An interventional study of Therapeutic Exercises in Distal Radius Fractures, sponsored by Bahçeşehir University. Completed at 1 site in Turkey. Open to participants aged 18 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-01-22.
Sponsored by Bahçeşehir University · Not applicable, Interventional, and Treatment
When determining the treatment method to be applied in distal radius fracture (DRF), in addition to clinical and radiological evaluation, the patient's age, physical activity level, cognitive status, severity of trauma, mechanism of injury and type of fracture are important factors in the treatment plan. Clinical studies show that physiotherapy is useful in improving the limitation of movement and pain in DRF. It shows that the active movement level is increased by decreasing the level. Rehabilitation after surgery proceeds similarly to conservative treatment. When exercise approaches in the literature are examined, it is seen that specific exercises for the wrist and forearm are recommended for treatment, but it has been reported that there are not enough studies to constitute evidence value. For decades, the skeletal muscles of the human body have been characterized as independent structures. However, recent research supports the "single muscle theory", contrary to this classical view. According to this theory, the fascia tissue that covers the entire body connects the muscles to each other in the form of chains, and the muscles in the chain work together in performing functional movements. These chains are called myofascial chains. Fascia tissue that creates all these connections; It consists of tightly arranged connective tissue and is structurally similar to tendons and ligaments. It surrounds organs, muscles, vessels and nerves, connects tissues and allows them to slide and move over each other. Past histological studies have reported that there are also contractile cells in the fascia structure. Although there are problems in rehabilitation after DRF that go beyond a single segment and affect the whole body; There is no study in the literature that uses the myofascial chain exercises approach in the treatment of these problems. In the light of all this information, the thesis study aims to ensure the active participation of the upper body muscles in the rehabilitation process with the DRUK program planned with myofascial chain exercises and in this way to improve the functional level obtained as a result of rehabilitation.
Clinical studies show that physiotherapy is useful in improving the limitation of movement in distal radius fractures and increases the level of active movement by reducing the level of pain. Providing functional restoration with physiotherapy not only increases the quality of life but also reduces the number of days patients cannot go to work. Rehabilitation after surgery proceeds similarly to conservative treatment. When exercise approaches in the literature are examined, it is seen that specific exercises for the wrist and forearm are recommended for treatment, but it has been reported that there are not enough studies to constitute evidence value. Due to the increased risk of prolonged immobilization and damaged tissues after surgery compared to closed reduction; If problems such as disuse atrophy, loss of proprioception and joint range of motion are taken into consideration, all upper extremity disorders may occur after surgery, including the elbow and shoulder joints, which are positioned together with the wrist and whose use is restricted. The following have been reported as early and late complications after surgical treatments: i)Complex regional pain syndrome, reflex sympathetic dystrophy, algodystrophy, compartment syndrome; ii) Tendon adhesion or rupture; iii)Nerve compression; iv) Post traumatic arthritis; v)Dupuytren's contracture. Although some of these complications are related to surgery, other complications are affected by processes involving the fascial system. For decades, the skeletal muscles of the human body have been characterized as independent structures. However, recent research supports the "single muscle theory", contrary to this classical view. According to this theory, the fascia tissue that covers the entire body connects the muscles to each other in the form of chains, and the muscles in the chain work together in performing functional movements. These chains are called myofascial chains. In cadaveric studies, mechanical force transfer along these connections has been demonstrated, and this connection has been tried to be explained with biotensegrite models. Due to this load transfer, all structures on the chain are affected by the forces or disorders that any structure in the myofascial chain is exposed to, and this is explained by the biotensivity theory. Fascia tissue that creates all these connections; It consists of tightly arranged connective tissue and is structurally similar to tendons and ligaments. It surrounds organs, muscles, vessels and nerves, connects tissues and allows them to slide and move over each other. Past histological studies have reported that there are also contractile cells in the fascia structure. Although there are problems in rehabilitation after distal radius fracture that go beyond a single segment and affect the whole body; There is no study in the literature that uses the myofascial chain exercises approach in the treatment of these problems. In the light of all this information, the thesis study aims to ensure the active participation of the upper body muscles in the rehabilitation process with the distal radius fracture program planned with myofascial chain exercises and in this way to improve the functional level obtained as a result of rehabilitation.
2,261 studies on the registry are indexed under Fractures, Bone; 325 are open to participants now.
This study's enrollment of 34 is below the median of 69 across 1,482 interventional studies indexed under Fractures, Bone.
Browse Fractures, Bone studies →Bahçeşehir University is the lead sponsor of 117 studies on the registry; 22 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Participants will treated exercises with focused on upper extremity especially wrist muscles.
Other: Therapeutic Exercises
Participants will treated exercises with focused on whole body especilly myofascial chains.
Other: Therapeutic Exercises
Participants will do any exercises. They will join only assessment sessions.
Participants who have inclusion criterias after DRF reconstrontion pos-op 4. week will included this study. Certified Physiotherapist who have master of science degree and doctorate student will assessed them before and after treatment with face to face. Also exercise education will give face to face with same therapist. After that first sessions patients will progress their standardize or structered exercises pragram with telerehabilition during 4 weeks and 16 sessions. All sessions will be supervised with physiotherapist. End of study assessments will perform again with same therapist.
Quick DASH (The Disabilities of the Arm, Shoulder and Hand)
Quick-DASH is an 11-item questionnaire that questions a person's limitations in upper extremity problems.
Time frame: Pre treatment and end of study (4 weeks after from first assessment)
The Visual Analogue Scale (VAS)
This scale scores from 0 to 10. Higher scores indicate worse pain.
Time frame: Pre treatment and end of study (4 weeks after from first assessment)
Hand Functional Index (HFI)
The hand functional index scale consists of 9 items. Each item is scored between 0-3. It is calculated by adding the scores from all items separately for both hands.
Time frame: Pre treatment and end of study (4 weeks after from first assessment)
Michigan Hand Outcomes Questionnaire (MHQ)
It is a survey that includes six subheadings from patients (pain, hand function, satisfaction with hand function, work performance, ADL and aesthetic satisfaction).
Time frame: Pre treatment and end of study (4 weeks after from first assessment)
Joint Range of Motion Measurement Test With Goniometer
Joint range of motion evaluation was made with a goniometer device and flexion, extension, radial-ulnar deviation angles were evaluated.
Time frame: Pre treatment and end of study (4 weeks after from first assessment)
Hand Grip Strength Measurement Test With Hand Dynamometer
During the test, the patient was in a sitting position and the force value was recorded by squeezing the device in the palm of the hand and not supporting the body with the elbow.
Time frame: Pre treatment and end of study (4 weeks after from first assessment)
Pinch Grip Strength With Pinch Meter
The force value was recorded by the researcher, by holding the device from the indicator part and asking the subject to squeeze it between the thumb and index finger in a sitting position.
Time frame: Pre treatment and end of study (4 weeks after from first assessment)
Fingertip Dexterity and Gross Movement of the Hand With The Purdue Pegboard Test (PPT)
With materials such as metal pipe beads and sequin beads inside the device; The subject was asked to perform the exercises against the clock in the order and ways specified in the guide.
Time frame: Pre treatment and end of study (4 weeks after from first assessment)
Plan to share: No
No publications or documents are linked to this record.
This study is completed, as verified in Jan 2024. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Bahçeşehir University