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This is a randomized clinical trial of two parallel arms, aiming to compare two rehabilitation interventions: an experimental intervention including telemedicine support and remote monitoring of compliance of usual indicated exercises, versus the usual protocol of indicated exercises supported by printed material (triptych) and without remote monitoring
Distal radius fracture is a common pathology. The surgical indication is given by the difficulty in obtaining fracture reduction or by the instability of the fracture. The long-term functional prognosis of the wrist depends largely on patients' adherence to the prescribed indications/exercises in the immediate postoperative phase.
This is a randomized clinical trial of two parallel arms, aiming to compare two rehabilitation interventions: an experimental intervention including telemedicine support and remote monitoring of compliance of usual indicated exercises, versus the usual protocol of indicated exercises supported by printed material (triptych) and without remote monitoring.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental telemedicine | Experimental | Patient's rehabilitation and compliance with the standard exercices will be guided and monitored through an ad hoc device developed specifically for this trial. |
|
| Control | Active Comparator | Patient's rehabilitation and compliance with the standard exercices will be monitored in the usual manner, at the monthly visits to the physical therapy clinic |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Experimental | Device | A digital pad developed to help, support and monitor the adherence of patients to rehabilitation excercices post surgery |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change of Patient Related Wrist Evaluation score from Day 28 at Day 56 post ranndomization | Patient Related Wrist Evaluation is a 15-item validated scale, range from 0 to 100, where higher scores are worse outcomes | Day 56 |
| Adherence to prescribed excercise program | The digital pad will objectively register adherence to exercises; the control group will self-report their compliance rates with the prescribed exercises | Day 56 |
| Measure | Description | Time Frame |
|---|---|---|
| Grip strength | Grip strength measured by dynamometer | Day 28; Day 56 |
| Wrist flexion and extension | Wrist flexion and extension measured by goniometer |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Felipe S Correa | Contact | +56973071601 | felipecorreas@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Ricardo Gamboa | Mutual de Seguridad General Manager | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Clinico Mutual de Seguridad | Recruiting | Santiago | Santiago Metropolitan | Chile |
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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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Two arms parallel design, randomized assignment, outcomes-assessor blind to the assignment
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The outcomes assessor is a physical therapist independent of the research team, who is blind to the treatment assignment
| Day 28; Day 56 |