Approximately 15,000 persons in Norway suffer from wrist fractures during a year, making it the most prevalent fracture in this country. Treated conservatively, a cast is used for 4-6 weeks before removal. After discontinuation of the cast, physiotherapy is implemented to aid in improving range of motion and regaining function of the injured wrist. The pain after injury can affect the patient to a greater or lesser extent, and it is common to prescribe sick leave for shorter amounts of time after the injury. Studies suggest that a physiotherapy intervention with Low Level Laser therapy (LLLT) may reduce pain and swelling after acute trauma, and potentially promote healing. The aim of this study is to evaluate the effect of LLLT on pain and function at 2, 4, 8 and 26 weeks after injury.
Patients with wrist fractures are recruited from Bergen Municipal Emergency Ward, where they are randomly divided into two groups with concealed allocation. The fracture is immobilized with a cast, with a small opening where Low Level Laser therapy can be administered in skin contact. The patients will receive treatment 3 times a week, for 3 weeks. After discontinuation of the cast, the patients swelling, pain, grip strength and function of the wrist is measured. The patients will meet for follow-up controls until 26 weeks after injury.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
53
The laser is an infrared (invisible) 60 mW 904 nm Irradia Midlaser
The placebo laser is an identical device to the active laser, made by Irradia Midlaser
Bergen Accident Emergency Hospital
Bergen, Norway
Function and pain
Function and will be assessed using Patient Rating Wrist and Hand Evaluation a (PRWHE), and questions about night pain/pain killers
Time frame: 26 weeks
Pain by pressure
Pain Pressure Threshold over distal radius will be assessed using Pressure Algometry
Time frame: 26 weeks
Swelling
Swelling will be assessed using measurement tape
Time frame: 26 weeks
Active range of motion
Active range of motion will be assessed using goniometer
Time frame: 26 weeks
Grip- and pinch Strength
Strength will be assessed using handheld dynamometer
Time frame: 26 weeks
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