| Author/Editor | Filipova, Verica; Lonzarić, Dragan; Jesenšek Papež, Breda | |
| Title | Efficacy of combined physical and occupational therapy in patients with conservatively treated distal radius fracture | |
| Type | članek | |
| Vol. and No. | Letnik Jg. 127, št. suppl. 5 | |
| Publication year | 2015 | |
| Volume | str. S282-S287 | |
| ISSN | 0043-5325 - Wiener klinische Wochenschrift | |
| Language | eng | |
| Abstract | Aim: To evaluate the efficacy of combined physical and occupational therapy in comparison with physical therapy alone in patients with conservatively treated distal radius fracture. Methods: Sixty-one participants, conservatively treated after a distal radius fracture, were included in a randomized and single-blind trial. Group A had physical therapy only (n=31) and group B had physical and occupational therapy (n=30). The assessment was performed three times: upon inclusion in the study in the first week after removal of the cast (T1), immediately after the end of the rehabilitation (T2), and 1 month after completing the rehabilitation (T3). The passive wrist range-of-motion, grip strength, and Disabilities of Arm, Shoulder and Hand (DASH) score were used as rehabilitation outcomes. Results: Rehabilitation outcomes were analyzed using two-way mixed analysis of variance. The effect of time was statistically significant (p<0.001) for all outcomes. The group (therapy) factor was statistically significant for grip strength only (p=0.038). The interaction effect was statistically significant for rotation (p=0.034) and grip strength (p=0.021). A comparison between time points T3:T1 showed statistically significant difference in grip strength in favor of group B 67% (95% CI 60-74%) versus group A 53% (95% CI 45-61%), p=0.024. Conclusion: The combined therapy resulted in a statistically significant increase of grip strength in comparison with isolated physical therapy in the period of 12-16 weeks after the fracture. This effectiveness was not confirmed with DASH score results. | |
| Keywords | koželjnica kostni zlom konzervativno zdravljenje fizikalna terapija delovna terapija oprijem, moč rehabilitacija |