Physiotherapy vs Telerehabilitation After Volar Plating of Distal Radius Fracture
NCT ID: NCT06365710
Last Updated: 2024-10-31
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
84 participants
INTERVENTIONAL
2022-11-24
2026-01-31
Brief Summary
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Patients with distal radius fracture that meet the operative criteria set by the Finnish Current Care guidelines are randomized (1:1 computer generated sequence with random block size) to two parallel groups and will undergo operative treatment and traditional physiotherapy vs telerehabilitation.
Baseline data is collected preoperatively and patients are followed at 1, 3 and 12 months after enrollment. The primary end-point is 3 months and the primary outcome is the Patient-Rated Wrist Evaluation (PRWE).
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Telerehabilitation
The telerehabilitation group will start the physiotherapy guided by the digital care pathway postoperatively. The pathway includes videos, photos, animations and written material for rehabilitation of the operated hand. The same weightbearing instructions and mobilization exercises are shown in the videos and photos as are instructed in the physiotherapist appointment in the traditional physiotherapy group.
Telerehabilitation
Telerehabilitation program
Traditional Physiotherapy
The traditional physiotherapy group will attend appointment with the physiotherapist at two-week and five week timepoints. After this, this group can attend additional physiotherapist appointments if seen necessary by the physiotherapist or the surgeon.
Traditional physiotherapy
Guided rehabilitation program with physiotherapist appointments
Interventions
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Telerehabilitation
Telerehabilitation program
Traditional physiotherapy
Guided rehabilitation program with physiotherapist appointments
Eligibility Criteria
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Inclusion Criteria
* age between 18 to 65 years
* Non concomitant injuries including ligament injuries and distal ulna fractures, however ulnar styloid avulsion is accepted
* No significant comorbidities
* No previous problems with the examined hand
* Ability to understand Finnish fluently
Exclusion Criteria
* Open fractures
* Injury of both upper extremities
* Other operative injury on the same side
* Rheumatoid arthritis of other inflammatory joint disease
* Heavy smoker (over 20 cigarettes per day)
* Disease of medication slowing ossification
* Alcohol or drug abuse
* Psychiatric disorder with poor treatment balance
* Neurological disorder which affects the function of the injured extremity
* Fixation material other than a volar locking plate
* Fracture fixation is not stable enough to start rehabilitation after 14 days
18 Years
65 Years
ALL
No
Sponsors
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Töölö Hospital
OTHER
Responsible Party
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Samuli Aspinen
Principal investigator
Locations
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Division of Musculosceletal and Plastic Surgery, Hand Surgery Unit, Helsinki University Hospital
Helsinki, Uusimaa, Finland
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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HUS/206/2022
Identifier Type: -
Identifier Source: org_study_id
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