Efficacy of combined physical and occupational therapy in patients with conservatively treated distal radius fracture: randomized controlled trial

2015 ◽  
Vol 127 (S5) ◽  
pp. 282-287 ◽  
Author(s):  
Verica Filipova ◽  
Dragan Lonzarić ◽  
Breda Jesenšek Papež
Keyword(s):  
Randomized Controlled Trial ◽  
Occupational Therapy ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Controlled Trial ◽  
Radius Fracture ◽  
Randomized Controlled

scholarly journals A study protocol for a randomized controlled trial evaluating vibration therapy as an intervention for postural training and fall prevention after distal radius fracture in elderly patients

2019 ◽  
Author(s):  
Ronald Man Yeung WONG ◽  
Wing Tung HO ◽  
Ning TANG ◽  
Chi Yin TSO ◽  
Wai Kit Raymond NG ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Elderly Patients ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Fall Prevention ◽  
Postural Stability ◽  
Controlled Trial ◽  
Radius Fracture ◽  
Randomized Controlled ◽  
Increased Risk

Abstract Background: Fractures of the distal radius are one of the most common osteoporotic fractures in elderly men and women. These fractures are a particular health concern amongst the elderly, who are at risk of fragility fractures, and are associated with long-term functional impairment, pain and a variety of complications. This is a sentinel event as these fractures are associated with 2 to 4 times increased risk of subsequent hip fractures in elderly patients. This is an important concept as it is well established that these patients have an increased risk of falling. Fall prevention is therefore crucial to decrease further morbidity and mortality. The purpose of this study is to investigate the effect of low-magnitude high frequency vibration (LMHFV) on postural stability and prevention of falls in elderly patients post distal radius fracture. Methods: This is a prospective single-blinded randomized controlled trial. 200 patients will be recruited consecutively with consent, and randomized to either LMHFV (n=100) or control group (n=100). The primary outcome is postural stability measured by the static and dynamic ability of patients to maintain center of balance on the Biodex Balance System SD. Secondary outcomes are the occurrence of fall, the health-related quality of life (SF-36), Timed Up and Go (TUG) test for basic mobility skills, compliance and adverse events. Outcome assessments for both groups will be performed at baseline 0 months, 6 weeks, 3 months and 6 months time-points. Discussion: Previous studies have stressed the importance of reducing falls in distal radius fracture elderly patients, and an effective intervention is crucial. Numerous studies have proven vibration therapy to be effective in improving balancing ability in normal patients. No previous study has applied the device for fracture patients. Our study will be going to translate LMHFV to fracture patients to improve postural stability and prevent recurrent falls. Positive results would provide a large impact in the prevention of secondary fractures and save healthcare costs.

scholarly journals Vibration Therapy as an Intervention for Postural Training and Fall Prevention after Distal Radius Fracture in Elderly Patients: A Randomized Controlled Trial

2019 ◽  
Author(s):  
Ronald Man Yeung WONG ◽  
Wing Tung HO ◽  
Ning TANG ◽  
Chi Yin TSO ◽  
Wai Kit Raymond NG ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Elderly Patients ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Fall Prevention ◽  
Postural Stability ◽  
Controlled Trial ◽  
Radius Fracture ◽  
Randomized Controlled ◽  
Increased Risk

Abstract Background: Fractures of the distal radius occur in 15% of women older than 50 years of age. These fractures are a particular health concern amongst the elderly, who are at risk of fragility fractures, and are associated with long-term functional impairment, pain and a variety of complications. This is a sentinel event as these fractures are associated with 2 to 4 times increased risk of subsequent hip fractures in elderly patients. This is an important concept as it is well established that these patients have an increased risk of falling. Fall prevention is therefore crucial to decrease further morbidity and mortality. The purpose of this study is to investigate the effect of low-magnitude high frequency vibration (LMHFV) on postural stability and prevention of falls in elderly patients post distal radius fracture. Methods: This is a prospective single-blinded randomized controlled trial. 200 patients will be recruited consecutively with consent, and randomized to either LMHFV (n=100) or control group (n=100). The primary outcome is postural stability measured by the static and dynamic ability of subjects to maintain center of balance on the Biodex Balance System SD. Secondary outcomes are the occurrence of fall, the health-related quality of life (SF-36), Timed Up and Go (TUG) test for basic mobility skills, compliance and adverse events. Outcome assessments for both groups will be performed at baseline 0 months, 6 weeks, 3 months and 6 months time-points. Discussion: Previous studies have stressed the importance of reducing falls in distal radius fracture elderly patients, and an effective intervention is crucial. Numerous studies have proven vibration therapy to be effective in improving balancing ability in normal subjects. No previous study has applied the device for fracture patients. Our study will be going to translate LMHFV to fracture patients to improve postural stability and prevent recurrent falls. Positive results would provide a large impact in the prevention of secondary fractures and save healthcare costs. Trial Registration ClinicalTrials.gov, NCT03380884. Registered on 21 December 2017, https://clinicaltrials.gov/ct2/show/NCT03380884. Keywords Distal radius fracture, vibration, fall prevention, postural stability, randomized controlled trial

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