About this trial
Distal radius fractures are among the most common fractures in adults and are frequently treated with closed reduction and cast immobilization. Although fracture healing is generally successful, some patients may develop fear of movement (kinesiophobia) after cast removal because of pain, reinjury concerns, or reduced confidence in using the injured wrist.
The purpose of this study is to evaluate the level of kinesiophobia in adults with conservatively treated distal radius fractures and to investigate how kinesiophobia changes over time following cast removal. The study will also examine the relationship between kinesiophobia and functional recovery.
Participants will be assessed after cast removal and again at three months following injury. Kinesiophobia, pain intensity, hand and wrist function, range of motion, grip strength, and upper extremity disability will be evaluated using standardized assessment tools. The findings may help clinicians better understand the role of movement-related fear in recovery and support the development of rehabilitation strategies aimed at improving functional outcomes after distal radius fractures.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age range: 18-65 years
Non-intra-articular extension (AO type A) distal radius fracture
Treatment with closed reduction and short arm cast
No complications during treatment (redisplacement, fracture failure, etc.)
Disqualifiers
History of previous fracture or neurological pathology in the same extremity
Associated wrist, elbow, or shoulder injury
Cognitive impairment or serious psychiatric illness
Surgically treated distal radius fractures
Trial design
Parallel
Treatments tested in this trial
Conservative Treatment of Distal Radius Fracture
Other interventionStandard conservative management consisting of closed reduction followed by short-arm cast immobilization for the treatment of distal radius fractures.
Treatment groups
Trial outcomes
Primary outcomes
Change in Kinesiophobia Level
Kinesiophobia will be assessed using the Tampa Scale for Kinesiophobia (TSK). Changes in TSK scores between the assessment performed 3 days after cast removal (approximately week 5) and the assessment performed at month 3 will be evaluated.
Secondary outcomes
Upper Extremity Disability
Upper extremity disability and symptoms will be assessed using the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire.
Pain Intensity
Pain intensity will be assessed using a Visual Analog Scale (VAS).
Grip Strength
Hand grip strength will be measured using a hand dynamometer and recorded in kilograms (kg).
Wrist Range of Motion
Wrist flexion, extension, radial deviation, and ulnar deviation will be measured using a goniometer and recorded in degrees.
Locations
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Ebru Aloğlu Çiftçi
Lead sponsor
Istinye University
Sponsor institution
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