Rehabilitation after Distal Radius Fractures: Opportunities for Improvement

Henriëtte A.W. Meijer; Miryam C. Obdeijn; Justin van Loon; Stein B.M. van den Heuvel; Lianne C. van den Brink; Marlies P. Schijven; J. Carel Goslings; Tim Schepers

doi:10.1055/s-0043-1769925

Journal of Wrist Surgery, Inhaltsverzeichnis

J Wrist Surg 2023; 12(05): 460-473
DOI: 10.1055/s-0043-1769925

Survey or Meta-Analysis

Rehabilitation after Distal Radius Fractures: Opportunities for Improvement

Henriëtte A.W. Meijer

¹Department of Surgery, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands

⁵Amsterdam Public Health, Digital Health, Amsterdam, The Netherlands

⁶Amsterdam Movement Sciences, Amsterdam, The Netherlands

,

Miryam C. Obdeijn

²Department of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands

⁶Amsterdam Movement Sciences, Amsterdam, The Netherlands

,

Justin van Loon

³Department of Orthopaedic Surgery, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands

⁶Amsterdam Movement Sciences, Amsterdam, The Netherlands

,

Stein B.M. van den Heuvel

¹Department of Surgery, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands

,

Lianne C. van den Brink

¹Department of Surgery, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands

,

Marlies P. Schijven

¹Department of Surgery, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands

⁵Amsterdam Public Health, Digital Health, Amsterdam, The Netherlands

⁷Amsterdam Gastroenterology and Metabolism, Amsterdam, The Netherlands

,

J. Carel Goslings

⁴Department of Trauma Surgery, OLVG Hospital, Amsterdam, The Netherlands

,

Tim Schepers

¹Department of Surgery, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands

⁶Amsterdam Movement Sciences, Amsterdam, The Netherlands

› Institutsangaben

Abstract

Background Exercises are frequently prescribed to regain function; yet there is no consensus on a standardized protocol, and adherence is low. Smart technology innovations, such as mobile applications, may be useful to provide home-based patient support in rehabilitation after distal radius fractures.

Purposes Our purpose was to establish the potential of digital innovations for support and monitoring of patients and treatment adherence in rehabilitation programs, and additionally, to compare the current practice among physiotherapists to the various wrist exercise regimens and their effectiveness as described in the literature.

Methods Standard practice, including the use of support tools for treatment adherence, was evaluated using a nationwide survey. Then, scientific databases were searched using “distal radius fracture” and “physiotherapy” or “exercise therapy,” and related search terms, up until 23 March 2023. Results of the survey and literature review were compared.

Results The survey was completed by 92 therapists. Nonstandardized support tools were used by 81.6% of respondents; 53.2% used some form of technology, including taking photos on the patients' smartphone for home reference. In the literature review, 23 studies were included, of which five described an exercise protocol. Treatment adherence was not reported in any of the included studies. Two studies described the use of smart technology or support tools.

Conclusions There is no consensus on a standardized exercise protocol for rehabilitation after distal radius fractures, neither from a systematic literature search nor from a nationwide survey. Smart technology may facilitate monitoring of patients and exercise adherence, hereby supporting self-efficacy and improving adherence and outcomes.

Keywords

wrist fractures - exercise therapy - treatment adherence - gamification - self-efficacy

