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IRCT20220410054476N1 IRCT 2022-06-11 The University of Faisalabad Comparative effectiveness of Maitland versus Mulligan mobilization technique for post-surgical mobility complications of distal radius fracture Comparative effectiveness of Maitland versus Mulligan mobilization technique for post-surgical mobility complications of distal radius fracture 2022-04-29 anticipated 32 Complete https://irct.ir/trial/64024 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The participants are allocated using simple randomization into two separate groups. The tools used in randomization are sealed envelopes, and allocation concealment was carried out. The randomization was done on an individual basis, Blinding description: The participants will be unaware in which group they will be allocated after meeting the inclusion criteria an informed consent will be taken from them by the physiotherapist. N/A In the forearm region of upper extremity radius is the bone which is located on the lateral side of the forearm alongside ulna. The distal part of the radius is that part which is connected to the wrist. If any break or discontinuity comes in this part of the radius then it is usually referred to as fracture of the distal radius, and this fracture usually takes place when a person falls on an outstretched hand leading to impact of the wrist to the floor and resulting in fracture. This fracture can also take place if a person falls while the wrist is in a flexed position. It is also very common among people of older age and athletes. Complications such as impaired circulation, malunion, infection and complex regional pain syndrome can also occur after this fracture.. Intervention 1: Intervention group 1: Maitland mobilization (The participants present in this group first of all received heat using hot pack for a duration of about fifteen minutes as baseline treatment. After this making sure that the muscles were completely relaxed grade 1 and grade 2 of Maitland mobilization was applied to the wrist. These two grades were applied for first two weeks. After these two weeks the level of grade was increased to grade 3 and grade 4 and these two grades of Maitland mobilization were applied for the next two weeks). Intervention 2: Intervention group 2: Mulligan mobilization (The participants present in this group also first of all received heat using hot pack for a duration of about fifteen minutes as baseline treatment. After this making sure that the muscles were relaxed mobilization with movement technique of Mulligan mobilization was applied to the participants in the antero-posterior direction, medial direction and lateral direction at the level of the distal radio-ulnar joint. These mobilization techniques were applied for a time duration of about four weeks). Yes - There is a plan to make this available What will be shared: All collected deidentified participant data set for the outcome measures When: 4 months after publication To whom: People working in the academic institutions Conditions: IPD and any additional supporting documents will be provided for research on similar topic and can be obtained by asking through the contact person mentioned below. Where to obtain: Contact person: Syeda Neha Asad Rizvi Mobile number:+92 3247797647 E-mail address: nehaasad78@gmail.com How to obtain: Data files will be provided after talking to the contact person mentioned above. Comments:
public Dr. Sidra Majeed;PT
4 km Sargodha road, University Town, Faisalabad, Pakistan
Faisalabad Pakistan 38000 +92 334 7731241 sidra.majeed@tuf.edu.pk The University of Faisalabad scientific Syeda Neha Asad Rizvi
14.C People's Colony No.1 Khawaja Islam Road Faisalabad, Pakistan
Faisalabad Pakistan 38000 +92 334 6610623 nehaasad78@gmail.com The University of Faisalabad Pakistan Pakistan Pakistan Participants having distal radius fracture Participants undergone through the process of open reduction and internal fixation Participants whose cast has been removed after two months following surgery Participants willing to take part in the research Participants whose wrist mobility is restricted Participants having pain from 3 to 7 on VAS Participants having age from 30 to 60 years 30 years 60 years Both Participants gone through the procedure of close reduction for fixing the fracture Osteopinea Malunion of the fracture Pre- existing inflammatory condition of the joints Prolong steroid usage Bony block Hypermobility Haemarthrosis Sudeck’s dystrophy Complex regional pain syndrome Infection Impaired sensation or circulation Joint effusion M84.333 Stress fracture, right radius Rehabilitation Rehabilitation Intervention group 1: Maitland mobilization (The participants present in this group first of all received heat using hot pack for a duration of about fifteen minutes as baseline treatment. After this making sure that the muscles were completely relaxed grade 1 and grade 2 of Maitland mobilization was applied to the wrist. These two grades were applied for first two weeks. After these two weeks the level of grade was increased to grade 3 and grade 4 and these two grades of Maitland mobilization were applied for the next two weeks). Intervention group 2: Mulligan mobilization (The participants present in this group also first of all received heat using hot pack for a duration of about fifteen minutes as baseline treatment. After this making sure that the muscles were relaxed mobilization with movement technique of Mulligan mobilization was applied to the participants in the antero-posterior direction, medial direction and lateral direction at the level of the distal radio-ulnar joint. These mobilization techniques were applied for a time duration of about four weeks). Pain in the distal part of radius as a result of fracture is the primary outcome. Timepoint: Pain will be measured at the start of the treatment sessions and then after four weeks when the treatment sessions are finished. Method of measurement: Visual analogue scale will be used to measure pain. Range of motion and functional limitation of wrist. Timepoint: Range of motion and functional limitation of wrist will be measured before the treatment sessions and after four weeks when all the treatment sessions are given. Method of measurement: Goniometer and PRWE questionnaire will be used to measure the range of motion and functional limitation. The University of Faisalabad Approved 2022-04-07 Ethics committee of The University of Faisalabad 4-km, Sargodha Road, University Town,Faisalabad,Pakistan Faisalabad Punjab Pakistan