Early Active Controlled Motion (EACM) Rehabilitation Protocol Post Open Reduction and Internal Fixation (ORIF) of Scaphoid Fractures: A Pilot Study

University of Florida

Overview

There is poor research supporting the benefits of Early Active Controlled Motion (EACM) protocols post operative scaphoid fixation. Advances in surgical fixation technique for scaphoid fractures should allow for start of earlier mobilization, however there is little evidence in the literature that supports the use of these protocols within the early phases of healing. The study uses a pre-experimental design with purposeful sample population recruitment.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Conditions

Scaphoid Fixation

Interventions

Early Active Controlled Motion (EACM)OTHER

Early active controlled wrist motion rehab protocol using that will allow midcarpal row motion.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 100 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Date of injury and diagnosis: scaphoid fracture less than 3 weeks old * Waist fractures in the middle 1/3 and distal pole 1/3 of scaphoid bone. * Surgical procedure includes ORIF with screw fixation and/or percutaneous pin with screw fixation. * To be included in the study the patient needs to have started rehab within the first 10 days after surgery date. Exclusion Criteria: * Proximal pole scaphoid fracture * Past medical history of diabetes and other peripheral vascular disorders. * History of osteopenia and osteoporosis. * Previously failed ORIF of scaphoid * Neurovascular or nerve lesion to the involved upper extremity * Cognitive deficits related to memory, attention span, judgment as documented in the EMR or need for a legal guardian to be a medical proxy

Outcomes

Primary Outcomes

functional outcome range of motion

Using a goniometer measuring the angle of wrist flexion and extension NEED TO ENTER EXPECTED ROM ranges

Time frame: at entry and up to 12 months

Data from ClinicalTrials.gov

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