Clinical trial NCT05537493: Tele-rehabilitation in Patients Operated for Distal Radius Fracture
Official title: Efficiency of Telerehabilitation in Patients Operated With the Diagnosis of Distal Radius Fracture
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Distal Radius Fracture
Keywords: telerehabilitation
distal radius fracture
functionality
Lead sponsor: Ahi Evran University Education and Research Hospital
Sponsor class: OTHER
First posted: 2022-09-13
Enrollment: 46
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Romdomised controlled
Primary purpose: TREATMENT

Brief summary: It was designed as a randomized controlled prospective. After 2 weeks of splint follow-up, the splints of the patients who were operated due to distal radius fracture and volar plate were applied will be removed and included in the physical therapy program. The measurements and scores of the patients at the time of removal of the splint will be recorded. Patients' non-injured contralateral extremity data will also be recorded. The dominant party will be registered. Preoperative fracture classification of the patients, reduction parameters after surgery, waiting time for post-fracture surgery, pre-fracture chronic diseases, cognitive disorders, psychiatric disease histories, whether the patients lived alone at home or not will be recorded. Patients will be randomized with the help of a free computer aided numerator. The patients will be divided into two groups and conventional face-to-face rehabilitation will be applied to one group, and the previously planned tele-rehabilitation program will be applied to the other group.

Detailed description: It was designed as a randomized controlled prospective. After 2 weeks of splint follow-up, the splints of the patients who were operated due to distal radius fracture and volar plate were applied will be removed and included in the physical therapy program. The measurements and scores of the patients at the time of removal of the splint will be recorded. Patients' non-injured contralateral extremity data will also be recorded. The dominant party will be registered. Preoperative fracture classification of the patients, reduction parameters after surgery, waiting time for post-fracture surgery, pre-fracture chronic diseases, cognitive disorders, psychiatric disease histories, whether the patients lived alone at home or not will be recorded. Patients will be randomized with the help of a free computer aided numerator. The patients will be divided into two groups and conventional face-to-face rehabilitation will be applied to one group, and the previously planned tele-rehabilitation program will be applied to the other group. Videos of the exercises they will do via whatsapp will be sent to the telerehabilitation group. Again, in telerehabilitation, whatapp application will be made in the form of videoconference. Rehabilitation program will be applied to the patients 4 times a week for 6 weeks. Rehabilitation will be applied to the groups by the same person. At the end of the rehabilitation program, the first measurements of the patients will be taken. The third measurement of the patients will be taken at the 3rd month after the surgery. Among the parameters to be checked, grip strength, wrist range of motion, Shortened Disabilities of the Arm, Shoulder, and Hand (QuickDASH) and Patient-Rated Wrist Evaluation (PRWE) questionnaire, VAS scale will be used. Solid side values will be recorded. Tele-rehabilitation satisfaction survey will be applied in the 3rd month controls of the patients.

Eligibility criteria: Inclusion Criteria:

* Application of volar plate for distal radius fracture
* Patients not having undergone any surgery on that extremity before, not having an extremity defect that prevents rehabilitation
* Patients with normal pre-fracture cognitive functions
* Patients without major postoperative complications

Exclusion Criteria:

* Polytrauma
* Previous extremity-related surgery
* Injury in more than one anatomical region in the relevant extremity
* Patients living alone at home
* Malignancy, presence of known rheumatological disease, pregnancy
* Patients receiving any treatment other than the planned treatment

Primary outcomes:
measure: Wrist joint range of motion
timeFrame: 0 day
measure: Wrist joint range of motion
timeFrame: 6 th week
measure: Wrist joint range of motion
timeFrame: 12 th week
measure: Environmental Measurement
timeFrame: 0 day
measure: Environmental Measurement
timeFrame: 6 th week
measure: Environmental Measurement
timeFrame: 12th week
measure: Quick-DASH
timeFrame: 0 day
measure: Quick-DASH
timeFrame: 6th week
measure: Quick-DASH
timeFrame: 12th week
measure: Coarse Grip Strength
timeFrame: 0 day
measure: Coarse Grip Strength
timeFrame: 6th week
measure: Coarse Grip Strength
timeFrame: 12th week
measure: Patient-Rated Wrist Evaluation (PRWE) questionnaire
timeFrame: 0 day
measure: Patient-Rated Wrist Evaluation (PRWE) questionnaire
timeFrame: 6th day
measure: Patient-Rated Wrist Evaluation (PRWE) questionnaire
timeFrame: 12th week
measure: pinch grip strength.
timeFrame: 0 day
measure: pinch grip strength.
timeFrame: 6 th week
measure: pinch grip strength.
timeFrame: 12th week
Secondary outcomes:
Other outcomes:
Locations:
city: Kirşehir
country: Turkey
facility: Ahi Evran University
state: City Centre
Study officials:
affiliation: Kirsehir Ahi Evran Universitesi
name: Levent Horoz, Asisst Prof
role: PRINCIPAL_INVESTIGATOR
References:
citation: Bini SA, Mahajan J. Clinical outcomes of remote asynchronous telerehabilitation are equivalent to traditional therapy following total knee arthroplasty: A randomized control study. J Telemed Telecare. 2017 Feb;23(2):239-247. doi: 10.1177/1357633X16634518. Epub 2016 Jul 9.
citation: Kane LT, Thakar O, Jamgochian G, Lazarus MD, Abboud JA, Namdari S, Horneff JG. The role of telehealth as a platform for postoperative visits following rotator cuff repair: a prospective, randomized controlled trial. J Shoulder Elbow Surg. 2020 Apr;29(4):775-783. doi: 10.1016/j.jse.2019.12.004.
citation: Pastora-Bernal JM, Martin-Valero R, Baron-Lopez FJ, Moyano NG, Estebanez-Perez MJ. Telerehabilitation after arthroscopic subacromial decompression is effective and not inferior to standard practice: Preliminary results. J Telemed Telecare. 2018 Jul;24(6):428-433. doi: 10.1177/1357633X17706583. Epub 2017 Apr 27.