scholarly journals The Effect of Therapeutic Whirlpool and Hot Packs on Hand Volume During Rehabilitation After Distal Radius Fracture: A Blinded Randomized Controlled Trial

Hand ◽  
2016 ◽  
Vol 12 (3) ◽  
pp. 265-271 ◽  
Author(s):  
Mike Szekeres ◽  
Joy C. MacDermid ◽  
Trevor Birmingham ◽  
Ruby Grewal ◽  
Emily Lalone
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Volume Change ◽  
Controlled Trial ◽  
Therapy Session ◽  
Radius Fracture ◽  
Significant Difference ◽  
Hand Volume ◽  
Heat Application ◽  
Hot Pack

Background: Edema is a possibility with all heating modalities due to the increase in local blood flow caused by vasodilation. Despite the frequent application of superficial heat modalities, their relative effect on hand volume has not been determined for the upper extremity. The objective of this study was to compare the immediate effects of hot packs and whirlpool on hand volume for patients with distal radius fracture (DRF) and to determine whether any changes in volume between these modalities were still present 30 minutes after heat application. Finally, to determine whether there were any differences in volume change between groups after 3 repeated therapy visits. Methods: Sixty patients with clinically healed DRFs were divided into 2 groups. Half received therapeutic whirlpool at each therapy visit, and the other half received a moist hot pack treatment for 3 consecutive visits. Hand volume was measured before heat, after heat, and at the end of each 30-minute therapy session. Results: There was a significant difference between groups immediately after heat application, as patients in the whirlpool group experienced an initial volume increase greater than those who received a hot pack. When remeasured after a hand therapy session approximately 30 minutes later, this group difference in volume change was no longer significant. The overall change in volume from enrollment in the study to completion of the study 3 weeks later was not statistically different between groups. Conclusion: Whirlpool is a potential consideration when selecting a heat modality for patients with DRF.

scholarly journals Responsiveness of EQ-5D in Patients With a Distal Radius Fracture

Hand ◽  
2017 ◽  
Vol 13 (5) ◽  
pp. 572-580 ◽  
Author(s):  
Johanna Rundgren ◽  
Anders Enocson ◽  
Cecilia Mellstrand Navarro ◽  
Gunnar Bergström
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Controlled Trial ◽  
Roc Curves ◽  
Change Score ◽  
Radius Fracture ◽  
External Criterion ◽  
Patient Reported ◽  
External Responsiveness

Background: The EuroQol Group 5-Dimension (EQ-5D) questionnaire is frequently used as an outcome measure of general patient-reported health-related quality of life (HRQoL). We evaluated the internal and external responsiveness of EQ-5D (specifically EQ-5Dindex score) in patients with a surgically treated distal radius fracture. Methods: Within the context of a randomized controlled trial (RCT), 132 patients with a surgically treated distal radius fracture filled out EQ-5D and Patient-Rated Wrist Evaluation (PRWE-Swe) at baseline (preinjury state), and at 3 and 12 months. Internal responsiveness was evaluated by calculating mean change score and standardized response mean (SRM) of the EQ-5Dindex scores. External responsiveness was evaluated with PRWE-Swe as the external criterion. PRWE-Swe was used to define 4 subgroups of patients with different clinical outcomes. The ability of EQ-5Dindex change score to discriminate between these subgroups was analyzed with logistic regression, receiver operating characteristic (ROC) curves, and area under the ROC curves (AUROCs). Correlation analysis was made with Spearman’s ρ test. Results: The mean change in EQ-5Dindex score from baseline to the 3-month follow-up was −16.1 and from the 3- to the 12-month follow-up was 7.6. The corresponding SRMs were large (0.93) and small to moderate (0.47). Analysis of external responsiveness displayed odds ratios >1 and AUROCs between 0.70 and 0.76 in all 4 subgroups. The proportion of patients correctly classified into the 4 subgroups by the EQ-5Dindex change scores was 78% to 94%. Spearman’s ρ was 0.35. Conclusion: EQ-5D displayed an overall acceptable to good responsiveness in patients with a distal radius fracture. It may thus be used as a measure of HRQoL in this patient group.

COMPARISON BETWEEN CLOSED PINNING AND PLATE PLASTERING TREATMENT METHODS FOR DISTAL RADIUS FRACTURE IN YOUNG PATIENTS ADMITTED TO LMAM KHOMEINI HOSPITAL IN JIROFT IN 2019

2021 ◽  
pp. 2150021
Author(s):  
Sina Heydari ◽  
Najmeh Alizadeh ◽  
Milad Rezaiye ◽  
Mohammad Ali Sheikh Beig Goharrizi ◽  
Akbar Mehralizade ◽  
...  
Keyword(s):  
Treatment Group ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Young Patients ◽  
Radius Fracture ◽  
Dominant Hand ◽  
Treatment Methods ◽  
Treatment Groups ◽  
Study Results ◽  
Significant Difference

