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 .
Immediate effects of repetitive wrist extension on grip strength in patients with distal radial fracture.
OBJECTIVE To evaluate the immediate effect of repetitive wrist extension on grip strength in patients with distal radial fracture . DESIGN Interventional study . SETTING Patients who were admitted to a hospital department of occupational therapy . PARTICIPANTS Consecutive patients with a unilateral distal radial fracture ( N=28 ) . INTERVENTION Each patient was r and omly allocated to either the experimental group ( n=14 ) or the control group ( n=14 ) . The experimental group performed 30 repetitive wrist extensions with maximal isometric contraction of the extensors of their affected h and s during a 6-minute intervention period , whereas the control group did not perform the exercise . MAIN OUTCOME MEASURES Grip strength was measured just before and after the intervention period . Pain during grip strength measurements was also quantified using the visual analog scale . Wrist extension strength was measured 10 minutes after the grip strength measurement . RESULTS Grip strength increased immediately after repetitive wrist extension in the experimental group , but it remained the same in the control group . Visual analog scale scores indicated that pain was relieved only in the experimental group . However , pain was unrelated to strength production . CONCLUSIONS The intervention used in this study might be useful during physical examination to reveal the potential grip strength of patients . The intervention may also be an effective warm-up training procedure in preparation for conventional grip-strengthening exercises
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 .