Distal Radius Fracture Clinical Trial
Official title:
The Effect of an Occupational Therapy Pre-operative Education Consult on Patient Outcomes in the Orthopedic Hand Setting: A Prospective Randomized Block Study
This will be a prospective randomized control trial with a blocking method to determine the effect of an occupational therapy focused pre-operative education on 3 pre-determined diagnosis: Carpometacarpal (CMC) Arthroplasty, Distal radius fracture requiring open reduction internal fixation (ORIF) and tendon repairs of the hand. Possible participants will be recruited through Cape Fear Orthopedics & Sports Medicine and receiving care from an orthopedic surgeon & hand specialist. Researchers hypothesize that those who receive the occupational therapy consult will demonstrate improved adherence with occupational therapy appointments, improved patient perceived function, and overall improved experiences with the pre-operative patient experience.
Status | Not yet recruiting |
Enrollment | 30 |
Est. completion date | October 2022 |
Est. primary completion date | April 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 75 Years |
Eligibility | Inclusion Criteria: - Clinical diagnosis of Distal Radius Fracture, requiring open reduction internal fixation - Clinical diagnosis of flexor tendon of the hand laceration - Clinical diagnosis of CMC arthritis, electing to undergo CMC arthroplasty - Receiving care from Cape Fear Orthopedics & Sports Medicine - English Speaking Exclusion Criteria: - Less than 18 years old - Previously sustained one of the inclusion criteria diagnoses - Elect not to receive therapeutic services at Cape Fear Orthopedics & Sports Medicine. |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Methodist University, North Carolina | Cape Fear Orthopedics & Sports Medicine |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Patient appointment attendance | Patient adherence to scheduled occupational therapy visits | Through completion of therapy, up to one year. | |
Primary | Upper Extremity Functional Index | Patient reported outcome measure used to assess the functional impairment individuals with musculoskeletal upper limb dysfunction | Date of first attended postoperative therapeutic appointment, up to 15 days following surgery | |
Primary | Upper Extremity Functional Index | Patient reported outcome measure used to assess the functional impairment individuals with musculoskeletal upper limb dysfunction | Date of 10th attended postoperative therapeutic appointment, up to 30 days following initial therapeutic evaluation | |
Primary | Upper Extremity Functional Index | Patient reported outcome measure used to assess the functional impairment individuals with musculoskeletal upper limb dysfunction | Upon discharge from therapeutic services, up to one year | |
Secondary | QuestionPro Post-Operative Survey using Visual Analogue Scale (VAS) | Patient reported outcome analyzing patient pre-operative experiences. VAS is linear scale where participants visually mark the line corresponding to their preoperative experience. Patients are blinded to the numerical value associated to their answer to decrease biases. VAS is ten point linear scale where 1 represents the negative anchor and 10 represents the positive, preferred response. Questions address anxiety, understanding, and overall preoperative experience. | Date of first attended postoperative therapeutic appointment, up to 15 days following surgery |
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