Effectiveness of Graded Motor Imagery to Improve Hand Function in Patients With Distal Radius Fracture

Hacettepe University

Status and phase: Completed; Phase 3; Phase 2

Conditions: Distal Radius Fracture; Pain

Treatments: Procedure: Cognitive Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT02838446

GO 14/06

Details and patient eligibility

About

The purpose of this study was to investigate of the effectiveness of Graded Motor Imagery (GMI) on hand functionality in patients with Distal Radius Fracture (DRFx). This study was carried out on 36 patients. These patients were randomly assigned to two groups: classic treatment group (n=19) and GMI group (n=17). Both groups received a 8-week (2 days a week) physical therapy and rehabilitation intervention. Outcome measurements were based on upper extremity functional status (Disability of the Arm Shoulder Hand and Michigan Hand Questionnaire scores), pain (on the rest and during the activity with Visual Analog Scale), range of motion (wrist flexion, extension, ulnar/radial deviation, supination and pronation with goniometer), grip strength (standard grip strength with Jamar hydraulic hand dynamometer; lateral, palmar and pinch strength with pinch meter).

Enrollment: 36 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• ages between 18-65 years
• diagnosed with DRFx which is extra-articular
• managed with pins, internal fixation and/or cast

Exclusion criteria

• unwilling or unable to participate
• intra-articular and instable fractures containing other part of the fractures
• fractures related with the malignancy and other neurologic diseases
• existing inflammatory joint condition,
• lack of cognitive function.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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36 participants in 2 patient groups

Cognitive Therapy

Experimental group

Description:

Graded motor imagery program was applied in only intervention group for 8 weeks.

Treatment:

Procedure: Cognitive Therapy

Control

Active Comparator group

Description:

Rehabilitation program applied in both groups for 8 weeks. Frequency of the treatment was 2 days in per week and its duration was approximately one hour in one session.

Treatment:

Procedure: Cognitive Therapy