Actively Recruiting
A Randomized Controlled Trial Comparing Traditional Physiotherapy vs Telerehabilitation After Volar Plating of Distal Radius Fracture
Led by Töölö Hospital · Updated on 2024-10-31
84
Participants Needed
1
Research Sites
52 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are comparing two rehabilitation methods after surgery for distal radius fractures, a type of wrist fracture. The study aims to evaluate traditional physiotherapy against telerehabilitation, a digital guided program, to see how well each supports recovery. Patients eligible for surgery according to Finnish care guidelines are randomly assigned to one of the two groups. Participants in the telerehabilitation group follow a digital care pathway with videos, photos, animations, and written instructions for hand rehabilitation after surgery. The traditional physiotherapy group attends in-person physiotherapist appointments at two and five weeks post-surgery and may have further sessions if needed. Both groups follow similar exercise and weightbearing guidance. Participants provide baseline data before surgery and are monitored at 1, 3, and 12 months afterward. Researchers assess wrist function using the Patient-Rated Wrist Evaluation (PRWE) at 3 months as the primary outcome, with secondary measures including grip strength, pain levels, wrist motion, quality of life, adverse events, and overall improvement. The study lasts 12 months for each participant, with continuous evaluation of recovery and safety.
CONDITIONS
Brief Title
Physiotherapy vs Telerehabilitation After Volar Plating of Distal Radius Fracture
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Distal radius fracture meeting surgical criteria
- Age between 18 to 65 years
- No additional injuries except ulnar styloid avulsion
- No significant comorbidities
- No previous problems with the injured hand
- Ability to understand Finnish fluently
You will not qualify if you...
- High energy or multiple injuries
- Open fractures
- Injuries affecting both upper limbs
- Other surgeries on the same side
- Rheumatoid arthritis or other inflammatory joint diseases
- Heavy smoking (over 20 cigarettes per day)
- Diseases or medications that slow bone healing
- Alcohol or drug abuse
- Psychiatric disorders with poor treatment control
- Neurological disorders affecting the injured limb
- Use of fixation material other than volar locking plate
- Unstable fracture fixation preventing rehabilitation within 14 days
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Up to 12 months
Participants receive either telerehabilitation through a digital care pathway with instructional videos and materials or traditional physiotherapy with in-person appointments at two and five weeks postoperatively. Additional physiotherapy appointments may occur if needed.
At least 2 physiotherapist appointments for the traditional physiotherapy group; telerehabilitation participants follow the digital program remotely
Trial Site Locations
Total: 1 location
1
Division of Musculosceletal and Plastic Surgery, Hand Surgery Unit, Helsinki University Hospital
Helsinki, Uusimaa, Finland, 00029
Actively Recruiting
Research Team
S
Samuli Aspinen, M.D.,Ph.D.
T
Turkka Anttila, M.D.
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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