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The role of physiotherapy and clinical predictors of outcome after fracture of the distal radius

2000; British Editorial Society of Bone & Joint Surgery; Volume: 82; Issue: 7 Linguagem: Inglês

10.1302/0301-620x.82b7.10377

2044-5377

A. E. Wakefield, M. M. McQueen,

Orthopedic Surgery and Rehabilitation

The Journal of Bone and Joint Surgery. British volumeVol. 82-B, No. 7 TraumaFree AccessThe role of physiotherapy and clinical predictors of outcome after fracture of the distal radiusA. E. Wakefield, M. M. McQueenA. E. WakefieldResearch Physiotherapist, M. M. McQueenConsultant Orthopaedic SurgeonPublished Online:1 Sep 2000https://doi.org/10.1302/0301-620X.82B7.0820972AboutSectionsPDF/EPUB ToolsAdd to FavouritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InRedditEmail AbstractThe capacity for physiotherapy to improve the outcome after fracture of the distal radius is unproven. We carried out a randomised controlled trial on 96 patients, comparing conventional physiotherapy with a regime of home exercises. The function of the upper limb was assessed at the time of removal of the plaster cast and at three and six months after injury. Factors which may predict poor outcome in these patients were sought.Grip strength and hand function did not significantly differ between the two groups. Flexion and extension of the wrist were the only movements to improve with physiotherapy at six months (p = 0.001). Predictors of poor functional outcome were malunion and impaired function before the fracture. These patients presented with pain, decreased rotation of the forearm and low functional scores at six weeks.Our study has shown that home exercises are adequate rehabilitation after uncomplicated fracture of the distal radius, and routine referral for a course of physiotherapy should be discouraged. The role of physiotherapy in patients at high risk of a poor outcome requires further investigation.FiguresReferencesRelatedDetailsCited byOverall Effects and Moderators of Rehabilitation in Patients With Wrist Fracture: A Systematic Review11 April 2022 | Physical Therapy, Vol. 102, No. 6Traditional Versus Digital Media–Based Hand Therapy After Distal Radius FractureThe Journal of Hand Surgery, Vol. 47, No. 3American Academy of Orthopaedic Surgeons/American Society for Surgery of the Hand Clinical Practice Guideline Summary Management of Distal Radius FracturesJournal of the American Academy of Orthopaedic Surgeons, Vol. 30, No. 4Distal Radius FracturesEfficacy of Hand Therapy After Volar Locking Plate Fixation of Distal Radius Fracture in Middle-Aged to Elderly Women: A Randomized Controlled TrialThe Journal of Hand Surgery, Vol. 47, No. 1Postoperative early and proactive grip strength training program for distal radius fractures promotes earlier recovery of grip strength13 May 2022 | Medicine, Vol. 101, No. 19The impact of shoulder pathology on individuals with distal radius fractureJournal of Hand Therapy, Vol. 26Comparison of rehabilitation interventions in nonoperatively treated distal radius fractures: a randomized controlled trial of effectivenessTim Coughlin, Alan R. 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British volume, Vol. 89-B, No. 8A randomised clinical trial of activity-focussed physiotherapy on patients with distal radius fractures1 September 2005 | Archives of Orthopaedic and Trauma Surgery, Vol. 125, No. 8A Systematic Review of Rehabilitation for Distal Radial Fractures in Adults26 September 2016 | The British Journal of Hand Therapy, Vol. 8, No. 1Correlation of impairment and activity limitation after wrist fracture1 January 2006 | Physiotherapy Research International, Vol. 7, No. 2Evidence-based Physiotherapy: The case for pragmatic randomised controlled trialsPhysiotherapy, Vol. 86, No. 8 Vol. 82-B, No. 7 Metrics History Published online 1 September 2000 Published in print 1 September 2000 InformationCopyright © 2000, The British Editorial Society of Bone and Joint Surgery: All rights reservedPDF download