Evaluation of Limb Function and Perception in Rehabilitation After Traumatic Wrist Fracture Surgery

N/ANot Yet RecruitingNCT06866340

I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio100 enrolled

Overview

The goal of this observational study is to assess the functional and perceptual alterations of the affected limb during rehabilitation in adult orthopedic patients who underwent surgical treatment for distal radius fractures. The main questions it aims to answer are: What is the correlation between functional and perceptual alterations of the affected limb at the beginning and end of rehabilitation? How do these alterations influence rehabilitation duration and effectiveness? Participants will: Complete the patient questionnaires ((QuickDASH and ALPQ). Undergo handgrip strength tests and digital dynamometer tests to assess forearm muscle strength. Have their range of motion evaluated by a physiotherapist during outpatient visits. No additional diagnostic or instrumental examinations are required beyond routine clinical practice. The study will recruit 100 adult patients, last 24 months, and provide insights into the role of body perception in rehabilitation after wrist fractures.

Study Type

OBSERVATIONAL

Enrollment

100

Conditions

Distal Radius Fractures Rehabilitation Body Perception

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adults (≥18 years old) * Patients who have undergone surgical treatment with a volar approach for a traumatic distal radius fracture at IRCCS Ospedale Galeazzi - Sant'Ambrogio. * Willingness and ability to provide written informed consent. Exclusion Criteria: * Pre-existing neurological, psychiatric, or cognitive disorders that could affect motor function or body perception. * Previous fractures of the same limb. * Pregnancy or breastfeeding (self-reported).

Outcomes

Primary Outcomes

Correlation between functional and perceptual alterations at the beginning and end of rehabilitation

The study will evaluate the relationship between functional parameters (grip strength, range of motion, QuickDASH score) and perceptual parameters (ALPQ score for body perception).

Time frame: Measured at T1 (start of rehabilitation) and T2 (end of rehabilitation, 4-10 weeks later)

Secondary Outcomes

Effect of functional and perceptual alterations on rehabilitation duration and effectiveness

Examines how initial functional and perceptual impairments influence: Rehabilitation duration (measured in weeks and number of therapy sessions). Rehabilitation effectiveness (difference in QuickDASH, ALPQ, strength, and range of motion scores between T1 and T2).

Time frame: Measured at T0 (before rehabilitation, after immobilization), T1 (start of rehabilitation), and T2 (end of rehabilitation, 4-10 weeks later)