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The study would like show that patients who follow a protocol with GMI are less probability to develop CRPS
Distal radius fractures (DRF) has a high frequency in adults. Studies show that the upper limb is frequently affected by CRPS, especially if is preceded by a fracture.
Recent studies suggest that changes in cortical structures can contribute to the onset of CRPS.
GMI is a approved and efficacy method in CRPS rehabilitation, because it trains modified cortical areas throught 3 stadies: left-right discrimination, visual motor imagery and mirror therapy.
Literature shows that there are any studies about GMI efficacy on prevention CRPS in DRF after surgery.
This study would like to demostrate that, appling GMI in the early stages of rehabilitation plus standard rehabilitation protocol of DRF after surgery, CRPS cases are reducted.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A group | Experimental | In this group patients follow standard treatment after radius fracture plus GMI procol |
|
| B group | Active Comparator | In this group patients follow standard treatment after radius fracture |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GMI protocol | Other | This group follow GMI program split in 3 step:
Patients perform this exercises 3 times every day and they have checks in therapy al least twice a week. |
| Measure | Description | Time Frame |
|---|---|---|
| Range Of Motion | Change in active and passive range of motion about hand and wrist | Baseline and 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Patient-rated wrist/hand evaluation (prwhe) | Decrease in difficulty of doing activities of daily living and decrease pain | Baseline and 8 weeks |
| Jamar hand dynamometer | Improve strength |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Susanna Pagella | Contact | 00393283092462 | pagella87@gmail.com | |
| Alessandra Viola | Contact | 00393482437807 | alessandra.viola92@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Susanna Pagella | Ergoterapia Manoegomito Sagl | Principal Investigator |
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| Standard Rehabilitation Protocol | Other | This group follow standard rehabilitation protocol, with active and passive motion of upper limb structure, including hand, wrist, elbow, shoulder. Patients perform this exercises 3 times every day and they have checks in therapy al least twice a week. |
|
| Baseline and 8 weeks |
| McGill pain questionnaire | Decrease pain | Baseline and 8 weeks |
| ID | Term |
|---|---|
| D000092503 | Wrist Fractures |
| D020918 | Complex Regional Pain Syndromes |
| ID | Term |
|---|---|
| D014954 | Wrist Injuries |
| D001134 | Arm Injuries |
| D014947 | Wounds and Injuries |
| D050723 | Fractures, Bone |
| D001342 | Autonomic Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
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