The objective will be to determine the effectiveness of adding unilateral upper limb postoperative training to standard rehabilitation compared to standard rehabilitation on maximum grip strength and manual dexterity in patients aged 30-50 years with surgically treated distal radius fracture. It is presumed that the addition of unilateral upper limb training will significantly improve maximum grip strength and manual dexterity at the end of the intervention period compared to the group receiving only standard rehabilitation.
Patients who agree to participate in this research will be randomly assigned to a control group (standard rehabilitation with unilateral training with mobility exercises) or an experimental group (standard rehabilitation with unilateral high-intensity strength training). The duration of the postoperative intervention will be 12 weeks. The primary variables are maximum grip strength and manual dexterity. Secondary variables are wrist mobility, forearm circumference, maximum voluntary isometric strength, functionality and health-related quality of life. Results will be measured at 0, 6 and 12 weeks postoperative.
Age between 30-50 years
Radiological diagnosis of unilateral distal radius fracture without concomitant fractures.
Fracture treated surgically.
Patients with lesion of the triangular fibrocartilage.
Patients with distal radius fracture with consolidation disorders.
Patients with health conditions that cause pain or affect the motor skills of the upper limb (radiocarpal osteoarthritis, carpal tunnel syndrome, Quervain's tenosynovitis, neurodegenerative diseases, sequelae of stroke)
Patients with multi-site pain or chronic polyarticular diseases such as osteoarthritis or rheumatoid arthritis.
Parallel
Standard rehabilitation
Other interventionProtocol based on the best available evidence and to be used in all participants in both groups. The standard rehabilitation protocol will consist of three postoperative phases: Mobilization (0 to 4 weeks), Strengthening (4 to 8 weeks) and Functional phase (8 to 12 weeks). Sessions will be held 3 times a week for 12 weeks. Each session will last 1 hour and will consist of different modalities of therapeutic exercise and cryotherapy.
Unilateral high-intensity strength exercise
Other interventionParticipants will be seated in an armchair with armrests and will perform 4 sets of 8 repetitions of an eccentric exercise for the pronosupinator muscles with a dumbbell with adjustable weights. The training will start with an intensity of 60% of 1RM, until reaching 80% 1RM.
Unilateral mobility exercises
Other interventionParticipants will be seated in an armchair with armrests and will perform 4 sets of 8 repetitions of an active mobility exercise for the pronation-supination muscles using a plastic rod.
Handgrip strength
Jamar grip dynamometer (kilos)
Manual dexterity
Functional Dexterity Test (Seconds)
Active range motion
Wrist and forearm: Extension, flexion, pronation and supination (degree)
Pain intensity
Visual Analogue Scale (0-10 centimeters)
Forearm circumference
Circumference (cm)
Maximum voluntary isometric strength.
Progressor 300, Tindeq, Norway (Kilos)
Depression, anxiety and stress
Depression, Anxiety and Stress Scale (0-63 points)
Treatment expectations
Treatment Expectation Questionnaire (0-10 points)
Physical activity
International Physical Activity Questionnaire (Categorical Score: Low, Moderate. High)
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