The goal of this observational study is to assess the functional and perceptual alterations of the affected limb during rehabilitation in adult orthopedic patients who underwent surgical treatment for distal radius fractures. The main questions it aims to answer are:
What is the correlation between functional and perceptual alterations of the affected limb at the beginning and end of rehabilitation? How do these alterations influence rehabilitation duration and effectiveness?
Participants will:
Complete the patient questionnaires ((QuickDASH and ALPQ). Undergo handgrip strength tests and digital dynamometer tests to assess forearm muscle strength.
Have their range of motion evaluated by a physiotherapist during outpatient visits.
No additional diagnostic or instrumental examinations are required beyond routine clinical practice. The study will recruit 100 adult patients, last 24 months, and provide insights into the role of body perception in rehabilitation after wrist fractures.
Adults (≥18 years old)
Patients who have undergone surgical treatment with a volar approach for a traumatic distal radius fracture at IRCCS Ospedale Galeazzi - Sant'Ambrogio.
Willingness and ability to provide written informed consent.
Pre-existing neurological, psychiatric, or cognitive disorders that could affect motor function or body perception.
Previous fractures of the same limb.
Pregnancy or breastfeeding (self-reported).
The study will include adult orthopedic patients undergoing rehabilitation after surgical treatment for a traumatic distal radius fracture. Participants will be recruited from the Hand Surgery Unit at IRCCS Ospedale Galeazzi - Sant'Ambrogio (Milan, Italy). Eligible patients must have undergone volar approach surgery for an isolated wrist fracture and will start a structured rehabilitation program following a 5-week immobilization period. Excluded from participation are individuals with neurological, psychiatric, or cognitive disorders, prior fractures in the same limb, or those who are pregnant or breastfeeding. A total of 100 participants will be consecutively enrolled to ensure a representative sample for statistical analysis.
Case-only
Prospective
Not listed
Correlation between functional and perceptual alterations at the beginning and end of rehabilitation
The study will evaluate the relationship between functional parameters (grip strength, range of motion, QuickDASH score) and perceptual parameters (ALPQ score for body perception).
Effect of functional and perceptual alterations on rehabilitation duration and effectiveness
Examines how initial functional and perceptual impairments influence: Rehabilitation duration (measured in weeks and number of therapy sessions). Rehabilitation effectiveness (difference in QuickDASH, ALPQ, strength, and range of motion scores between T1 and T2).
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I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio
Lead sponsor
HES-SO Valais-Wallis
Collaborator
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