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Completed

NCT Number: NCT05623865

The Effect of Kinesio Taping on Edema Control and Wrist Functions in Conservatively Followed Distal Radius Fractures.

Kinesio tape is used successfully in the control of edema related to the extremity, especially in the control of lymphedema that develops after surgery.Kinesiotape is a non-allergic elastic tape applied to the skin surface.There are publications showing that kinesio tape applications are beneficial for edema control after interventional procedures such as anterior cruciate ligament surgery and knee prosthesis related to orthopedic surgical interventions. There is no publication on the effectiveness of kinesio tape application in the control and rehabilitation of post-cast edema of wrist fractures.It is planned to investigate the positive effects of kinesio tape in edema control and rehabilitation.

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Key information

Conditions

Distal Radius Fracture Arm Injuries Edema Fractures, Bone 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

Not applicable

Primary location

Ahi Evran University

Kirşehir, City Centre, 40100, Turkey (Türkiye)

About this study

The prevalence of distal radius fracture is increasing day by day. Circular cast is applied in 70-80% of patients treated for distal radius fractures.During the rehabilitation of patients after plaster application, joint stiffness, swelling on the hand and wrist, and edema are frequently encountered.Edema in the hand and wrist negatively affects the daily activities of patients, their quality of life, wrist and finger functions.

Edema is the main problem in rehabilitation after upper extremity injuries.It is known that fibrosis and adhesions in soft tissues develop as a result of prolonged extremity edema.

Elevation, massage, cold application, pressure gloves are used for edema control.

Kinesio tape is used successfully in the control of edema related to the extremity, especially in the control of lymphedema that develops after surgery.Kinesiotape is a non-allergic elastic tape applied to the skin surface. Kinesio Tape working mechanism opens the distance between the skin and subcutaneous tissues after it is applied to the skin and increases lymphatic drainage.

Kinesio tape also has the effect of supporting the joint and soft tissues around the joint.

Research on kinesio tape has generally focused on the control of lymphedema that develops after breast cancer surgery or stroke.

There are publications showing that kinesio tape applications are beneficial for edema control after interventional procedures such as anterior cruciate ligament surgery and knee prosthesis related to orthopedic surgical interventions.

Considering the studies conducted for edema control in patients treated for distal radius fractures, the effect of massage applications on edema has been investigated and it has been shown that massage has positive effects on edema control and wrist functions(9).

In another study, the effectiveness of modified massage methods in the treatment of edema was investigated and its positive effects were observed. There is no publication on the effectiveness of kinesio tape application in the control and rehabilitation of post-cast edema of wrist fractures. It is planned to investigate the positive effects of kinesio tape in edema control and rehabilitation.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patients who underwent plaster treatment for distal radius fracture
  • Patients over 18 years old

Exclusion criteria

  • To have been treated for lymphedema in the upper extremity before
  • Patients who have been operated for breast cancer
  • Bilateral distal raidus fracture
  • History of previous surgery related to the same extremity
  • Pathological fracture
  • Open fracture, active infection in the involved extremity
  • Presence of diseases with clinical course with peripheral edema such as heart failure, pulmonary hypertension
  • Cognitive dysfunction that impairs perception of test instructions

Treatment and study plan

Kinesiotaping

Other

Kinesio tape will be attached with lymphedema technique.

The bands will be removed prior to each assessment so that they do not affect the evaluator's blinding. After evaluation, the new tape will be fitted by the invesitgatör

Exercise

Other

Wrist, finger, elbow range of motion and stretching exercises will be taught to the patients and given as home exercises.

In addition, patients will be given a leaflet containing illustrated and explanatory exercise visuals.

Primary outcomes

  1. volume measurement

    Time frame: 0 (baseline)

    The volume measurement of the patients after the cast will be measured with the upper extremity volumetric measuring device.

    The measurement will be made in comparison with each intact extremity. The measurement will be made standing up and at room temperature.Both extremity volume data will be recorded.

    The volume measurement of the patients after the cast will be measured with the upper extremity volumetric measuring device.The measurement will be made in comparison with each intact extremity. The measurement will be made standing up and at room temperature.

