Digital Media Based Physical Therapy Post Distal Radius Fracture

Study Overview
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Brief Summary
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This trial aims to develop and test the efficacy of a digital media based physical therapy protocol on patients after surgical fixation and non-operative treatment of distal radius fractures.It is hypothesized that there will not be a difference in outcomes for patients after surgical fixation of distal radius fractures with traditional physical therapy and digital media based therapy

Official Title
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Physical Therapy After Distal Radius Fracture; Traditional Versus Digital Media Based Therapy Protocol

Conditions
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Distal Radius Fracture

Intervention / Treatment
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* Other: Digital Media Based Physical Therapy
* Other: Traditional Physical Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients undergoing operative treatment for distal radius fractures. Exclusion Criteria: Poly-trauma patients with significant previous diagnosis of dementia, previous traumatic brain injury, or other reason for significant altered mental status that would interfere with their participation in therapist directed or digital based therapy will be excluded. Patients who present to Oregon Health & Science University for physical therapy who will be treated by a physician at another non Oregon Health & Science University facility will be excluded. Patients who are not proficient in the English language will be excluded.

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: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Digital Media Therapy<br>The digital media based group will receive a modified post immobilization protocol. This will include giving the patients a Universal Serial Bus (USB) drive loaded with a 12 week physical therapy protocol presented in digital form with videos and graphical representations of exercises to be done. They will also have access to the videos and multimedia on the Oregon Health & Science University website. | Other: Digital Media Based Physical Therapy<br>* This intervention is a modified post immobilization protocol. This will include giving the patients a USB drive loaded with a 12 week therapy protocol presented in digital form with videos and graphical representations of exercises to be done. They will also have access to the videos and multimedia on the Oregon Health & Science University website.<br>|
| Active Comparator: Traditional Therapy<br>The traditional group will have clinic-based physical therapy protocol. | Other: Traditional Physical Therapy<br>* This intervention is a 12 week therapist supervised clinic-based therapy protocol.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Abbreviated version of the Disabilities of the Arm, Shoulder and Hand (QuickDASH) | Patient-Reported Outcome, Scale: 0 (no disability) - 100 (most severe disability) | 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Abbreviated version of the Disabilities of the Arm, Shoulder and Hand (QuickDASH) | Patient-Reported Outcome, Scale: 0 (no disability) - 100 (most severe disability) | 6 weeks, 6 months | 
| Visual Analog Pain Scale | Patient-Reported Outcome, Scale: 0 (no pain) - 10 (most severe pain) | 6 weeks, 12 weeks, and 6 months | 
| Veterans RAND 12-item Health Survey (VR-12) | Patient-Reported Outcome | 6 weeks, 12 weeks, and 6 months | 
| Wrist Range of Motion | Wrist flexion, extension, pronation, supination, ulnar deviation, radial deviation | 6 weeks, 12 weeks, and 6 months | 
| Hand Grip Strength | Strength measurement | 6 weeks, 12 weeks, and 6 months | 
| Wrist Circumference | Anthropometric measurement | 6 weeks, 12 weeks, and 6 months |