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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
Whole-Body Vibration Therapy
DeviceWhole-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 interventionParticipants 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
Trial outcomes
Primary outcomes
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.
Secondary outcomes
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.
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.
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.
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.
Locations
Sponsors and contacts
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Istanbul University
Lead sponsor
Istanbul University - Cerrahpasa
Sponsor institution
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