RecruitingPhase 1NCT05650996

Impact of Early ADL Participation on Outcomes Post DRF

The Impact of Early ADL Participation on Functional Outcomes Post Distal Radius Fracture


Sponsor

George Washington University

Enrollment

64 participants

Start Date

Apr 18, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This study is a randomized controlled trial (RCT). This RCT which will study the effect of performing daily activities early after a distal radius fracture being treated conservatively in a cast. This study will have two groups. The experimental group will watch a video and be given a handout on how to perform daily activities with the hand of the injured wrist while in a cast and cast care. The control group will watch a video on cast care and be given a handout on cast care. Outcome measures will be taken at initial evaluation between 0-3 weeks, at 6 weeks, at 9 weeks, and at 3 months. Outcome measures will include the Michigan Wrist Evaluation, Visual Analog Pain Scale, Tampa Scale of Kinesiophobia-11 Scale, finger mobility testing, grip and pinch strength, and the 9 hole peg test to test fine motor coordination. Outcome measure scores will be compared between groups using a t-test statistical test. Outcome measure scores will also be tested within groups using a paired t-test.


Eligibility

Min Age: 18 Years

Inclusion Criteria4

  • English Speaking
  • DRFs treated with a cast
  • Individuals over the age of 18
  • Less than 3 weeks from DRF

Exclusion Criteria8

  • Individuals with pre-existing neurological conditions affecting the upper limb
  • Individuals with cognitive deficits that would limit the ability to correctly report information on outcome measures
  • Individuals with psychological deficits which would limit the ability to correctly report information on outcome measures
  • Individuals with multiple injuries to the affected upper limb
  • Individuals with multiple injuries to both upper limbs
  • Individuals requiring surgery to fixate the distal radius fracture
  • Prior distal radius fracture involving the same wrist
  • Individuals receiving hand therapy for another injury at enrollment into study

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Interventions

BEHAVIORALADL/Cast Care instruction

Participants in the experimental group will watch a video instructing them on early ADL participation after DRF fracture treated in a cast and cast care. Participants in the experimental group will also receive a handout on ADL participation and cast care.

BEHAVIORALCast Care Instruction

Participants in the control group will watch a video instructing them on cast care. Participants in the control group will receive a handout on cast care.


Locations(1)

Medical Facilities Associates

Washington, Virginia, United States

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NCT05650996


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