Randomized Controlled Trial Comparing Early Strengthening vs. Early Motion Rehabilitation After Distal Radius Fracture Surgery

What this Trial Is About

Researchers are evaluating the safety and effectiveness of an early strengthening and passive mobilization rehabilitation program compared to the current conventional early motion rehabilitation after surgery for distal radius fractures. The study focuses on patients aged 50 and older who have undergone surgical fixation for this type of wrist fracture. This trial aims to address variability in functional recovery and complications such as stiffness, pain, and complex regional pain syndrome that can occur after surgery despite early mobilization protocols. Participants will be randomly assigned to one of two rehabilitation programs. The Early Strengthening Protocol (ESP) group will start active and passive strengthening exercises soon after discharge, within two weeks, guided by therapists. The Early Motion Protocol (EMP) group will follow a conventional plan with active mobilization for the first six weeks and begin passive mobilization and strengthening exercises between eight and ten weeks post-surgery. Both programs include therapy sessions with physiotherapists and occupational therapists. During the study, participants will be regularly assessed up to 12 months after surgery. Evaluations include patient-reported functional outcomes, range of motion, and grip strength at multiple time points. Quality of life, radiographic healing, complication rates, and adherence to rehabilitation will also be monitored. Grip strength measurements are taken weekly for the ESP group from weeks 1 to 12 and for the EMP group from weeks 6 to 12, with follow-ups at 6 and 12 months. This comprehensive monitoring aims to compare recovery progress and safety between the two rehabilitation approaches.

Early Strengthening Rehabilitation Training for Post-operative Fracture Distal Radius