EFFECTIVENESS OF GRADED MOTOR IMAGERY TO PREVENT CRPS IN PATIENTS WITH DISTAL RADIUS FRACTURE AFTER SURGERY

Surgery Clinical Trial

Official title:

EFFECTIVENESS OF GRADED MOTOR IMAGERY TO PREVENT CRPS IN PATIENTS WITH DISTAL RADIUS FRACTURE AFTER SURGERY: A RANDOMIZED CONTROLLED TRIAL

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT03937492
• Other study ID #: Ergoterapia manoegomito
• Status: Not yet recruiting
• Phase: N/A
• Start date: May 2, 2019
• Est. completion date: December 31, 2020

Study information

• Verified date: May 2019
• Source: Ergoterapia Manoegomito Sagl
• Contact: Susanna Pagella
• Phone: 00393283092462
• Email: pagella87[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The study would like show that patients who follow a protocol with GMI are less probability to develop CRPS

Description:

Distal radius fractures (DRF) has a high frequency in adults. Studies show that the upper limb is frequently affected by CRPS, especially if is preceded by a fracture.

Recent studies suggest that changes in cortical structures can contribute to the onset of CRPS.

GMI is a approved and efficacy method in CRPS rehabilitation, because it trains modified cortical areas throught 3 stadies: left-right discrimination, visual motor imagery and mirror therapy.

Literature shows that there are any studies about GMI efficacy on prevention CRPS in DRF after surgery.

This study would like to demostrate that, appling GMI in the early stages of rehabilitation plus standard rehabilitation protocol of DRF after surgery, CRPS cases are reducted.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 60
• Est. completion date: December 31, 2020
• Est. primary completion date: May 2, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 75 Years

Eligibility

Inclusion Criteria:

• Patients with distal radius fracture after surgery

• 18 to 75 years old

• Male and female

Exclusion Criteria:

• uncompliants patients

• patients with neurological disorders or cognitive impairment

• patients with TFCC injury or both ulna and radius fractures

• patients with visually impairment

• patients who don't speak or understand oral and written italian language

Related Conditions & MeSH terms

• Complex Regional Pain Syndromes
• CRPS (Complex Regional Pain Syndromes)
• Distal Radius Fracture
• Fractures, Bone
• Radius Fractures
• Reflex Sympathetic Dystrophy
• Surgery
• Wrist Fracture

Intervention

Other:
• GMI protocol
This group follow GMI program split in 3 step: left/right descrimination visual motor imagery mirror therapy Patients perform this exercises 3 times every day and they have checks in therapy al least twice a week.
• Standard Rehabilitation Protocol
This group follow standard rehabilitation protocol, with active and passive motion of upper limb structure, including hand, wrist, elbow, shoulder. Patients perform this exercises 3 times every day and they have checks in therapy al least twice a week.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Ergoterapia Manoegomito Sagl

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Range Of Motion	Change in active and passive range of motion about hand and wrist	Baseline and 8 weeks
Secondary	Patient-rated wrist/hand evaluation (prwhe)	Decrease in difficulty of doing activities of daily living and decrease pain	Baseline and 8 weeks
Secondary	Jamar hand dynamometer	Improve strength	Baseline and 8 weeks
Secondary	McGill pain questionnaire	Decrease pain	Baseline and 8 weeks