Activities and impairments in the early stage of rehabilitation after Colles' fracture

Dekkers, M.; Søballe, Kjeld

doi:10.1080/09638280410001683173

Cited by 45 publications

(40 citation statements)

References 14 publications

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“…However, residual symptoms can persist for years [1][2][3][4]. Thirty-two per cent of patients with acute ankle sprain experienced chronic pain after seven years [3].…”

Section: Introductionmentioning

confidence: 98%

The mediating role of self-efficacy expectations and fear of movement and (re)injury beliefs in two samples of acute pain

Söderlund¹,

Åsenlöf

2010

Disability and Rehabilitation

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“…However, residual symptoms can persist for years [1][2][3][4]. Thirty-two per cent of patients with acute ankle sprain experienced chronic pain after seven years [3].…”

Section: Introductionmentioning

confidence: 98%

The mediating role of self-efficacy expectations and fear of movement and (re)injury beliefs in two samples of acute pain

Söderlund¹,

Åsenlöf

2010

Disability and Rehabilitation

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“…Most patients who sustain distal radius fractures are reported to recover enough range of motion (ROM) and strength to perform daily tasks within 3-6 months (Beharrie, Beredjiklian, and Bozentka, 2004;Hurov, 1997;MacDermid, Richards, and Roth, 2001;MacDermid, Roth, and Richards, 2003;Rozental, Beredjiklian, and Bozentka, 2003;Ruch and Papadonikolakis, 2006;Ruch, Yang, and Smith, 2003;Wolfe, Easterling, and Yoo, 1995;Wright, Horodyski, and Smit, 2005). However, residual disability is not uncommon (Dekkers and Soballe, 2004;Harris, MacDermid, and Roth, 2005). A minority of patients may not regain enough mobility and strength to function well, despite therapeutic efforts such as exercise, manual techniques, and modalities (Baldwin, Duleavy, Norton, and Reuterfors, 1998;Collins, 1993;Shah, Lopez, Escalante, and Green, 2002;Smith, Brou, and Henry, 2004).…”

Section: Introductionmentioning

confidence: 94%

Static progressive splinting to improve wrist stiffness after distal radius fracture: A prospective, case series study

Lucado

2009

Physiotherapy Theory and Practice

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This is the first prospective consecutive case series study that has examined the effectiveness of static progressive splinting in the management of persistent wrist stiffness following distal radius fracture. Eight patients, seven females and one male with a median age of 49 years (range, 43-56 years), participated in the study. Median time from surgical intervention to splint initiation was 77 days (range, 58-148 days). The median duration of splint use was 88 days (range, 21-180). Four subjects were followed for 6 months, and four were followed for 1 year. The median total passive sagittal range of motion of the wrist improved from 65 degrees to a median of 106 degrees at 12 weeks, to 115 degrees at 6 months and to 125 degrees at 1 year after splint initiation. The median disability scores for the arm, shoulder, and hand based on the DASH improved from 42 points to 19 points at 12 weeks, to 14 points at 6 months and at 1 year after splint initiation. The outcome measures of this prospective study indicate that static progressive stretch splints may be useful in treating persistent wrist stiffness following distal radius fracture especially when used early in the rehabilitation process.

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“…Daher gilt die Nachbehandlung nach Beendigung der Ruhigstellung als integraler Bestandteil eines Gesamtkonzepts der Therapie distaler Radiusfrakturen [2] . Aufgrund der Beteiligung des Handgelenks besteht ein erh ö htes Risiko einer dauernden Funktionsbeeintr ä chtigung [3,4] . Das Erreichen der vor der Verletzung bestehenden Funktion hat direkten Einfl uss auf die Lebensqualit ä t, aber auch auf die Krankheits-und Arbeitsunf ä higkeitsdauer und ist somit auch von sozio ö konomischem Interesse.…”

Section: Nachbehandlungunclassified

Effekt eines Heimtrainingsprogramms in der Nachbehandlung konservativ behandelter distaler Radiusfrakturen – eine prospektiv randomisierte Studie

Krischak¹,

Krasteva²,

Pandorf-Frediani³

et al. 2009

Phys Rehab Kur Med

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& Purpose: Rehabilitation is an integral part of the concept for wrist fractures treated through immobilization. Our aim was to determine the eff ect of two diff erent therapy concepts on the outcome in a prospective study: treatment by a professional physical therapist and an unassisted home exercise program. Materials and Methods: 42 volunteers with conservatively treated wrist fractures were randomized in treatment by a professional physical therapist (n = 21) with 12 sessions, and an unassisted home exercise program (n = 21). Follow-up six weeks later involved evaluation of range of motion, grip strength using a Jamar dynamometer, and the functional score Patient Related Wrist Evaluation (PRWE). Results: After a six week period of post-operative treatment, the patients performing a self-dependant home exercise program using a training diary reached signifi cantly higher grip strength (83 % vs. 67 % of the starting base value; p = 0.0203). There were no diff erences in the range of motion of pronation / supination, extension and fl exion, or ulnar and radial abduction. However, self training patients showed a signifi cantly greater improvement of the functionality of the wrists according to PRWE score (8.4 vs. 22.5; p = 0.0029). Discussion: The eff ectiveness of a home exercise program requires motivated patients being self-responsible and independent in performing rehabilitation at home. The decision of treating patients self-responsibly has to be considered critically with the patient. Conclusions: In the rehabilitation of conservatively treated wrist fractures, good functional results can be reached using instructions in a home exercise program, and are an eff ective alternative to prescribed rehabilitation treatment.

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Activities and impairments in the early stage of rehabilitation after Colles' fracture

Abstract: The importance of assessing both impairments and activities in patients with Colles' fracture must be stressed.

Cited by 45 publications

References 14 publications

The mediating role of self-efficacy expectations and fear of movement and (re)injury beliefs in two samples of acute pain

The mediating role of self-efficacy expectations and fear of movement and (re)injury beliefs in two samples of acute pain

Static progressive splinting to improve wrist stiffness after distal radius fracture: A prospective, case series study

Effekt eines Heimtrainingsprogramms in der Nachbehandlung konservativ behandelter distaler Radiusfrakturen – eine prospektiv randomisierte Studie

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