The objective is to improve the functional outcome in distal radius fracture patients, specified as an increase in function, dexterity, grip strength, range of motion, and decrease of pain.
ID
Source
Brief title
Condition
- Fractures
- Bone and joint therapeutic procedures
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The main study parameter is function.
Secondary outcome
Secondary study parameters are dexterity, range of motion, grip strength, and
pain.
Background summary
Distal radius fracture (DRF) is a common injury that may lead to prolonged
function restrictions, decreased range of motion, reduced grip strength and
pain. These symptoms may be caused by physical changes due to the injury and/or
by the 4-6 weeks immobilization that is part of the conservative treatment.
However, it might also be that neural changes during the immobilization play an
important role. Such changes might be prevented by motor imagery training
during the immobilization period. So, when neural changes are prevented, this
may lead to a better functional outcome.
Study objective
The objective is to improve the functional outcome in distal radius fracture
patients, specified as an increase in function, dexterity, grip strength, range
of motion, and decrease of pain.
Study design
Parallel group randomized controlled trial, with a post-test only control group
design. Patients in the experimental group perform motor imagery training
during the immobilization period, in addition to the regular treatment.
Patients in the control group receive regular treatment.
Intervention
Motor imagery training; 4 times a day 7 minutes of motor imagery training for 3
weeks (depending on duration of immobilization period).
Study burden and risks
During the immobilization period, the patients in the experimental group are
asked to perform motor imagery 4 times a day, whereby each session takes 7
minutes, so the time expenditure is 28 minutes a day. The outcome measures are
determined twice in each group; directly after cast removal and two weeks after
cast removal. The measurements take place at the moments that the patients
visit the hospital for a protocolized outpatient visit. Thus, the measurements
do not require extra hospital visits.
Although there is only one study that examined the effectiveness of motor
imagery training in peripheral injuries, many studies are conducted that
demonstrate the effectiveness of motor imagery training in stroke patients,
athletes and healthy subjects. Based on these studies, it is expected that
motor imagery training will benefit recovery after a distal radius fracture. To
our knowledge, there are no studies that identified the risks of motor imagery
training. Since motor imagery training does not contain motion, it is highly
unlikely that the intervention is harmful to the patients.
Hanzeplein 1
Groningen 9713 GZ
NL
Hanzeplein 1
Groningen 9713 GZ
NL
Listed location countries
Age
Inclusion criteria
- distal radius fracture patients
- female
- 45-75 years old
- conservatively treated
- low energy trauma caused by fall
Exclusion criteria
- Vividness of Motor Imagery Questionnaire-score >= 72
- communitive intra-articular fractures of distal radius
- complications likely resulting in worse functional outcome
- high energy trauma
- pre-existent upper-extremity disorders
- no understanding of Dutch language
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL36638.042.11 |