- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04071002
Patients With Distal Radius Fracture
Functional Status and Activity Participation Levels in Patients With Distal Radius Fracture
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Distal radius fracture (DRF) affects overall health status. The International Classification of Function (ICF) based approach is appropriate in the management of DRF. The purpose of this study was to investigate functional status and activity participation levels of DRF patients.
The patients were divided into conservative and surgical groups and were admitted to 12-weeks rehabilitation period. The evaluation of the body function and structure were done with Visual Analogue Scale, algometer, range of motion (ROM) and grip strength. Also, radiographic evaluations were done. Activity participation assessments were done with Push-Off Test (POT), Michigan Hand Outcomes Questionnaire (MHOQ), Short Form of Disabilities of Arm-Shoulder and Hand Questionnaire (Q-DASH) and Jebsen-Taylor Hand Function Test (JTHFT). Mann-Whitney U and Wilcoxon Tests were used respectively for intergroup and intra-group comparisons. Statistical significance level was p<0,05.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Kinikli
-
Denizli, Kinikli, Turkey, 20000
- Pamukkale University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Aged between 18 and 60
- Diagnosed with distal radius fracture
- Primary fixation after injury.
Exclusion Criteria:
- Bilateral distal radius fracture
- Concomitant ulna styloid fracture
- Another orthopaedic, neurological or rheumatologic problem involving the ipsilateral upper limb
- Patients who underwent surgery that involved ipsilateral upper extremity
- Associated injuries such as nerve or tendon injuries
- Secondary procedures at follow-up
- Un-cooperated patients.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NON_RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
ACTIVE_COMPARATOR: surgical group
distal radius fractures that treated volar plate
|
The programme include contrast bath, bandage, massage, active exercises, resistive exercises.
|
ACTIVE_COMPARATOR: conservative group
distal radius fractures that treated plaster of paris
|
The programme include contrast bath, bandage, massage, active exercises, resistive exercises.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Visual Analogue Scale
Time Frame: six month
|
To evaluate pain severity, patient show a point to indicate her/his pain between 0-10 points on a vertical 100mm line.
Severity of pain was assessed with VAS in sleep, rest, and activity.
|
six month
|
algometer
Time Frame: six month
|
An algometer is used to evaluate pain threshold of the patient for distal radioulnar joint, ulnas styloid, m.pronator quadratus, radial styloid, m. flexor pollicis longus, and triangular fibrocartilage complex.The threshold value of pain was recorded by placing the probe against the points.
Then, it was gradually increased and reduced to apply a pressure of 1kg / 0.5cm² with 0.5 cm² probe head .
|
six month
|
range of motion
Time Frame: six month
|
An universal goniometer is used to evaluate patient's active motion of joints for wrist and forearm.
|
six month
|
grip strength
Time Frame: six month
|
Grip strength was measured by a hand dynamometer according to the American Association of Hand Therapy Association's standard grip strength measurement method.
Right/left extremity and their progression are compared in this evaluation.
|
six month
|
radiographic evaluations
Time Frame: six month
|
The posteroanterior (PA) and lateral (L) radiographic measurements were assessed by an experienced hand surgeon to determine the type of fracture, geometry, and associated pathology.
Radial length and radial inclination were assessed by PA radiography.
Dorsal or volar angulations of the distal fragment were evaluated on the lateral radiography.
|
six month
|
Push-Off Test (POT)
Time Frame: six month
|
POT was performed to determine the weight transfer strength of the patient to the injured extremity.
The test was performed simultaneously and bilaterally by reversing the hand parts of the two hand dynamometers.
|
six month
|
Michigan Hand Outcomes Questionnaire (MHOQ)
Time Frame: six month
|
MHOQ was used for evaluating the participation and functional levels of the patients.
In the questionnaire consisting of 37 questions under six headings, general hand function, daily life activities, pain, work, aesthetics and satisfaction are evaluated.
In the pain scale, high scores indicate greater pain, while in the other five scales, high scores denote better hand performance.
|
six month
|
Short Form of Disabilities of Arm-Shoulder and Hand Questionnaire (Q-DASH)
Time Frame: six month
|
It was used to assess the upper extremity functional status of patients from their perspective.
It is a questionnaire that measures an individual's ability to complete tasks, absorb forces, and severity of symptoms.
It includes 11 item.
The score on test ranges from 0 (no disability) to 100 (most severe disability).
A higher scores indicate a greater level of disability and severity.
|
six month
|
Jebsen-Taylor Hand Function Test (JTHFT)
Time Frame: six month
|
The seven individual subtests of JTHFT writing, card turning, picking up small common objects, stacking checkers, stimulated feeding, moving light objects and moving heavy objects, were performed as a standardized procedure.
|
six month
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: HANDE USTA, MSC, Pamukkale University
- Study Director: AHMET FAHIR DEMIRKAN, PROF, Pamukkale University
Publications and helpful links
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 3518
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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