scholarly journals Effects of circumferential rigid wrist orthoses in rehabilitation of patients with radius fracture at typical site

2005 ◽  
Vol 62 (4) ◽  
pp. 257-264 ◽  
Author(s):  
Aleksandar Djurovic ◽  
Mirjana Zivotic-Vanovic ◽  
Zoran Railic
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Rehabilitation Program ◽  
Radius Fracture ◽  
Control Group ◽  
Significant Difference ◽  
Hand Grasp ◽  
Clinically Significant ◽  
Experimental Group ◽  
Typical Site

Background. The use of orthoses is a questionable rehabilitation method for patients with the distal radius fracture at typical site. The aim of this study was to compare the effects of the rehabilitation on patients with radius fracture at the typical site, who wore circumferential static wrist orthoses, with those who did not wear them. Methods. Thirty patients were divided into 3 equal groups, 2 experimental groups, and 1 control group. The patients in the experimental groups were given the rehabilitation program of wearing serially manufactured (off-the-shelf), as well as custom-fit orthoses. Those in the control group did not wear wrist orthoses. Evaluation parameters were pain, edema, the range of the wrist motion, the quality of cylindrical, spherical, and pinch-spherical grasp, the strength of pinch and hand grasp, and patient's assessment of the effects of rehabilitation. Results. No significant difference in the effects of rehabilitation on the patients in experimental groups as opposed to control group was found. Patients in the first experimental group, and in control group were more satisfied with the effects of rehabilitation, as opposed to the patients in the second experimental group (p<0,05). Conclusion. The effects of circumferential static wrist orthoses in the rehabilitation of patients with distal radius fracture at the typical site were not clinically significant. There was no significant difference between the custom and off-the-shelf orthoses.

Radioulnar laxity and clinical outcome do not correlate after a distal radius fracture

2011 ◽  
Vol 36 (6) ◽  
pp. 503-508 ◽  
Author(s):  
J. H. Scheer ◽  
L. E. Adolfsson
Keyword(s):  
Clinical Outcome ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Stress Test ◽  
Distal Radioulnar Joint ◽  
Radius Fracture ◽  
Radioulnar Joint ◽  
Significant Difference ◽  
Triangular Fibrocartilage ◽  
Clinically Significant

Injury to the triangular fibrocartilage complex associated with distal radius fracture may cause symptoms of ulnar instability. Assessed by a radioulnar stress test, increased laxity of the distal radioulnar joint has in two previous studies been depicted to be associated with poorer outcome. This prospective study of 40 adults investigates the correlation of this test with functional outcome as measured by DASH. No clinically significant difference was found in relation to this test at two and five years after injury. Therefore using this test alone to decide whether or not to perform an acute repair of the TFCC cannot be recommended.

scholarly journals Pain Management during Rehabilitation after Distal Radius Fracture Stabilized with Volar Locking Plate: A Prospective Cohort Study

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Pengbo Luo ◽  
Jinjie Lou ◽  
Shengwu Yang
Keyword(s):  
Pain Management ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Locking Plate ◽  
Rehabilitation Program ◽  
Radius Fracture ◽  
Dash Score ◽  
Volar Locking Plate ◽  
Vas Scores ◽  
Pain At Rest

Introduction. Internal fixation with volar locking plate (VLP) was widely adopted as a first-line choice in treatment of distal radius fracture (DRF). Methods. Total 315 patients with distal radius fracture receiving VLP fixation were included for analysis in this study. The rehabilitation protocol was started immediately after surgery for all patients. During the initial two weeks after surgery, 149 patients received 200 mg celecoxib twice per day, 89 received buprenorphine transdermal patch at 5 μg/h, and 77 received 13 mg codeine plus 200 mg ibuprofen twice per day for pain management. Visual analog scale (VAS) scores of pain at rest, daily activity, and rehabilitative exercise were measured, respectively, every week according to the experiences of the past week in the initial six weeks after surgery. Functional outcomes including range of motion (ROM) for extension, flexion, pronation, supination, ulnar and radial abduction, the disabilities of arm, shoulder, and hand (DASH) score and the validated patient rated wrist evaluation (PRWE), and grip strength were collected at one, three, and six months after surgery. Results. We showed that patients receiving transdermal buprenorphine and codeine/ibuprofen had decreased VAS scores during rehabilitative exercise, better compliance to the rehabilitation program, and thus faster functional recovery. Conclusions. We recommend transdermal buprenorphine or codeine/ibuprofen for pain management during rehabilitation after distal radius fracture stabilized with VLP.

