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This study aims to compare the effects of Cyriax Mobilization and Muscle Energy Techniques (METs) on functional recovery in patients who have undergone surgical fixation of distal radius fractures. A total of 76 participants between 18 and 40 years old will be randomly assigned to two groups. One group will receive Cyriax Mobilization with conventional therapy, while the other will receive METs with conventional therapy. Treatment will last four weeks with three sessions per week. Researchers will measure grip strength, pain levels, range of motion, and functional ability using standard assessment tools. The goal is to determine which therapy is more effective in improving hand and wrist function after surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A - Cyriax Mobilization | Experimental | Participants in this group will receive Cyriax Mobilization along with conventional physical therapy and radiocarpal mobilization. |
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| Group B - Muscle Energy Techniques (METs) | Experimental | Participants in this group will receive Muscle Energy Techniques (reciprocal inhibition method) along with conventional physical therapy and radiocarpal mobilization. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cyriax Mobilization | Other | Deep transverse friction massage applied to the wrist and forearm muscles, 3 sessions/week for 4 weeks, along with TENS and hot packs. |
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| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity | pain intensity, was measured using the Visual Analogue Scale (VAS, 0-10), with 0 denoting no pain and 10 denoting the most severe pain. | Baseline, Week 2, Week 4 |
| Measure | Description | Time Frame |
|---|---|---|
| grip strength | measured using dynamometer. | baseline, week 2, week 4. |
| functional disability | functional disability assessed with the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire (0-100). |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Lahore | Lahore | Punjab Province | Pakistan |
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| Muscle Energy Technique (MET) | Other | Isometric contractions performed against therapist resistance to improve range of motion and reduce pain, 3 sessions/week for 4 weeks. |
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| baseline, week 2, week 4. |
| ROM | wrist range of motion (ROM) comprising flexion, extension, radial deviation, ulnar deviation, pronation, and supination measured with a standard goniometer (degrees) | baseline, week 2, week 4. |