Defining Outcomes Following Distal Radius Fractures: Correlation of Function, Pain, and Hand Therapy Utilization.
| Autor: | Sh Ahmed O; Cancer Clinical Studies Unit, Mayo Clinic Florida, Jacksonville, USA., Cinotto G; Plastic Surgery, Mayo Clinic Florida - Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Jacksonville, USA., Boczar D; Plastic Surgery, Mayo Clinic Florida, Jacksonville, USA., Huayllani MT; Plastic Surgery, Mayo Clinic Florida, Jacksonville, USA., Trigg SD; Orthopaedics, Mayo Clinic Florida - Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Jacksonville, USA., Forte AJ; Plastic Surgery, Mayo Clinic Florida, Jacksonville, USA., McVeigh K; Physical Medicine and Rehabilitation, Mayo Clinic Florida, Jacksonville, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2020 Jun 20; Vol. 12 (6), pp. e8718. Date of Electronic Publication: 2020 Jun 20. |
| DOI: | 10.7759/cureus.8718 |
| Abstrakt: | Background Distal radius fractures (DRF) is one of the most common fractures in clinical practice. Our objective was to study the role of early hand therapy and its impact on pain and return to daily activities. Methods The charts of patients with DRFs seen between January 2016 and November 2017 in the Hand Center of Mayo Clinic Florida were reviewed retrospectively. Forty-nine patients with DRFs who met inclusion criteria were included in the analysis. The variables collected included: age, gender, side of the fracture, surgery vs non-surgery, time to start hand therapy, number of visits, shortened disabilities of the arm, shoulder, and hand (QuickDASH) initial and discharge scores, and visual analog scale (VAS) initial and discharge. Results The patients' mean age was 67.90 years, (standard deviation (SD) 14.54), 38 (77.6%) were female, 28 (57.1%) had a right DRF, 21 (42.9%) had a left DRF, 38 (77.6%) had no surgery, 11 (22.4%) had surgery. The mean time from fracture to therapy is 32.41, (SD 24.13) days, and the mean total number of visits is 6.20 (SD 3.49). We noticed a statistically significant difference between the initial QuickDASH (59.27, SD 16.93) compared to the discharge QuickDASH (24.08, SD 12.77) (P-value <.001); and initial VAS (3.57, SD 1.71) with a discharge VAS (1.33, SD 0.97) (P-value <.001). Conclusion This retrospective study found a statistically significant reduction in the QuickDASH and VAS scores after six hand therapy visits. The results suggest that early rehabilitation interventions lead to improvements in pain and return to daily activity following DRF. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2020, Sh Ahmed et al.) |
| Databáze: | MEDLINE |
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