Clinical trial NCT06272877: Fluidotherapy in Patients With Distal Radius Fractures
Official title: Effectiveness of Fluidotherapy in Patients With Conservatively Treated Distal Radius Fractures
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Distal Radius Fractures
Edema Arm
Pain
Keywords: Distal Radius Fractures
edema
pain
physical therapy
fluidotherapy
Lead sponsor: Ahi Evran University Education and Research Hospital
Sponsor class: OTHER
First posted: 2024-02-22
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomised controlled
Primary purpose: TREATMENT

Brief summary: Distal radius fractures are the most common fractures when looking at upper extremity fractures. The incidence of distal radius fractures is increasing day by day, and when looking at the databases of various countries, its annual prevalence reaches 70,000 in the UK and 640,000 in the USA. Most of these fractures are related to osteoporosis and require appropriate treatment. If not, it causes loss of work force, permanent disability, and limitation in daily activities.

Fluidotherapy has also proven to be effective in reducing hand edema in patients with carpal tunnel syndrome and stroke, examining its effect on nerve conduction velocities, and warming hypothermic patients. Compared to these treatment methods, fluid therapy reduces both joint capsule and muscle temperature by 9°C and 5.7°C, respectively. has been reported to increase.

Detailed description: Reducing pain and edema after Distal Radius fracture is an important part of postoperative rehabilitation. Various massage and mobilization methods were applied to this patient population in the postoperative period. In a recent study evaluating the effectiveness of Whirlpool treatment, it was reported that studies on the effectiveness of fluidotherapy are also needed. There is no study in the literature evaluating the effectiveness of fluidotherapy in the postoperative rehabilitation program in patients who underwent surgery for distal radius fractures.

This study aimed to evaluate the effect of adding fluidotherapy to the early rehabilitation program on pain, edema, joint range of motion and functionality after the cast is removed in patients who received conservative cast treatment due to distal radius fracture.

Eligibility criteria: Inclusion Criteria:

-Treating with a cast due to distal radius fracture being over 18 years old

Exclusion Criteria:

* Presence of polytrauma
* History of previous limb-related surgery
* Hemiplegia in the involved limb
* Contracture in the involved limb
* Arterial and venous occlusions
* Lymphatic system disorders
* Heart and circulatory system disorders
* Hepatitis, Measles, Sepsis infectious diseases or fever
* Open wound on the applied hand.

Primary outcomes:
measure: Visual analog scale
timeFrame: Baseline
measure: Visual analog scale
timeFrame: 2th week
measure: Visual analog scale
timeFrame: 6th week
measure: Wrist joint range of motion
timeFrame: Baseline
measure: Wrist joint range of motion
timeFrame: 2th week
measure: Wrist joint range of motion
timeFrame: 6th week
measure: Circumference (mm)
timeFrame: Baseline
measure: Circumference (mm)
timeFrame: 2th week
measure: Circumference (mm)
timeFrame: 6th week
Secondary outcomes:
measure: Gross Grip Strength:
timeFrame: Baseline
measure: Gross Grip Strength:
timeFrame: 2th week
measure: Gross Grip Strength:
timeFrame: 6th week
measure: Patient-Rated Wrist Evaluation (PRWE) questionnaire
timeFrame: Baseline
measure: Patient-Rated Wrist Evaluation (PRWE) questionnaire
timeFrame: 2th week
measure: Patient-Rated Wrist Evaluation (PRWE) questionnaire
timeFrame: 6th week
Other outcomes:
Locations:
city: Kirsehir
country: Turkey
facility: Kirsehir Research and Training Hospital
state: Kişrsehşr
Study officials:
affiliation: Kirsehir Research and Training Hospital
name: Levent Horoz, Asst Prof
role: PRINCIPAL_INVESTIGATOR
References:
citation: Szekeres M, MacDermid JC, Grewal R, Birmingham T. The short-term effects of hot packs vs therapeutic whirlpool on active wrist range of motion for patients with distal radius fracture: A randomized controlled trial. J Hand Ther. 2018 Jul-Sep;31(3):276-281. doi: 10.1016/j.jht.2017.08.003. Epub 2017 Oct 12.
citation: Gutierrez-Espinoza H, Araya-Quintanilla F, Olguin-Huerta C, Valenzuela-Fuenzalida J, Gutierrez-Monclus R, Moncada-Ramirez V. Effectiveness of manual therapy in patients with distal radius fracture: a systematic review and meta-analysis. J Man Manip Ther. 2022 Feb;30(1):33-45. doi: 10.1080/10669817.2021.1992090. Epub 2021 Oct 20.
citation: Borrell RM, Parker R, Henley EJ, Masley D, Repinecz M. Comparison of in vivo temperatures produced by hydrotherapy, paraffin wax treatment, and Fluidotherapy. Phys Ther. 1980 Oct;60(10):1273-6. doi: 10.1093/ptj/60.10.1273.