Volltext

Referenzen

References
1 Nellans KW, Kowalski E, Chung KC. The epidemiology of distal radius fractures. Hand Clin 2012; 28 (02) 113-125
2 Court-Brown CM, Caesar B. Epidemiology of adult fractures: a review. Injury 2006; 37 (08) 691-697
3 Kilgore ML, Morrisey MA, Becker DJ. et al. Health care expenditures associated with skeletal fractures among Medicare beneficiaries, 1999-2005. J Bone Miner Res 2009; 24 (12) 2050-2055
4 MacIntyre NJ, Dewan N. Epidemiology of distal radius fractures and factors predicting risk and prognosis. J Hand Ther 2016; 29 (02) 136-145
5 Stirling ERB, Johnson NA, Dias JJ. Epidemiology of distal radius fractures in a geographically defined adult population. J Hand Surg Eur Vol 2018; 43 (09) 974-982
6 Brogren E, Petranek M, Atroshi I. Incidence and characteristics of distal radius fractures in a southern Swedish region. BMC Musculoskelet Disord 2007; 8: 48
7 Chung KC, Spilson SV. The frequency and epidemiology of hand and forearm fractures in the United States. J Hand Surg Am 2001; 26 (05) 908-915
8 Angermann P, Lohmann M. Injuries to the hand and wrist. A study of 50,272 injuries. J Hand Surg [Br] 1993; 18 (05) 642-644
9 de Putter CE, Selles RW, Polinder S, Panneman MJ, Hovius SE, van Beeck EF. Economic impact of hand and wrist injuries: health-care costs and productivity costs in a population-based study. J Bone Joint Surg Am 2012; 94 (09) e56
10 Larsen CF, Mulder S, Johansen AM, Stam C. The epidemiology of hand injuries in the Netherlands and Denmark. Eur J Epidemiol 2004; 19 (04) 323-327
11 Arora R, Lutz M, Deml C, Krappinger D, Haug L, Gabl M. A prospective randomized trial comparing nonoperative treatment with volar locking plate fixation for displaced and unstable distal radial fractures in patients sixty-five years of age and older. J Bone Joint Surg Am 2011; 93 (23) 2146-2153
12 McQueen MM, Hajducka C, Court-Brown CM. Redisplaced unstable fractures of the distal radius: a prospective randomised comparison of four methods of treatment. J Bone Joint Surg Br 1996; 78 (03) 404-409
13 McQueen MM, MacLaren A, Chalmers J. The value of remanipulating Colles' fractures. J Bone Joint Surg Br 1986; 68 (02) 232-233
14 Fricker R, Jupiter J, Kastelec M. AO Surgery reference: Distal forearm. [web page] 2015. Accessed January 4, 2021 at: https://surgeryreference.aofoundation.org/orthopedic-trauma/adult-trauma/distal-forearm/extraarticular-fracture-of-the-radius-with-dorsal-displacement-or-tilt/closed-reduction-k-wires-and-cast-external-fixator#aftercare
15 Handoll HHG, Elliott J. Rehabilitation for distal radial fractures in adults. [with consumer summary] Cochrane Database Syst Rev 2005; 2015 (09) CD003324
16 Nederlandse Vereniging voor Heelkunde, Richtlijn Distale Radiusfracturen: diagnostiek en behandeling. 2010
17 Duprat A, Diaz JJH, Vernet P. et al. Volar locking plate fixation of distal radius fractures: splint versus immediate mobilization. J Wrist Surg 2018; 7 (03) 237-242
18 American Academy of Orthopaedic Surgeons. The Treatment of Distal Radius Fractures—Guideline and Evidence Report, in Recommendation 21–23. Rosemont, IL: AAOS; 2009: 84-92
19 Deutschen Gesellschaft für Unfallchirurgie e. V. (DGU), Distale Radiusfraktur - Leitlinie Unfallchirurgie, in Physiotherapie. Göttingen: DGU; 2014: 32-33
20 Martin LR, Williams SL, Haskard KB, Dimatteo MR. The challenge of patient adherence. Ther Clin Risk Manag 2005; 1 (03) 189-199
21 Sluijs EM, Kok GJ, van der Zee J. Correlates of exercise compliance in physical therapy. Phys Ther 1993; 73 (11) 771-782 , discussion 783–786
22 Björk M, Niklasson J, Westerdahl E, Sagerfors M. Self-efficacy corresponds to wrist function after combined plating of distal radius fractures. J Hand Ther 2020; 33 (03) 314-319
23 Hidalgo Diaz JJ, Botero SS, Vernet P, Aguerre C, Facca S, Liverneaux P. The role of self-efficiency toward pain following surgical treatment of carpal tunnel syndrome. Hand Surg Rehabil 2016; 35 (06) 413-417
