Effects of Early Manual Therapy on Functional Outcomes After Volar Plating of Distal Radius Fractures

Study Overview
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Brief Summary
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The aim of the study was to investigate the effects of early manual therapy on function, pain, range of motion (ROM), hand and pinch grip strength and disability level in patients underwent volar plating after distal radius fracture (DRF). Patients were randomly divided into two groups: Routin Physiotherapy (RP) or Early Manual Therapy (EMT). While RP group received routine physiotherapy, EMT group received routine physiotherapy plus Mulligan's Mobilization With Movement technique. All treatments were done two sessions a week, through 12 weeks. Function, pain, range of motion (ROM), hand and pinch grip strength and disability level of patients were assessed. Measurements were made at postoperative week 3, 6 and 12.

Official Title
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Effects of Early Manual Therapy on Functional Outcomes After Volar Plating of Distal Radius Fractures: A Randomized Controlled Trial

Conditions
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Distal Radius Fracture

Intervention / Treatment
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* Other: Early Manual Therapy
* Other: Routine Physiotherapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: An age of eighteen years or older An unstable fracture of the distal end of the radius Fixation with a volar locking plate Able to read, write, and understand Turkish Willing and able to attend the study Exclusion Criteria: Previous fracture on the injured side Concurrent fracture in contralateral upper extremity Accompanied bony and soft tissue injuries other than radius fracture Inflammatory joint diseases, metabolic diseases and neurological diseases Mental and cognitive disorders that would seriously affect cooperation

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Early Manual Therapy Group<br>Routine physiotherapy program plus Mulligan's Mobilization with Movement technique were applied. | Other: Early Manual Therapy<br>* Mulligan's Mobilization with Movement technique for radiocarpal,ulnocarpal, distal radioulnar and proximal radioulnar joints was applied.<br>Other: Routine Physiotherapy<br>* Routine physiotherapy program consisted of range of motion, flexibility and strengthening exercises, and home exercise program was applied.<br>|
| Active Comparator: Routine Physiotherapy Group<br>Only routine physiotherapy program was applied | Other: Routine Physiotherapy<br>* Routine physiotherapy program consisted of range of motion, flexibility and strengthening exercises, and home exercise program was applied.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change in the function | Function was asssesed by using Patient Rated Wrist Evaluation (PRWE) | postoperative week 6, 12. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change in the severity of pain | Severity of pain was assessed by using Visual Analogue Scale (VAS), which ranges between 0-10 points, 0 represents no pain and 10 denotes maximum pain intensity. | postoperative day 1, postoperative week 3, 6, 12. | 
| change in the range of motion (ROM) | ROM was assesed by using an universal goniometer | postoperative week 3, 6, 12. | 
| change in hand and pinch grip strength | hand and pinch grip strength was assesed by using hydrolic hand and finger dynamometers. | postoperative week 3, 6, 12. | 
| change in disability | Disability level was assesed by using Disabilities of Arm, Shoulder and Hand (DASH) questionnaire. | postoperative week 6, 12. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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manual therapy, radius fracture, function, disability, physiotherapy