This randomized controlled trial will compare the effectiveness of static progressive splinting versus dynamic splinting for treating persistent wrist stiffness in adults ≥18 years old at least 8 weeks post distal radius fracture (DRF) injury. Both splinting modalities are provided as an adjunct to one weekly supervised therapy session over a 6-week period. The primary outcomes are wrist active and passive range of motion (AROM/PROM) measured using goniometry, with secondary outcomes including patient-reported wrist function (PRWE), overall satisfaction, and adverse events.
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Static Progressive Splinting for Persistent Wrist Stiffness
BehavioralA commercially available static progressive splint with a turnbuckle mechanism allowing fine-tuned adjustments in wrist flexion and extension. Instructional materials for home use including written guidelines and an adjustment log.
Dynamic Splinting for Persistent Wrist Stiffness
BehavioralMaterials: A commercially available dynamic (spring-loaded) splint designed for the wrist. An instructional manual and daily usage log for participants.
Wrist Active and Passive Range of Motion (AROM/PROM)
Measured using a standard goniometer, improvements in wrist flexion and extension (in degrees) are the primary indicators of treatment efficacy.
Patient-Rated Wrist Evaluation (PRWE)
The PRWE questionnaire assesses wrist pain and disability, with lower scores indicating better functional status.
Patient Satisfaction
A standardized satisfaction survey measuring patients' perceived improvement and overall satisfaction with the orthotic intervention.
Incidence of Adverse Events
Incidence and severity of adverse events such as skin breakdown, discomfort, or pain (≥4/10) associated with splint usage.
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