An interventional study of Standard rehabilitation and Unilateral high-intensity strength exercise in Wrist Fractures and Distal Radius Fractures, sponsored by Universidad Catolica de Temuco. Not yet recruiting at 1 site in Chile. Open to participants aged 30 Years to 50 Years. Per ClinicalTrials.gov, last updated 2024-12-03.
Sponsored by Universidad Catolica de Temuco · Not applicable, Interventional, and Treatment
The objective will be to determine the effectiveness of adding unilateral upper limb postoperative training to standard rehabilitation compared to standard rehabilitation on maximum grip strength and manual dexterity in patients aged 30-50 years with surgically treated distal radius fracture. It is presumed that the addition of unilateral upper limb training will significantly improve maximum grip strength and manual dexterity at the end of the intervention period compared to the group receiving only standard rehabilitation.
Patients who agree to participate in this research will be randomly assigned to a control group (standard rehabilitation with unilateral training with mobility exercises) or an experimental group (standard rehabilitation with unilateral high-intensity strength training). The duration of the postoperative intervention will be 12 weeks. The primary variables are maximum grip strength and manual dexterity. Secondary variables are wrist mobility, forearm circumference, maximum voluntary isometric strength, functionality and health-related quality of life. Results will be measured at 0, 6 and 12 weeks postoperative.
Exclusion Criteria:
Participants will undergo progressive strength training based on eccentric contractions during the mobilization and strengthening phases of standard rehabilitation.
Other: Standard rehabilitation · Other: Unilateral high-intensity strength exercise
Participants will undergo active mobility training of the pronation-supination movements during the mobilization and strengthening phases of standard rehabilitation
Other: Standard rehabilitation · Other: Unilateral mobility exercises
Protocol based on the best available evidence and to be used in all participants in both groups. The standard rehabilitation protocol will consist of three postoperative phases: Mobilization (0 to 4 weeks), Strengthening (4 to 8 weeks) and Functional phase (8 to 12 weeks). Sessions will be held 3 times a week for 12 weeks. Each session will last 1 hour and will consist of different modalities of therapeutic exercise and cryotherapy.
Participants will be seated in an armchair with armrests and will perform 4 sets of 8 repetitions of an eccentric exercise for the pronosupinator muscles with a dumbbell with adjustable weights. The training will start with an intensity of 60% of 1RM, until reaching 80% 1RM.
Participants will be seated in an armchair with armrests and will perform 4 sets of 8 repetitions of an active mobility exercise for the pronation-supination muscles using a plastic rod.
Handgrip strength
Jamar grip dynamometer (kilos)
Time frame: 0, 6 and 12 weeks
Manual dexterity
Functional Dexterity Test (Seconds)
Time frame: 0, 6 and 12 weeks
Active range motion
Wrist and forearm: Extension, flexion, pronation and supination (degree)
Time frame: 0, 6 and 12 weeks
Pain intensity
Visual Analogue Scale (0-10 centimeters)
Time frame: 0, 6 and 12 weeks
Forearm circumference
Circumference (cm)
Time frame: 0, 6 and 12 weeks
Maximum voluntary isometric strength.
Progressor 300, Tindeq, Norway (Kilos)
Time frame: 0, 6 and 12 weeks
Self-reported upper limb function.
Quick Disabilities of Arm, Shoulder and Hand (0-100 points)
Time frame: 0, 6 and 12 weeks
Self-reported wrist function
Patient-Rated Wrist Evaluation (0-50 points)
Time frame: 0, 6 and 12 weeks
Health-related quality of life
Short Form-12 (0-100 points)
Time frame: 0, 6 and 12
Depression, anxiety and stress
Depression, Anxiety and Stress Scale (0-63 points)
Time frame: 0 week
Treatment expectations
Treatment Expectation Questionnaire (0-10 points)
Time frame: 0 week
Physical activity
International Physical Activity Questionnaire (Categorical Score: Low, Moderate. High)
Time frame: 0 and 12 weeks
Plan to share: No
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Universidad Catolica de Temuco