Self-efficacy corresponds to wrist function after combined plating of distal radius fractures

Abstract

a b s t r a c tStudy Design: A prospective cohort single-center study. Introduction: Self-efficacy (SE) refers to beliefs in ones capabilities to organize and execute the courses of action required to produce given goals. High SE is an important factor for recovery from injury/illness; people who believe in their capability will more likely reach a good outcome.Purpose of the Study: The aim of this study was to examine if SE has an effect to physical functioning, pain and patient-rated wrist function three months postoperatively in patients undergoing plating due to a distal radius fracture. Methods: Sixty-seven patients undergoing plating for a distal radius fracture rated SE at the first appointment with the physiotherapist. At the three-month follow-up, the following assessments were administered: Patient-Rated Wrist Evaluation (PRWE), pain-scores, hand grip strength, and range of motion. Results: The group with a high SE showed significantly better range of motion for flexion (P ¼ .046) and supination (P ¼ .045), hand grip strength (P ¼ .001) and PRWE scores (P ¼ .04). The NRS pain during activity was lower, although not significantly lower (P ¼ .09). Using Spearman's rank correlation coefficient, there was a moderate correlation between SE and pain during activity, wrist flexion, and PRWE score. Discussion: SE corresponds to wrist function after combined plating of distal radius fractures. Conclusion: Measurement of SE could possibly be useful to identify patients in special need of support during the postoperative rehabilitation.

Effect of postoperative urinary retention in older patients with hip fracture on self-efficacy, resilience, and quality of life

“…Self-efficacy plays a key role in disease treatment and rehabilitation (16)(17)(18). Studies have confirmed that self-efficacy plays a key role in postoperative functional recovery in patients with HF (17,18) and is also associated with the decline of healthrelated quality of life in older patients with fractures (19). Resilience is the ability to respond effectively and actively adapt to the environment when individuals face adversity, trauma, or different forms of pressure.…”

“…Self-efficacy is defined as the belief people have that they can perform the behaviors necessary to achieve their goals, which determines how individuals feel and think and facilitates their beliefs and behaviors (16). Self-efficacy plays a key role in disease treatment and rehabilitation (16)(17)(18). Studies have confirmed that self-efficacy plays a key role in postoperative functional recovery in patients with HF (17,18) and is also associated with the decline of healthrelated quality of life in older patients with fractures (19).…”

Validity and reliability of a wearable-controlled serious game and goniometer for telemonitoring of wrist fracture rehabilitation

“…Physiotherapy or self-supervised exercise programs are commonly recommended as a rehabilitation strategy after such injuries [16][17][18]. Previous research has shown that practical constraints such as time, costs and travel distance lead to a low adherence to physiotherapy referrals and exercises [19,20]. Treatment adherence to homebased, self-supervised exercise programs is equally low, mainly due to a lack of monitoring and feedback to patients [21].…”

A Research Protocol on Leap Motion Tracking Device: A Novel Intervention Method for Distal Radial Fracture Rehabilitation

“…The incidence of DRF in females is signi cantly greater than in males incorporating the menopause as a responsible factor leading to osteoporosis associated with reduced bone density showing peak between the age group of 60 and 70 (Gutiérrez-Espinoza et al, 2017). Early rehabilitation concentrate on oedema management, pain reduction as well as shoulder and nger motions (Björk et al, 2020). The therapeutic methods applied to attain these goals may be categorized as active or passive methods.…”

“…Surgical management options include closed reduction and application of a cast, percutaneous K-wires, open reduction and internal xation with plates, or external xation according to the patient requirements(Vaghela et al, 2020). Following DRF, many factors manipulate the recovery of the patient implying the age, gender, site and extent of the injury, management line followed to manage the respective injury, compensations, patient's education regarding the condition, radial shortening, and intra-articular involvement(Björk et al, 2020). Patients generally recover within 3-6 months to the maximum range of motion, strength and function whether managed conservatively or surgically.Patients with DRF after a duration of immobilisation are often referred for physiotherapy.…”