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This study investigates the effect of hot packs versus whirlpool and exercise for patients with distal radius fracture (DRF). Patients with recently healed DRF are randomized into two groups, with one group receiving hot packs during therapy and the other immersing the arm in a whirlpool for 3 consecutive therapy visits. The effect of these modalities on range of motion and volume of the hand are evaluated, with measurements taking place before and immediately after heat during each visit.
This study investigates the short term effect of hot packs versus whirlpool and exercise for patients with distal radius fracture (DRF) during a therapy visit. Patients with recently healed DRF are randomized into two groups, with one group receiving hot packs during therapy and the other immersing the arm in a whirlpool for 3 consecutive therapy visits.
Measurements of wrist and forearm range of motion, and volume of the hand are recorded before and immediately after heat for each visit, effectively creating six measurement time points. Change scores are recorded for range of motion and for volume, and analyzed using MANOVA to determine differences between groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Whirlpool | Experimental | Immersion in Whirlpool during therapy |
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| Hot Pack | Active Comparator | Hot Pack Application during therapy. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hot Pack | Procedure | Patients have a hot pack and 2 layers of towel wrapped around the wrist and forearm for 15 minutes |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Wrist Range of Motion (ROM) | Measurement of wrist flexion/extension, radial/ulnar deviation/ and pro/supination | Immediately before and within 5 minutes of completing heat application for 3 consecutive weekly therapy visits |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Hand Volume | Volumetric measurement of the hand using a standardized volunteer | Immediately before, within 5 minutes of completing heat application, then 30 minutes later for 3 consecutive weekly therapy visits |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mike Szekeres, PhD (c) | Western University, Canada | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Roth McFarlane Hand & Upper Limb Centre | London | Ontario | N6A 4L6 | Canada |
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| ID | Term |
|---|---|
| D000092503 | Wrist Fractures |
| ID | Term |
|---|---|
| D014954 | Wrist Injuries |
| D001134 | Arm Injuries |
| D014947 | Wounds and Injuries |
| D050723 | Fractures, Bone |
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| ID | Term |
|---|---|
| D006875 | Hydrotherapy |
| ID | Term |
|---|---|
| D026741 | Physical Therapy Modalities |
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
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| Whirlpool | Procedure | Patients immerse their arm, from elbow to hand, in a whirlpool bath of 104 degrees Fahrenheit for 15 minutes |
|