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

scholarly journals Effect of mental imagery on depression, anxiety and stress in instituitionalised leprosy patients – An experimental study

2021 ◽  
Vol 12 (3) ◽  
pp. 296-303
Author(s):  
Alisha-Akbar-Dossa ◽  
Parag-Shrinivas-Ranade ◽  
Rahul-Nagendrasingh-Bisen
Keyword(s):  
Aerobic Exercise ◽  
Mental Imagery ◽  
Exercise Program ◽  
Cost Effective ◽  
Well Being ◽  
Control Group ◽  
Significant Difference ◽  
Leprosy Patients ◽  
Clinically Significant ◽  
Experimental Group

Leprosy, also known as Hansen’s disease is caused by Mycobacterium Leprae. Despite being curable, it continues to be a significant health problem in many parts of the world. The prevalence of psychiatric disorders is higher in the leprosy affected population than in the general population. Physical activity has been associated with reduced symptoms of depression and anxiety. It is also associated with improved life satisfaction and psychological well-being. Mental Imagery holds belief as an intervention in the treatment of psychological disorders. This is attributable to its harmless, time and cost effective nature. The study aimed to assess the effect of mental imagery on Depression, Anxiety and Stress in institutionalised Leprosy patients using the DASS-21 (Depression, Anxiety and Stress Scale -21). It was carried out in 34 subjects divided equally in the control and experimental groups. The control group received an aerobic exercise program whereas the experimental group received an aerobic exercise program with mental imagery. It was thus concluded that a statistically significant difference was obtained in the scores of Depression in the experimental group. However, only clinically significant differences could be obtained in the scores of Anxiety and Stress. Thus, mental imagery can be used as an effective adjunct with conventional aerobic exercises for reducing Depression, Anxiety and Stress in institutionalised Leprosy patients.

scholarly journals Effect of Sleep Intervention Programs on the Quality of Sleep of Patients in Cardiac Rehabilitation Center

2021 ◽  
Author(s):  
Fatemeh Ghaneh ◽  
Mahdieh Ghanbari Firozabadi ◽  
Farzan Madadizadeh ◽  
KHadijeh Nasiriani
Keyword(s):  
Sleep Quality ◽  
Cardiac Rehabilitation ◽  
Rehabilitation Program ◽  
Intervention Programs ◽  
Control Group ◽  
Cardiac Rehabilitation Program ◽  
Quality Of Sleep ◽  
Significant Difference ◽  
Experimental Group

Abstract Background Patients with cardiovascular problems experience sleep disorders. Due to the importance of adequate sleep and rest for the growth and repair of damaged cells, it is necessary to use appropriate interventions to improve it.This study determined the effect of sleep intervention programs during cardiac rehabilitation on patients' sleep quality.Methods In this clinical trial study, 35 individuals participated in the cardiac rehabilitation program as the experimental group and 35 served as the control group. The program included 12 weeks of exercise, 3 sessions per week, and 3 sessions of training programs each lasting for 45 minutes, and a special two-session sleep improvement program. Data were collected using the Pittsburgh sleep quality index and analysed with descriptive and inferential statistical methods.ResultsThe two study groups were matched with age, sex, marital status, smoking and current disease diagnosis (P>0.05). The scores of sleep quality of patients were 9.2±1.58 before and 4.40±1.14 after intervention in the experimental group and 9.02±2.56 before and 7.48 ±1.86 after placebo in the control group. There was no significant difference before (P=0.73), but a significant difference after an intervention (P=0.0001). Also, scores of sleep quality of patients were significantly different in the experimental and control groups before and after the intervention (P=0.0001). Conclusion Findings indicated that the quality of sleep of cardiac patients improved after using the sleep intervention program during the cardiac rehabilitation program. Therefore, it is suggested to implement sleep improvement programs as an effective, easy, and feasible technique.

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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