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Effects of Concentric Exercise With and Without Mulligan Wrist Mobilization After Distal Radius Fracture.

R

Riphah International University

Status

Unknown

Conditions

Distal Radius Fracture

Treatments

Other: Concentric exercises without wrist mobilization
Other: Concentric exercises with wrist mobilization

Study type

Interventional

Funder types

Other

Identifiers

NCT05405023
REC/RCR&AHS/22/0128

Details and patient eligibility

About

The distal end of the radius is defined as the area three centimeters proximal to the radio carpal joint, where the radius interfaces with the lunate and scaphoid bone of the wrist. A fracture of the distal radius is usually caused by falling on the outstretched arm. The majority of distal radial fractures are closed injuries in which the overlying skin remains intact. Pain, swelling, bruising, deformity and deformity in the forearm or wrist are common. In women, the incidence of distal radial fracture increases with age from 40 years. The objective of this study will be to determine the Effects of Concentric exercises with and without mulligan wrist mobilization on pain, grip strength, Range of motion and function after distal radius fracture.

This study will be a randomized controlled trial and will be conducted in District Head Quarter hospital sheikhupura. The study will be completed in time duration of six months after the approval of synopsis and convenience sampling technique will be used. 18 subjects will be divided in two groups. Group A will follow concentric exercises at wrist including flexion, extension, abduction, adduction, pronation, supination and wrist mobilizations with movements while group B will follow only wrist concentric exercises treatment. MWM based on Mulligan's Recommendation that the patient should not experience any pain. The Location and direction of the glide could be modified so that the MWM was pain free, as advocated in the Mulligan concept. This study will be of 4 weeks, 3 sessions per week. Data will be collected by all participants before 1st session after 6th session and at the end of 12th session by using NPRS, Hand Dynamometer, Goniometer and Patient Rated Wrist Evaluation score. Data will be analyzed by SPSS-25.

Enrollment

18 estimated patients

Sex

All

Ages

35 to 70 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Age: 35-70 years
  • Subjects with at least 6 weeks of distal radius fracture
  • Orthopedic surgeon advise

Exclusion criteria

  • Neurological problem affecting upper limb
  • Parkinson disease
  • Subjects having polyarthritis, bleeding disorders, tumors, local infection, peripheral vascular disease
  • Any contraindication to physiotherapy

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

18 participants in 2 patient groups

Concentric exercises with wrist mobilization
Experimental group
Description:
concentric exercise including wrist flexion, extension, and abduction, adduction, supination and pronation plus wrist mobilizations with movements
Treatment:
Other: Concentric exercises with wrist mobilization
Concentric exercises without wrist mobilization
Active Comparator group
Description:
concentric exercise including wrist flexion, extension, and abduction, adduction, supination and pronation
Treatment:
Other: Concentric exercises without wrist mobilization

Trial contacts and locations

1

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Central trial contact

Imran Amjad, Phd

Data sourced from clinicaltrials.gov

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