Unique ID issued by UMIN | UMIN000015003 |
---|---|
Receipt number | R000017448 |
Scientific Title | Efficacy of Occupational Therapy after Volar Locking Plate Fixation of the Distal Radius Fracture: A Randomized Controlled Trial |
Date of disclosure of the study information | 2014/08/31 |
Last modified on | 2021/09/05 12:49:37 |
Efficacy of Occupational Therapy after Volar Locking Plate Fixation of the Distal Radius Fracture: A Randomized Controlled Trial
Efficacy of OT after Operation of DRF
Efficacy of Occupational Therapy after Volar Locking Plate Fixation of the Distal Radius Fracture: A Randomized Controlled Trial
Efficacy of OT after Operation of DRF
Japan |
Distal radius fracture
Orthopedics |
Others
NO
To evaluate the effectiveness of occupationa therapy after volar locking plate fixation of distal radius fracture
Efficacy
Quick Disability of Arm, Shoulder, and Hand (QuickDASH) score after 6 weeks
Range of motion of the wrist and the forearm, Grip strength, Pinch strength, Patient-Rated Wrist Evaluation (PRWE), Pain evaluated by Visual Analogue Scale(VAS)
Interventional
Parallel
Randomized
Individual
Single blind -participants are blinded
Active
NO
NO
Central registration
2
Treatment
Maneuver |
Occupational therapy (2 times/week, during the twelve weeks after surgery) and home exercise instruction by the attending doctor at every visit.
Home exercise instruction by the attending doctor at every visit.
40 | years-old | <= |
Not applicable |
Female
1) Patients who have a distal radius fracture to open reduction and internal fixation with volar locking plate.
2) Patients 40 years of age or over at the time of providing consent.
3) Patients who could provide written consent for participation.
1) Patients with a history of a distal radius fracture.
2) Patients with complex regional pain syndrome.
3) Patients with a connective tissue disease.
4) Patients who are deemed unsuitable by the attending physician
50
1st name | Kazushige |
Middle name | |
Last name | Gamo |
Bellland General Hospital
Orthopaedic Surgery
599-8247
500-3 Higashiyama, Naka-ku, Sakai-shi, Osaka 599-8247, Japan
072-234-2001
kaz-gamo@umin.ac.jp
1st name | Kazushige |
Middle name | |
Last name | Gamo |
Bellland General Hospital
Orthopaedic Surgery
599-8247
500-3 Higashiyama, Naka-ku, Sakai-shi, Osaka 599-8247, Japan
072-234-2001
kaz-gamo@umin.ac.jp
Bellland General Hospital
None
Self funding
Bellland general hospital, IRB
500-3 higashiyama, naka-ku, sakai, Osaka, Japan
072-234-2001
kaz-gamo@umin.ac.jp
NO
ベルランド総合病院
2014 | Year | 08 | Month | 31 | Day |
https://www.jhandsurg.org/
Unpublished
https://www.jhandsurg.org/
256
The QuickDASH scores were significantly lower in the OT group at 6 weeks post-surgery (12.5 vs. 19.4). The postoperative VAS pain scores were significantly lower in the OT group at 2, 4, and 6 weeks (10.2 vs. 17.6). The active ROM of the wrist flexion-extension arc at 2, 4, 6, and 8 weeks, active ROM of the pronation-supination arc at 6 and 8 weeks, and passive ROM of the wrist flexion-extension arc at 2, 4, and 8 weeks were significantly greater in the OT group.
2021 | Year | 09 | Month | 05 | Day |
Female patients older than 40 years with distal radius fracture and who underwent volar plate fixation between September 2014 and May 2018 were included in this prospective, two-arm, parallel-group, randomized controlled trial. Patients with polytrauma, open fracture, ulnar head fracture excluding ulnar styloid fracture, ipsilateral extremity fracture, present or previous fracture to the contralateral side, history of complex regional pain syndrome, collagen vascular disease, or limited cognitive capacity were excluded.
Fifty-seven patients diagnosed with distal radius fractures who had undergone volar plate fixation were enrolled in a prospective randomized controlled trial. Patients were randomised into the OT and independent exercise (IE) groups, in which they exercised independently under the surgeon's direction wit and without OT, respectively. The primary outcome was the functional outcome measured using the Quick Disability of Arm, Shoulder, and Hand (QuickDASH) questionnaire after 6 weeks. The secondary outcomes were functional outcomes measured using the Patient-rated Wrist Evaluation questionnaire, active and passive ranges of motion (ROMs), grip strength, key pinch strength, and pain measured on a visual analog scale (VAS). Patients were followed up in the outpatient department at 2, 4, 6, and 8 weeks and at 3 and 6 months.
none
The main outcome measure was the functional outcome measured using the Quick Disability of Arm, Shoulder, and Hand (QuickDASH) questionnaire after 6 weeks. The secondary outcomes were functional outcomes measured using the Patient-rated Wrist Evaluation (PRWE) questionnaire, active and passive ROMs, grip strength, key pinch strength, and pain measured on a visual analog scale (VAS).
Main results already published
2014 | Year | 07 | Month | 01 | Day |
2014 | Year | 08 | Month | 25 | Day |
2014 | Year | 09 | Month | 01 | Day |
2019 | Year | 05 | Month | 27 | Day |
2019 | Year | 09 | Month | 01 | Day |
2019 | Year | 09 | Month | 20 | Day |
2019 | Year | 12 | Month | 05 | Day |
2014 | Year | 08 | Month | 31 | Day |
2021 | Year | 09 | Month | 05 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000017448
Research Plan | |
---|---|
Registered date | File name |
Research case data specifications | |
---|---|
Registered date | File name |
Research case data | |
---|---|
Registered date | File name |