Effect of Whole Body Vibration on Rehabilitation in Distal Radius Fractures

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorIstanbul University

About this trial

This study is a randomized controlled clinical trial designed to evaluate the effects of whole body vibration (WBV) added to conventional rehabilitation on functional and sensorimotor recovery in patients with conservatively treated distal radius fractures. Following immobilization, patients often experience pain, reduced range of motion, decreased muscle strength, and impaired proprioception, which negatively affect functional recovery. WBV is thought to enhance neuromuscular activation and improve proprioceptive input, thereby contributing to functional performance.

Participants will be randomly assigned into two groups; the experimental group will receive WBV in addition to conventional rehabilitation three times per week for eight weeks, while the control group will receive only conventional rehabilitation. Assessments will be conducted at baseline, week 4, and week 8. The primary outcome measure is the Patient-Rated Wrist Evaluation (PRWE), while secondary outcomes include QuickDASH, Numeric Pain Rating Scale (NPRS), joint position sense, grip strength, range of motion, and fine motor skills.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adults aged 18 to 65 years.

Unilateral distal radius fracture treated conservatively with cast or splint.

Completion of the immobilization period with radiologically confirmed stable callus formation.

Referred for physiotherapy after conservative treatment.

Disqualifiers

Previous surgery or severe trauma to the affected upper extremity.

Open wound or active infection at the fracture site.

Peripheral neuropathy or severe neurological disorders.

Vestibular disorders or conditions contraindicating whole-body vibration therapy.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Whole-Body Vibration Therapy

    Device

    Whole-body vibration therapy will be administered using a Power Plate device at a frequency of 35 Hz and an amplitude of 2 mm, three sessions per week for 8 weeks, in addition to a standardized conventional rehabilitation program.

  • Conventional Rehabilitation Exercise Program

    Other intervention

    Participants will receive a standardized conventional rehabilitation program including range of motion exercises, strengthening exercises, proprioceptive training, functional activities, and patient education three times per week for 8 weeks.

Treatment groups

66 Participants
are divided into 2 treatment groups
Group A: Whole-Body Vibration + Conventional RehabilitationExperimental treatment 2 interventions
Group B: Conventional RehabilitationActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Patient-Rated Wrist Evaluation (PRWE) Score

The Patient-Rated Wrist Evaluation (PRWE) questionnaire will be used to assess wrist pain and function. Scores range from 0 to 100, with lower scores indicating better wrist function and less pain.

Time frame
From baseline to Week 8 (assessed at baseline, Week 4, and Week 8)

Secondary outcomes

1

Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) Score

Upper extremity disability and functional status will be assessed using the QuickDASH questionnaire. Scores range from 0 to 100, with lower scores indicating better upper extremity function.

Time frame
Baseline, Week 4, and Week 8
2

Numeric Pain Rating Scale (NPRS)

Pain intensity will be evaluated using the Numeric Pain Rating Scale (NPRS), with scores ranging from 0 (no pain) to 10 (worst imaginable pain). Lower scores indicate less pain.

Time frame
Baseline, Week 4, and Week 8
3

Wrist Joint Position Sense (JPS)

Wrist proprioception will be assessed using a joint position sense (JPS) test by measuring the absolute angular error between the target position and the reproduced position. Lower values indicate better proprioceptive accuracy.

Time frame
Baseline, Week 4, and Week 8
4

Grip Strength

Grip strength will be measured using a calibrated hand dynamometer. The average of three trials will be recorded, with higher values indicating greater grip strength.

Time frame
Baseline, Week 4, and Week 8

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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Istanbul University

Lead sponsor

Istanbul University - Cerrahpasa

Sponsor institution

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