24 Picha KJ, Howell DM. A model to increase rehabilitation adherence to home exercise programmes in patients with varying levels of self-efficacy. Musculoskelet Care 2018; 16 (01) 233-237
25 Arrebola LS, Yi LC, de Oliveira VGC. The use of video games combined with conventional physical therapy in children with upper limb fractures: an exploratory study. J Pediatr Rehabil Med 2019; 12 (01) 65-70
26 Bruder AM, McClelland JA, Shields N. et al. Validity and reliability of an activity monitor to quantify arm movements and activity in adults following distal radius fracture. Disabil Rehabil 2018; 40 (11) 1318-1325
27 Meijer HA, Graafland M, Goslings JC, Schijven MP. Systematic review on the effects of serious games and wearable technology used in rehabilitation of patients with traumatic bone and soft tissue injuries. Arch Phys Med Rehabil 2018; 99 (09) 1890-1899
28 van Reijen M, Asscheman M, Vriend I, van Mechelen W, Verhagen E. Users' perspectives, opportunities, and barriers of the strengthen your ankle app for evidence-based ankle sprain prevention: mixed-methods process evaluation for a randomized controlled trial. JMIR Rehabil Assist Technol 2018; 5 (02) e13
29 Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J. Methodological index for non-randomized studies (MINORS): development and validation of a new instrument. ANZ J Surg 2003; 73 (09) 712-716
30 Coughlin T, Norrish AR, Scammell BE, Matthews PA, Nightingale J, Ollivere BJ. Comparison of rehabilitation interventions in nonoperatively treated distal radius fractures: a randomized controlled trial of effectiveness. Bone Joint J 2021; 103-B (06) 1033-1039
31 Bruder AM, Shields N, Dodd KJ, Hau R, Taylor NF. A progressive exercise and structured advice program does not improve activity more than structured advice alone following a distal radial fracture: a multi-centre, randomised trial. J Physiother 2016; 62 (03) 145-152
32 Christensen OM, Kunov A, Hansen FF, Christiansen TC, Krasheninnikoff M. Occupational therapy and Colles' fractures. Int Orthop 2001; 25 (01) 43-45
33 Maciel JS, Taylor NF, McIlveen C. A randomised clinical trial of activity-focussed physiotherapy on patients with distal radius fractures. Arch Orthop Trauma Surg 2005; 125 (08) 515-520
34 Pasila M, Karaharju EO, Lepistö PV. Role of physical therapy in recovery of function after Colles' fracture. Arch Phys Med Rehabil 1974; 55 (03) 130-134
35 Lara TR, Kagan RP, Hiratzka SL, Thompson AR, Nazir OF, Mirarchi AJ. Traditional versus digital media-based hand therapy after distal radius fracture. J Hand Surg Am 2022; 47 (03) 291.e1-291.e8
36 Valdes K, Naughton N, Burke CJ. Therapist-supervised hand therapy versus home therapy with therapist instruction following distal radius fracture. J Hand Surg Am 2015; 40 (06) 1110-6.e1
37 Krischak GD, Krasteva A, Schneider F, Gulkin D, Gebhard F, Kramer M. Physiotherapy after volar plating of wrist fractures is effective using a home exercise program. Arch Phys Med Rehabil 2009; 90 (04) 537-544
38 Clementsen SØ, Hammer OL, Šaltytė Benth J, Jakobsen RB, Randsborg PH. Early mobilization and physiotherapy vs. late mobilization and home exercises after ORIF of distal radial fractures: a randomized controlled trial. JBJS Open Access 2019; 4 (03) e0012
39 Saito Y, Takegami Y, Tokutake K, Shibata R, Matsubara H, Imamaga S. Home exercises after volar locking plate fixation for distal radius fracture in the elderly are as effective as supervised physiotherapy—multicenter retrospective study. J Orthop Sci 2022; S0949-2658 (22)00330-X
40 Oskarsson GV, Hjall A, Aaser P. Physiotherapy: an overestimated factor in after-treatment of fractures in the distal radius?. Arch Orthop Trauma Surg 1997; 116 (6-7): 373-375
41 Watt CF, Taylor NF, Baskus K. Do Colles' fracture patients benefit from routine referral to physiotherapy following cast removal?. Arch Orthop Trauma Surg 2000; 120 (7-8): 413-415
42 Wakefield AE, McQueen MM. The role of physiotherapy and clinical predictors of outcome after fracture of the distal radius. J Bone Joint Surg Br 2000; 82 (07) 972-976
