Minimal Clinically Important Difference of the Push-Off Test
ConditionDistal Radius Fracture
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-65
SponsorPamukkale University
About this trial
The aim was to determine the minimal clinically important difference of the push-off test in distal radius fractures.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of distal radius fracture (DRF) and treatment with either conservative or surgical methods
Voluntary participation
Age between 18 and 65 years
Having a cognitive level sufficient to understand the assessment methods and follow instructions
Disqualifiers
Presence of concomitant musculoskeletal or neurovascular injuries in the affected extremity
Presence of a neurological, orthopedic, rheumatologic, or metabolic condition that could affect the affected extremity
Trial population
Patients who were diagnosed with distal radius fractures, treated conservatively or surgically, and referred to the Hand Rehabilitation Unit from the Division of Hand Surgery, Department of Orthopedics and Traumatology, Pamukkale University Health Research and Application Center will be included in the study.
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
Physical therapy
Other interventionFor all patients treated conservatively or surgically, active range of motion exercises for the hand, wrist, and forearm will be initiated after cast removal or on the first postoperative day, respectively. To control edema, bandaging, contrast baths, and retrograde massage will be recommended. In the subsequent weeks of rehabilitation, resisted exercises for the hand, wrist, and forearm will be introduced. All patients will be followed with a home exercise program and will be scheduled for follow-up visits once a week.
Treatment groups
109 Participants
are divided into 1 treatment groupGroup A: All patients1 intervention
Trial outcomes
Primary outcomes
1
Range of Motion (ROM) Measurement
Forearm pronation and supination, as well as wrist flexion, extension, radial deviation, and ulnar deviation, will be measured using a universal goniometer.
Time frame
Assessments will be performed at the 12th and 18th weeks after the fracture.2
Patient-Rated Wrist Evaluation (PRWE)
The questionnaire assesses the severity of wrist pain and the level of disability in activities of daily living. It consists of two subscales comprising a total of 15 items. The pain subscale includes questions related to pain intensity and frequency, while the function subscale consists of six items related to specific activities and four items related to usual daily activities.
Time frame
Assessments will be performed at the 12th and 18th weeks after the fracture.3
Push-Off Test (POT)
The POT determines the amount of force that an individual can transmit through the upper extremity. The measurement is performed using a hand dynamometer with the dynamometer handle inverted. The test is conducted while the participant is standing at the edge of a high table, and compensatory movements are not permitted. The tested extremity is positioned with the shoulder in approximately 30° of extension, the elbow in 30° of flexion, and the forearm, wrist, and hand positioned in a manner comfortable for the individual. Measurements are repeated three times for each extremity, and the mean value is recorded in kilograms.
Time frame
Assessments will be performed at the 12th and 18th weeks after the fracture.4
Gross Grip Strength Test
Grip strength is measured using a hand dynamometer in accordance with the standard measurement protocol of the American Society of Hand Therapists.
Time frame
Assessments will be performed at the 12th and 18th weeks after the fracture.Sponsors and contacts
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Source ClinicalTrials.gov
This trial is not recruiting at the moment. You can still explore other options: