RecruitingNot ApplicableNCT06931418

Early Strengthening Rehabilitation Training for Post-operative Fracture Distal Radius

Randomized Controlled Trial for Post-operative Fracture Distal Radius Rehabilitation - The Early Motion Protocol Rehabilitation vs. Early Strengthening Study (EMPRESS Trial)


Sponsor

The University of Hong Kong

Enrollment

50 participants

Start Date

May 22, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The primary objective of this study is to demonstrate safety and efficacy of an early strengthening and passive mobilization rehabilitation program for post-operative distal radius fracture fixation surgery compared to current conventional rehabilitation.


Eligibility

Min Age: 50 Years

Plain Language Summary

Simplified for easier understanding

This study evaluates whether an "early strengthening protocol" (ESP) — which begins strengthening and passive mobilization exercises immediately after wrist fracture surgery — produces better or comparable recovery outcomes compared to the standard early motion protocol (EMP) currently used after distal radius fracture fixation. Wrist fractures are among the most common fractures in older adults, and some patients struggle with stiffness and poor function even with early movement-based rehabilitation. Eligible participants are adults aged 50 and older with a closed, displaced distal radius fracture requiring surgery, without previous wrist surgery, nerve injuries, or arthritis, who are fit for anesthesia and able to follow rehabilitation instructions. Participation involves being randomly assigned to one of the two rehabilitation protocols and being assessed for wrist strength, range of motion, and functional outcomes over time. This summary was prepared using AI to help patients understand the study in plain language.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

OTHEREarly Strengthening Protocol

Patients in the ESP intervention arm will undergo active and passive exercises as well as strengthening exercises after their initial assessment by rehabilitation therapists within 2 weeks of their discharge. Early use of strength and passive stretching will be encouraged immediately after allocation.

OTHEREarly Motion Protocol

Patients are instructed for active flexion, extension, supination, pronation and finger flexion of the operated wrist along with motion of the shoulder and elbow after operation. Active mobilization is continued for the initial post-operative 6 weeks with allied health therapists. Passive mobilization and strengthening is started at the post-operative 8-10-week period.


Locations(1)

Queen Mary Hospital, The University of Hong Kong

Hong Kong, Hong Kong

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NCT06931418


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