43 Gutiérrez-Espinoza H, Rubio-Oyarzún D, Olguín-Huerta C, Gutiérrez-Monclus R, Pinto-Concha S, Gana-Hervias G. Supervised physical therapy vs home exercise program for patients with distal radius fracture: a single-blind randomized clinical study. J Hand Ther 2017; 30 (03) 242-252
44 Kay S, Haensel N, Stiller K. The effect of passive mobilisation following fractures involving the distal radius: a randomised study. Aust J Physiother 2000; 46 (02) 93-101
45 Gamo K, Baba N, Kakimoto T, Kuratsu S. Efficacy of hand therapy after volar locking plate fixation of distal radius fracture in middle-aged to elderly women: a randomized controlled trial. J Hand Surg Am 2022; 47 (01) 62.e1-62.e7
46 Souer JS, Buijze G, Ring D. A prospective randomized controlled trial comparing occupational therapy with independent exercises after volar plate fixation of a fracture of the distal part of the radius. J Bone Joint Surg Am 2011; 93 (19) 1761-1766
47 Bayon-Calatayud M, Benavente-Valdepeñas AM, Del Prado Vazquez-Muñoz M. Mirror therapy for distal radial fractures: a pilot randomized controlled study. J Rehabil Med 2016; 48 (09) 829-832
48 Filipova V, Lonzarić D, Jesenšek Papež B. Efficacy of combined physical and occupational therapy in patients with conservatively treated distal radius fracture: randomized controlled trial. Wien Klin Wochenschr 2015; 127 (Suppl. 05) S282-S287
49 Mitsukane M, Sekiya N, Himei S, Oyama K. Immediate effects of repetitive wrist extension on grip strength in patients with distal radial fracture. Arch Phys Med Rehabil 2015; 96 (05) 862-868
50 Picelli A, Munari D, Modenese A. et al. Robot-assisted arm training for treating adult patients with distal radius fracture: a proof-of-concept pilot study. Eur J Phys Rehabil Med 2020; 56 (04) 444-450
51 Naqvi WM, Qureshi MI, Nimbulkar G, Umate L. Gamification for distal radius fracture rehabilitation: a randomized controlled pilot study. Cureus 2022; 14 (09) e29333
52 Kay S, McMahon M, Stiller K. An advice and exercise program has some benefits over natural recovery after distal radius fracture: a randomised trial. Aust J Physiother 2008; 54 (04) 253-259
53 Bruder A, Taylor NF, Dodd KJ, Shields N. Exercise reduces impairment and improves activity in people after some upper limb fractures: a systematic review. J Physiother 2011; 57 (02) 71-82
54 Bruder AM, Shields N, Dodd KJ, Taylor NF. Prescribed exercise programs may not be effective in reducing impairments and improving activity during upper limb fracture rehabilitation: a systematic review. J Physiother 2017; 63 (04) 205-220
55 Quadlbauer S, Pezzei C, Jurkowitsch J. et al. Rehabilitation after distal radius fractures: is there a need for immobilization and physiotherapy?. Arch Orthop Trauma Surg 2020; 140 (05) 651-663
56 Lyngcoln A, Taylor N, Pizzari T, Baskus K. The relationship between adherence to hand therapy and short-term outcome after distal radius fracture. J Hand Ther 2005; 18 (01) 2-8 , quiz 9
57 Jansen M, Meijer HAW, Barsom EZ, van Raamsdonk AJ, Schijven MP. [Apps in healthcare, what do I need to know?]. Ned Tijdschr Geneeskd 2020; 164: D4956
58 Union; EPatCotE. Regulation (EU) 2016/679 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, in 2016/679, Union EPatCotE, Editor. 2016. Official J Eur Union
59 Union; EPatCotE. Regulation (EU) 2017/745 on medical devices, in 2017/745, Union EPatCotE, Editor. 2017. Official J Eur Union
60 Voon K, Silberstein I, Eranki A, Phillips M, Wood FM, Edgar DW. Xbox Kinect™ based rehabilitation as a feasible adjunct for minor upper limb burns rehabilitation: A pilot RCT. Burns 2016; 42 (08) 1797-1804
61 Laver KE, Lange B, George S, Deutsch JE, Saposnik G, Crotty M. Virtual reality for stroke rehabilitation. Cochrane Database Syst Rev 2017; 11 (11) CD008349
62 Saposnik G, Levin M. Outcome Research Canada (SORCan) Working Group. Virtual reality in stroke rehabilitation: a meta-analysis and implications for clinicians. Stroke 2011; 42 (05) 1380-1386