Background: Distal radius fracture is a common type of bone fracture in patients of all ages. Most of the complications of this type of fracture are related to intra-articular fractures. Aim: This study aimed to compare the treatment results of distal radius fracture with two closed pinning and plate plastering methods in young patients admitted to Imam Khomeini Hospital in Jiroft in 2019. Method: The sample size was 176 patients with distal radius fractures admitted to Imam Khomeini Hospital in Jiroft in 2019. The patients were randomly divided into two treatment groups: (1) closed reduction and percutaneous pinning, and (2) plastering with plates. Finally, patients were compared in terms of the mentioned variables immediately after surgery and three months after that. The collected data were coded, entered, and analyzed by using SPSS. Results: The mean age of the selected patients in the closed pinning treatment group was 27.32 years and in the plate plastering group was 27.72 years. The minimum age of patients was four years, and the maximum was 59 years. Patients in the plate plastering treatment group seemed to have a higher mean age than those in the closed pinning treatment group, but this difference is not statistically significant ( [Formula: see text]). There was no statistically significant difference between men’s and women’s ratio in terms of being in the two treatment groups ( [Formula: see text]). There was no statistically significant difference between the right hand and left dominant hand ratio in the two treatment groups ( [Formula: see text]). There was a statistically significant difference between the ability and disability ratio to perform the activity in the two treatment groups ( [Formula: see text]). There was no significant difference between the subjective ratio of no pain, minor pain, and occasional pain in the two treatment groups ( [Formula: see text]). There was a significant difference between the ratio of movement limitation less than 20%, limitation 20–50%, and limitation more than 50% in the two treatment groups ( [Formula: see text]). There was a significant difference between the ratio of normal wrist strength, strength 30–60, and strength 60–90 in the two treatment groups ( [Formula: see text]). There was no statistically significant difference between the uncomplicated ratio and partial crepitation in terms of placement in the two treatment groups ( [Formula: see text]). Finally, there was no statistically significant difference between the total score ratio, closed pinning, and plate plastering treatment groups ( [Formula: see text]). Conclusion: According to this study results, there is no difference between the two treatment methods of closed pinning and plastering with a plate. However, the pinning treatment group had the highest frequency of excellent scores than the plate plastering method.

scholarly journals Functional outcomes of distal radius fractures with and without ulnar styloid fractures: a meta-analysis

2017 ◽  
Vol 43 (2) ◽  
pp. 150-157 ◽  
Author(s):  
Marjolein A. M. Mulders ◽  
Lili J. Fuhri Snethlage ◽  
Robert-Jan O. de Muinck Keizer ◽  
J. Carel Goslings ◽  
Niels W. L. Schep
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Functional Outcomes ◽  
Meta Analysis ◽  
Styloid Process ◽  
Radius Fracture ◽  
Visual Analogue Scale Pain ◽  
Ulnar Styloid ◽  
Significant Difference ◽  
Ulnar Styloid Process

The aim of this meta-analysis was to compare the functional outcomes of patients with a distal radius fracture with and without a concomitant fracture of the ulnar styloid process. A systematic literature search was performed to identify all studies comparing patients with a distal radius fracture with and without an ulnar styloid process fracture. The initial search revealed 511 articles, of which 12 articles with a total of 2243 patients were included; 1196 patients with and 1047 patients without an ulnar styloid process fracture. A statistically significant mean difference of 3.40 points (95% CI 1.33–5.48) in the Disability of the Arm, Shoulder, and Hand score was found in favour of patients without an ulnar styloid process fracture. This difference is less than 10 and therefore not clinically important. No significant difference was found in Patient-Rated Wrist Evaluation scores, range of motion, grip strength, visual analogue scale pain scores, ulnar-sided wrist pain and distal radio-ulnar joint instability between patients with and without an ulnar styloid process fracture after 1 year of follow-up. Moreover, no significant differences were found between ulnar styloid base and nonbase fractures. Level of evidence: I

The effectiveness of adding a scapular exercise programme to physical therapy treatment in patients with distal radius fracture treated conservatively: a randomized controlled trial

2019 ◽  
Vol 33 (12) ◽  
pp. 1931-1939
Author(s):  
Héctor Gutiérrez-Espinoza ◽  
Felipe Araya-Quintanilla ◽  
Rodrigo Gutiérrez-Monclus ◽  
Iván Cavero-Redondo ◽  
Celia Álvarez-Bueno
Keyword(s):  
Physical Therapy ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Controlled Trial ◽  
Intervention Group ◽  
Exercise Programme ◽  
Radius Fracture ◽  
Control Group ◽  
Physical Therapy Treatment ◽  
Therapy Treatment

Objective: To determine the effectiveness of a scapular exercise programme in addition to a physical therapy treatment in patients with distal radius fracture. Design: A single-blinded randomized controlled trial was conducted. Setting: Clinical Hospital San Borja Arriaran, Santiago, Chile. Participants: A total of 102 patients above 60 years of age with extra-articular distal radius fracture were randomly divided into two groups. Interventions: The control group ( n = 51) received a six-week physical therapy treatment; the intervention group ( n = 51) received the same treatment plus a scapular exercise programme. Outcome measures: The two groups were assessed at baseline and after the six-week treatment. The arm function was assessed with the disabilities of the arm, shoulder and hand (DASH) questionnaire; secondary outcomes were measured by the patient-rated wrist evaluation (PRWE) questionnaire and visual analogue scale (VAS). Results: A total of 102 patients, 51 in the control group (40 women; mean age of 65.3 ± 4.8 years) and 51 in the intervention group (42 women; mean age of 67.2 ± 5.4 years), were analysed. At the end of the treatment, the difference between groups for the DASH was 16.7 points ( P < 0.001), 1.5 points ( P = 0.541) for the PRWE, 0.2 cm ( P = 0.484) for the VAS at rest, and 1.7 cm ( P < 0.001) for the VAS at movement. All differences were in favour of the intervention group. Conclusion: In the short term, adding a scapular exercise programme provides a significant clinical benefit in arm function and pain relief with movement in patients above 60 years of age with extra-articular distal radius fracture treated conservatively.

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