Osteoporotic Distal Radius Fracture Clinical Trial
Official title:
Effects of Motor Cognitive Training on Functional Loss Through Immobilization After Osteoporotic Distal Radius Fractures: a Randomised Clinical Pilot Study in Elderly Patients
The therapy results after distal radius fracture especially of elderly patients are often
suboptimal. The central problem results from the inevitable, 3-6-weeks immobilization, which
leads to reduction in ROM of the wrist, deterioration of muscle strength as well as
malfunction of fine motor skills and coordination. Currently, there are no adequate
proactive strategies to counteract these immobilisation problems. Hence the overall aim of
our research project is to investigate the therapeutic potential of a motor-cognitive
therapy on hand function after distal radius fracture. On the one hand the pilot study
should provide information about the level of recruitment rate necessitated for an adequate
sample size which allows reliable evidence for the therapy effects. On the other hand we
want to evaluate the sensitivity and adequacy of the assessment instruments.
The pilot is conceived as a controlled, randomised, longitudinal intervention study over 6
weeks with 3 groups. One experimental group imagine movements and actions without executing
them. A second experimental group performs mirror training, in which visual feedback through
a mirror activates additionally the contralateral hemisphere. The control group receives
therapy as usual. There are three key domains to be analysed: function (PRWE), impairment
(ROM, strength) and participation in social life/life quality (DASH, EQ5D).
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Investigator, Outcomes Assessor), Primary Purpose: Treatment