Document Detail

A randomised clinical trial of activity-focussed physiotherapy on patients with distal radius fractures.
MedLine Citation:
PMID:  16136342     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Physiotherapy is considered by some authorities to be an important aspect of management in patients following distal radius fractures. There is evidence of improvement in impairment with physiotherapy; however, there is no evidence to support early return of functional activity. Traditional physiotherapy management has focussed on improving impairment; however, there are no trials with emphasis on skill acquisition via motor re-learning principles. MATERIALS AND METHODS: Forty-one participants with conservatively managed distal radius fractures were studied in a randomised, single-blinded, prospective trial. Two treatment options were compared: exercise and advice versus activity-focussed physiotherapy with measurement periods of 6 weeks after removal of cast and follow-up at 24 weeks. RESULTS: Participants allocated to the exercise and advice group consulted a physiotherapist an average of 0.9 (SD 0.4) times, while the participants allocated to the more intensive activity-focussed group consulted with physiotherapy a mean of 4.4 (SD 2.3) times. At both 6 and 24 weeks there were no significant differences between the groups for change in impairment (as measured by grip strength, range of motion of wrist flexion and extension and pain intensity), activity limitation and participation restriction, as measured by the Patient-Rated Wrist Evaluation (PRWE). Exercise and advice given by a physiotherapist were equally as effective as activity-focussed physiotherapy in recovery both at 6 and 24 weeks. CONCLUSION: The results suggest that after removal of cast from fracture of distal radius, patients may routinely require no more than a single session of advice and exercise provided by a physiotherapist.
J S Maciel; N F Taylor; C McIlveen
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2005-10-22
Journal Detail:
Title:  Archives of orthopaedic and trauma surgery     Volume:  125     ISSN:  0936-8051     ISO Abbreviation:  Arch Orthop Trauma Surg     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-10-26     Completed Date:  2006-01-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9011043     Medline TA:  Arch Orthop Trauma Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  515-20     Citation Subset:  IM    
Western Hospital Physiotherapy Department, Gordon St, 3011 Footscray, VIC, Australia.
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MeSH Terms
Activities of Daily Living
Exercise Therapy
Middle Aged
Physical Therapy Modalities*
Prospective Studies
Radius Fractures / therapy*
Range of Motion, Articular
Single-Blind Method
Wrist Injuries / therapy

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