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The aim of the study was to investigate the effects of early manual therapy on function, pain, range of motion (ROM), hand and pinch grip strength and disability level in patients underwent volar plating after distal radius fracture (DRF). Patients were randomly divided into two groups: Routin Physiotherapy (RP) or Early Manual Therapy (EMT). While RP group received routine physiotherapy, EMT group received routine physiotherapy plus Mulligan's Mobilization With Movement technique. All treatments were done two sessions a week, through 12 weeks. Function, pain, range of motion (ROM), hand and pinch grip strength and disability level of patients were assessed. Measurements were made at postoperative week 3, 6 and 12.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Early Manual Therapy Group | Experimental | Routine physiotherapy program plus Mulligan's Mobilization with Movement technique were applied. |
|
| Routine Physiotherapy Group | Active Comparator | Only routine physiotherapy program was applied |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Early Manual Therapy | Other | Mulligan's Mobilization with Movement technique for radiocarpal,ulnocarpal, distal radioulnar and proximal radioulnar joints was applied. |
|
| Measure | Description | Time Frame |
|---|---|---|
| change in the function | Function was asssesed by using Patient Rated Wrist Evaluation (PRWE) | postoperative week 6, 12. |
| Measure | Description | Time Frame |
|---|---|---|
| change in the severity of pain | Severity of pain was assessed by using Visual Analogue Scale (VAS), which ranges between 0-10 points, 0 represents no pain and 10 denotes maximum pain intensity. | postoperative day 1, postoperative week 3, 6, 12. |
| change in the range of motion (ROM) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dokuz Eylul University | Izmir | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D000092503 | Wrist Fractures |
| D011885 | Radius Fractures |
| ID | Term |
|---|---|
| D014954 | Wrist Injuries |
| D001134 | Arm Injuries |
| D014947 | Wounds and Injuries |
| D050723 | Fractures, Bone |
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| Routine Physiotherapy | Other | Routine physiotherapy program consisted of range of motion, flexibility and strengthening exercises, and home exercise program was applied. |
|
ROM was assesed by using an universal goniometer |
| postoperative week 3, 6, 12. |
| change in hand and pinch grip strength | hand and pinch grip strength was assesed by using hydrolic hand and finger dynamometers. | postoperative week 3, 6, 12. |
| change in disability | Disability level was assesed by using Disabilities of Arm, Shoulder and Hand (DASH) questionnaire. | postoperative week 6, 12. |
| D005543 |
| Forearm Injuries |