Effects of Action Observation Therapy and Motor Imagery Administered During Immobilization Period After Surgical Fixation of Distal Radius

Study Overview
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Brief Summary
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The goal of this trial is to verify the effectiveness of Motor Imagery and Action Observation Training in subjects undergoing surgery for distal radius fracture fixation. The main question it aims to answer is: - can action observation and motor imagery training administered during immobilisation period improve functional outcome after distal radius fracture fixation? Participants will be asked to perform hand dexterity test and grip and pinch strength evaluation Subjects assigned to control group will follow standard care

Official Title
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Effects of Action Observation Therapy and Motor Imagery Administered During Immobilization Period After Surgical Fixation of Distal Radius

Conditions
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Distal Radius Fracture

Intervention / Treatment
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* Behavioral: Motor Imagery and Action Observation Training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Right handed subjects Subjects after surgical distal radius fracture fixation Exclusion Criteria: Concomitant fractures of upper limbs Pathological fractures Cognitive or psychiatric disorders Neurological or reumatici diseases

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 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: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: MI+AOT<br>Subjects assigned to this group will be asked to perform Motor Imagery and Action Observation Training during immobilisation period after surgery. The training will be performed once a day, for three weeks. The duration of the training will last about 15 minutes. | Behavioral: Motor Imagery and Action Observation Training<br>* The training consists of watching videos of actions performed with the hand. At the end of the video the subject is subsequently asked to imagine performing the action just seen<br>|
| No Intervention: Control<br>Subjects assigned will be asked to follow standard care pathway during immobilisation period. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of Purdue Pegboard Test score | Change of Hand Dexterity test | After surgery (T0); 3 weeks after surgery (T1); 8 weeks after surgery (T2); 6 motnhs after surgery (T3) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of Grip test | Change in Grip strength evaluation with Jamar dynamometer | After surgery (T0); 3 weeks after surgery (T1); 8 weeks after surgery (T2); 6 motnhs after surgery (T3) | 
| Change of Pinch test | Change of Pinch strength evaluation | After surgery (T0); 3 weeks after surgery (T1); 8 weeks after surgery (T2); 6 motnhs after surgery (T3) | 
| Change of Range of motion | Change of Flexion, Extension, Ulnar deviation, Radial Deviation, Supination and Pronation measurement | After surgery (T0); 3 weeks after surgery (T1); 8 weeks after surgery (T2); 6 motnhs after surgery (T3) |