Distal Radius Fracture Prospective Database 50-80 Years Old

NCT ID: NCT01497080

Last Updated: 2014-03-19

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 195 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2012-01-31
• Study Completion Date: 2014-01-31

Brief Summary

The Problem Distal radius fractures (DRF) are common and result in a variable amount of disability. The investigators have completed considerable work in developing tools that measure impairment and disability after DRF . The investigators initial studies indicate that the associated disablement process is multifactorial and variable with only 25% of the resultant disability predicted by baseline patient and injury characteristics. The investigators see DRF as a signal event where some people are at-risk of transitioning from an active lifestyle to inactivity and subsequent health risks. The investigators recent data confirms variable participation following a DRF. The traditional focus in orthopedic/rehabilitative approaches to DRF fracture management has been localized to the wrist, largely ignoring this potential transition and its health impacts. The investigators will initiate a line of investigation that will profile the at-risk older adult who presents with a DRF with the ultimate goal of accurate identification and prevention of adverse activity transitions (active to inactive). In this study the investigators will identify the extent of the problem by quantifying changes in activity/participation and its short-term health impacts. The investigators will also identify the risk factors present at time of injury that predict a loss of mobility/activity/participation. This work has the potential to identify tools and/or clinical prediction rules that identify at-risk individuals at a critical time where early intervention might most easily prevent adverse outcomes associated with inactivity.

Conditions

Radius Fracture Distal

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Study Groups

1

No interventions assigned to this group

activity level

No interventions assigned to this group

no treatment

No interventions assigned to this group

Eligibility Criteria

Inclusion Criteria

individuals 50-80 years old

• one month of fracture resulting from a fall from standing height or less will be recruited through our orthopedic surgeon
• wrist fracture

Exclusion Criteria

previous history of humeral, hip or vertebral fracture

• Testing will not be performed on patients with evident postural instability, severe chronic conditions (Parkinson's disease) or other vestibulo-ocular abnormalities.

• Minimum Eligible Age: 50 Years
• Maximum Eligible Age: 80 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's

OTHER

Sponsor Role: lead

Responsible Party

Joy MacDermid

Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Joy MacDernmid, PhD

Role: PRINCIPAL_INVESTIGATOR

St. Joseph's Health Care London

Locations

HULC, St Joseph's health Care London

London, Ontario, Canada

Countries

Canada

References

Colquhoun HL, Letts LJ, Law MC, MacDermid JC, Missiuna CA. A scoping review of the use of theory in studies of knowledge translation. Can J Occup Ther. 2010 Dec;77(5):270-9. doi: 10.2182/cjot.2010.77.5.3.

Reference Type: BACKGROUND

PMID: 21268509 (View on PubMed)

Grewal R, MacDermid JC, Pope J, Chesworth BM. Baseline predictors of pain and disability one year following extra-articular distal radius fractures. Hand (N Y). 2007 Sep;2(3):104-11. doi: 10.1007/s11552-007-9030-x. Epub 2007 Mar 23.

Reference Type: BACKGROUND

PMID: 18780068 (View on PubMed)

Other Identifiers

18482

Identifier Type: -

Identifier Source: org_study_id