Comparison of rehabilitation interventions in nonoperatively treated distal radius fractures: a randomized controlled trial of effectiveness
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2021;9(16):9 Bone Joint J. 2021 Jun;103-B(6): 1033-1039.¿Qué significa esto para mi consulta?
The results of this study suggest that rehabilitation advice delivered by a leaflet or video does not significantly affect 1 year clinical outcomes compared to face-to-face therapy in patients recovering from non-operatively treated distal radius fractures. Given the difficulty in accessing face-to-face therapy in the pandemic environment, video and leaflet advice interventions may prove useful. However, working patients who are more active may find more benefit with face-to-face therapy compared to an advice leaflet alone. This study was limited by the the significant loss to follow up (>20%) in the advice leaflet group, and future trials to confirm the results of this study are of interest.
Resumen del estudio
One hundred and twenty patients with non-operatively treated distal radius fractures were randomized to receive 6 weeks of rehabilitation therapy delivered via an advice leaflet (n=40), advice video (n=40), or face-to-face therapy (n=40). The primary outcome of interest was the Disability of the Arm, Shoulder and Hand (DASH) score at 6 weeks. Secondary outcomes of interest included the DASH work score (for those in employment), grip strength, and range of motion. Outcomes were assessed at 6 weeks and 1 year follow up. Results revealed no significant differences between groups in DASH scores at 6 weeks or 1 year follow up. DASH work scores at 6 weeks were significantly in favour of the face-to-face group compared to the advice leaflet group; otherwise, no significant differences between groups were observed between groups in all secondary outcomes.
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