    Both extremity volume data will be recorded.

  2. volume measurement

    Time frame: 5th day

    The volume measurement of the patients after the cast will be measured with the upper extremity volumetric measuring device.

    The measurement will be made in comparison with each intact extremity. The measurement will be made standing up and at room temperature.Both extremity volume data will be recorded.

    The volume measurement of the patients after the cast will be measured with the upper extremity volumetric measuring device.The measurement will be made in comparison with each intact extremity. The measurement will be made standing up and at room temperature.

    Both extremity volume data will be recorded.

  3. volume measurement

    Time frame: 10th day

    The volume measurement of the patients after the cast will be measured with the upper extremity volumetric measuring device.

    The measurement will be made in comparison with each intact extremity. The measurement will be made standing up and at room temperature.Both extremity volume data will be recorded.

    The volume measurement of the patients after the cast will be measured with the upper extremity volumetric measuring device.The measurement will be made in comparison with each intact extremity. The measurement will be made standing up and at room temperature.

    Both extremity volume data will be recorded.

  4. range of motion measurement

    Time frame: 0 (baseline)

    Wrist joint range of motion (ROM) measurement with goniometer is the most commonly used method that provides objective evaluation and error-free measurement in clinical practice.

    In our study, wrist ROM measurements will be made with a goniometer using the neutral zero method.

  5. range of motion measurement

    Time frame: 5th day

    Wrist joint range of motion (ROM) measurement with goniometer is the most commonly used method that provides objective evaluation and error-free measurement in clinical practice.

    In our study, wrist ROM measurements will be made with a goniometer using the neutral zero method.

  6. range of motion measurement

    Time frame: 10th day

    Wrist joint range of motion (ROM) measurement with goniometer is the most commonly used method that provides objective evaluation and error-free measurement in clinical practice.

    In our study, wrist ROM measurements will be made with a goniometer using the neutral zero method.

  7. Diameter Measurement

    Time frame: 0 (baseline)

    Both hands and wrists of the patient will be measured with the figure of eight method with the help of a tape measure.In addition, measurements will be made at the level of the bilateral wrist, metacarpophalangeal joint, and 6 cm proximal to the wrist.

  8. Diameter Measurement

    Time frame: 5th day

    Both hands and wrists of the patient will be measured with the figure of eight method with the help of a tape measure.In addition, measurements will be made at the level of the bilateral wrist, metacarpophalangeal joint, and 6 cm proximal to the wrist.

  9. Diameter Measurement

    Time frame: 10th day

    Both hands and wrists of the patient will be measured with the figure of eight method with the help of a tape measure.In addition, measurements will be made at the level of the bilateral wrist, metacarpophalangeal joint, and 6 cm proximal to the wrist.

Secondary outcomes

  1. functionality

    Time frame: 0 (baseline)

    The short version of the Arm, Shoulder and Hand Questionnaire (Quick-DASH) Disability will be used to evaluate the functional status of the patients. Quick-DASH is a self-report questionnaire designed to measure physical function and symptoms in people with upper extremity musculoskeletal conditions. Turkish validity and reliability was established.

  2. functionality

    Time frame: 5th day

    The short version of the Arm, Shoulder and Hand Questionnaire (Quick-DASH) Disability will be used to evaluate the functional status of the patients. Quick-DASH is a self-report questionnaire designed to measure physical function and symptoms in people with upper extremity musculoskeletal conditions. Turkish validity and reliability was established.

  3. functionality

    Time frame: 10th day

    The short version of the Arm, Shoulder and Hand Questionnaire (Quick-DASH) Disability will be used to evaluate the functional status of the patients. Quick-DASH is a self-report questionnaire designed to measure physical function and symptoms in people with upper extremity musculoskeletal conditions. Turkish validity and reliability was established.

Sponsors and collaborators

Lead sponsor

Ahi Evran University Education and Research Hospital

Other

Registry information

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Nov 21, 2022
Registry last updated
Aug 2, 2023

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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