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Completed

NCT Number: NCT02838446

Effectiveness of Graded Motor Imagery to Improve Hand Function in Patients With Distal Radius Fracture

The purpose of this study was to investigate of the effectiveness of Graded Motor Imagery (GMI) on hand functionality in patients with Distal Radius Fracture (DRFx). This study was carried out on 36 patients. These patients were randomly assigned to two groups: classic treatment group (n=19) and GMI group (n=17). Both groups received a 8-week (2 days a week) physical therapy and rehabilitation intervention. Outcome measurements were based on upper extremity functional status (Disability of the Arm Shoulder Hand and Michigan Hand Questionnaire scores), pain (on the rest and during the activity with Visual Analog Scale), range of motion (wrist flexion, extension, ulnar/radial deviation, supination and pronation with goniometer), grip strength (standard grip strength with Jamar hydraulic hand dynamometer; lateral, palmar and pinch strength with pinch meter).

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Key information

Conditions

Distal Radius Fracture Arm Injuries Fractures, Bone Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms Wounds and Injuries Wrist Fractures Wrist Injuries

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2 / Phase 3

Primary location

Medipol University

Istanbul, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • ages between 18-65 years
  • diagnosed with DRFx which is extra-articular
  • managed with pins, internal fixation and/or cast

Exclusion criteria

  • unwilling or unable to participate
  • intra-articular and instable fractures containing other part of the fractures
  • fractures related with the malignancy and other neurologic diseases
  • existing inflammatory joint condition,
  • lack of cognitive function.

Treatment and study plan

Cognitive Therapy

Procedure

Graded Motor Imagery has three stages:

Lateralisation (2 or 3 weeks) Motor Imagery (2 or 3 weeks) Mirror Therapy (2 or 3 weeks)

Other names: Rehabilitation

Primary outcomes

  1. Physical Function and Symptoms

    Time frame: 8 weeks

    Disability of the Arm, Shoulder and Hand (DASH) questionnaire scores range from 0 to 100 with a higher score indicating higher degree of disability.

Secondary outcomes

  1. Pain intensity

    Time frame: 8 weeks

    Visual Analog Scale (VAS) is used to evaluate pain intensity. The scale was consisted of a standard line labeled 0 on the left and 10 on the right. (0: no pain, 10: the worst pain).

  2. Normal range of motion

    Time frame: 8 weeks

    Active range of motions of wrist regarding flexion, extension, ulnar deviation, radial deviation, supination and pronation were evaluated with universal goniometer and recorded as degree.

  3. Grip Strength

    Time frame: 8 weeks

    Grip strength was measured in kilograms using a calibrated Jamar Hydraulic Hand Dynamometer with the elbow flexed to 90 degree.

Sponsors and collaborators

Lead sponsor

Hacettepe University

Other

Collaborators

  • Medipol University

Registry information

Official study title

Cognitive Therapy Model: Graded Motor Imagery

Important dates

Study start
2014
Primary completion
2015
Study completion
2015
First posted
Jul 20, 2016
Registry last updated
Jul 20, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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