Comparison of Kaltenborn Mobilization and Mobilization With Movement (MWM) in Wrist Hypomobility After Colle's Fracture

NCT ID: NCT07060430

Last Updated: 2025-07-11

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-09-15
• Study Completion Date: 2025-06-30

Brief Summary

This study is a randomised control trial and the purpose of this study is to determine comparision of Kaltenborn Mobilization and Mobilization with Movement (MWM) in wrist Hpomobility after Colle's fracture.

Detailed Description

Participants will be recruited into their respective groups using a coin toss method. Lower crossed syndrome will be assessed using the following tests:

Kaltenborn mobilization at wrist Mulligan Mobilization with Movement at wrist Wrist, forearm and fingers ROM and isometric exercises. Introductory hand grip exercises Hand grip strengthening exercises

Conditions

Colles Fracture; Hypomobility

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Kaltenborn mobilization

Group 1 will recieve heat therapy and then Kaltenborn mobilization. Supervise exercise protocol will be given Wrist, forearm and fingers ROM and isometric exercises. Introductory hand grip exercises Hand grip strengthening exercises

Group Type: EXPERIMENTAL

Kaltenborn Mobilization

Intervention Type: PROCEDURE

All participants received a standardized treatment regimen first. This began with the application of a hot pack or infrared therapy for 10 to 15 minutes at the start of each session. then this group will receive Kaltenborn mobilizations with each mobilization technique performed for 10 repetitions, and each repetition maintained for 2 to 3 seconds. Mobilizations included palmar (volar) glide, dorsal glide, radial glide, and ulnar glide. In addition to wrist mobilizations, anterior and posterior glides were applied to the distal radioulnar joint.

Mulligan mobilization with movement

Group 2 will receive heat therpy and then Mulligan Mobilization with Movement Supervise exercise protocol will be given Wrist, forearm and fingers ROM and isometric exercises. Introductory hand grip exercises Hand grip strengthening exercises

Group Type: ACTIVE_COMPARATOR

Mulligan Mobilization with Movement

Intervention Type: PROCEDURE

All participants received a standardized treatment regimen first. This began with the application of a hot pack or infrared therapy for 10 to 15 minutes at the start of each session. then this group will receive Mulligan's Mobilization with Movement (MWM) technique, which involved 10 repetitions of each mobilization, with each repetition held for 2 to 3 seconds. First, a lateral glide or rotational movement of the carpal bones on the radius was applied, accompanied by the patient actively performing the intended wrist movement, such as flexion, extension, or deviation. Second, an ulnar-directed mobilization of the radius was provided simultaneously with active patient movement.

Interventions

Kaltenborn Mobilization

All participants received a standardized treatment regimen first. This began with the application of a hot pack or infrared therapy for 10 to 15 minutes at the start of each session. then this group will receive Kaltenborn mobilizations with each mobilization technique performed for 10 repetitions, and each repetition maintained for 2 to 3 seconds. Mobilizations included palmar (volar) glide, dorsal glide, radial glide, and ulnar glide. In addition to wrist mobilizations, anterior and posterior glides were applied to the distal radioulnar joint.

Intervention Type: PROCEDURE

Mulligan Mobilization with Movement

All participants received a standardized treatment regimen first. This began with the application of a hot pack or infrared therapy for 10 to 15 minutes at the start of each session. then this group will receive Mulligan's Mobilization with Movement (MWM) technique, which involved 10 repetitions of each mobilization, with each repetition held for 2 to 3 seconds. First, a lateral glide or rotational movement of the carpal bones on the radius was applied, accompanied by the patient actively performing the intended wrist movement, such as flexion, extension, or deviation. Second, an ulnar-directed mobilization of the radius was provided simultaneously with active patient movement.

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Both male and female participants (40-70 years old) Participants who will have diagnosed Colle's fracture and treated conservatively by plaster cast fixation and should referred from department of orthopedic surgery Patients group with post Colle's fractures stiffness

Exclusion Criteria

• Patients having diagnosed Colle's fracture and treated with invasive procedure like K wiring, ORIF etc.

• Patient with Neuromuscular injuries.(diagnosed)
• Rheumatoid arthritis.
• Patients with metacarpal fracture or compartment syndrome, non-union.(diagnosed)

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Foundation University Islamabad

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Foundation University College of Physical Therapy

Islamabad, , Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Tooba Kazmi, DPT

Role: CONTACT

tubaqaxmi0ct@gmail.com

+92332 5853330

Facility Contacts

Hafiz Ali Bin Asim, MS-SPT

Role: primary

ali.asim@fui.edu.pk

+923135088144

Other Identifiers

FUI/CTR/2024/76

Identifier Type: -

Identifier Source: org_study_id