wrist fracture were r and omized to OsteoACTIVE ( n = 42 ) ( age 65.5 , range 51.2–79.2 years ) or patient education only ( control group ) ( n = 38 ) ( age 63.9 , range 52.7–86.8 years ) . Follow-up was conducted after 6 months ( end of intervention ) and 1 year . Outcome measures included quadriceps strength , BMD , dynamic balance , walking capacity , physical activity level and quality of life . Results Thirty-five participants ( 83 % ) completed the  OsteoACTIVE programme .  Mean adherence to OsteoACTIVE was 87 % ( range 48–100 % ) . Twenty-five participants ( 72 % ) met the a priori goal of 80 % adherence to the program . No adverse events were reported . There were no significant differences between the two groups over the 1-year follow-up for any of the outcome measures . Conclusion The OsteoACTIVE rehabilitation programme revealed no significant effect on quadriceps strength , BMD , dynamic balance , walking capacity or self-reported functional outcomes over the 1-year follow-up . Trial registration NCT01357278 at Clinical Trials.gov ( date of registration 2010 - 04 - 21 )
There was preliminary evidence from one trial that exercise to the non-injured arm during immobilisation might lead to short-term benefits on increasing grip strength and range of movement following distal radius fracture .
There is emerging evidence that current prescribed exercise regimens may not be effective in reducing impairments and improving activity following an upper limb fracture .
Starting exercise early combined with a shorter immobilisation period is more effective than starting exercise after a longer immobilisation period .
QUESTION What is the effect of exercise on increasing participation and activity levels and reducing impairment in the rehabilitation of people with upper limb fractures ?
Bruder AM , Shields N , Dodd KJ , Taylor NF ( 2017 ) Prescribed exercise programs may not be effective in reducing impairments and improving activity during upper limb fracture rehabilitation : a systematic review .