This a randomized controlled study to test the hypothesis that patients who perform in-cast exercises will have superior range of motion immediately post-cast removal, without a concomitant increase in complication rate when compared with a control group who receives standard post cast care which does not include the intervention exercises.

Inclusion Criteria:

• patient experienced distal radial fracture
• patient is over 18 years of age
• patient can follow instructions and comply with protocol
• fracture is managed non-operatively

Exclusion Criteria:

• bilateral wrist fractures
• previous fracture to the affected wrist
• previous range of motion limitations to the affected wrist
• involvement of other upper extremity structures (i.e. shoulder)