Eigenständige Heimübungen in der Nachbehandlung konservativ behandelter distaler Radiusfrakturen
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Introduction: Rehabilitation is an integral part of the concept for wrist fractures treated through immobilization. Our aim was to determine the effect of two different therapy concepts on the outcome in a prospective study: treatment by a professional physical therapist and an unassisted home exercise program. Materials and Methods: 42 volunteers with conservatively treated wrist fractures were randomized in treatment by a professional physical therapist (N = 21) with 12 sessions, and an unassisted home exercise program (N = 21). Follow-up six weeks later involved evaluation of range of motion, grip strength using a Jamar dynamometer, and the functional score Patient Related Wrist Evaluation (PRWE). Results: After a six week period of post-operative treatment, the patients performing a self-dependant home exercise program using a training diary reached significantly higher grip strength (83 % vs. 67 % of the starting base value; P = 0.0203). There were no differences in the range of motion of pronation/supination, extension and flexion, or ulnar and radial abduction. However, self training patients showed a significantly greater improvement of the functionality of the wrists according to PRWE score (8.4 vs. 22.5; P = 0.0029). Discussion: The effectiveness of a home exercise program requires motivated patients being self-responsible and independent in performing rehabilitation at home. The decision of treating patients self-responsibly has to be considered critically with the patient. Conclusions: In the rehabilitation of conservatively treated wrist fractures, good functional results can be reached using instructions in a home exercise program and are an effective alternative to prescribed rehabilitation treatment.
Original publicationPhysikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 19 (2009), S. 185 - 192
Subject HeadingsPhysikalische Therapie [GND]
Wrist injuries. Therapy [MeSH]