Inbar Miller-Shahabar1, Naomi Schreuer, Haim Katsevman, Benjamin Bernfeld, Anat Cons, Yael Raisman, Uzi Milman. 1. From the Occupational Therapy Department, "Lin" Medical Center, Clalit Health Services, Haifa (IM-S, YR); Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa (NS); Orthopedic Department, Carmel Medical Center "Lady Davis," Haifa (HK, BB); Occupational Therapy Services (AC) and Clinical Research Unit (UM), Clalit Health Services, Haifa and Western Galilee District; and Department of Family Medicine, Faculty of Medicine, Technion-Israel Institute of Technology, Haifa (UM), Israel.
Abstract
OBJECTIVE: The aim of this study was to examine the outcomes of wearing made-to-measure compression gloves after distal radius fracture. DESIGN: In a randomized controlled trial, adults who were about 6 wks post distal radius fracture were recruited and divided into a comparison control group (n = 15), who received standard rehabilitation twice a week for half an hour, and an intervention group (n = 17), who additionally used compression gloves. All treatments were conducted at a single rehabilitation clinic. Outcomes assessed were wrist and finger range of motion, grip strength, swelling, pain, and activities of daily living (using the Patient Rating Wrist Evaluation). The intervention group underwent additional objective dynamic assessments of range of motion with and without the gloves. RESULTS: The intervention group demonstrated reduced swelling, pain, and analgesic use; increased wrist range of motion; better scores for specific hand functions; and greater participation in activities of daily living compared with the comparison group. CONCLUSION: This randomized controlled trial shows that using compression gloves during the rehabilitation phase after distal radius fracture improves daily functioning and reduces adverse symptoms. These improvements, which are important in their own right, are also expected to aid in preventing the development of chronic conditions and disability. EVIDENCE LEVEL II: Un-blinded prospective comparative study.
RCT Entities:
OBJECTIVE: The aim of this study was to examine the outcomes of wearing made-to-measure compression gloves after distal radius fracture. DESIGN: In a randomized controlled trial, adults who were about 6 wks post distal radius fracture were recruited and divided into a comparison control group (n = 15), who received standard rehabilitation twice a week for half an hour, and an intervention group (n = 17), who additionally used compression gloves. All treatments were conducted at a single rehabilitation clinic. Outcomes assessed were wrist and finger range of motion, grip strength, swelling, pain, and activities of daily living (using the Patient Rating Wrist Evaluation). The intervention group underwent additional objective dynamic assessments of range of motion with and without the gloves. RESULTS: The intervention group demonstrated reduced swelling, pain, and analgesic use; increased wrist range of motion; better scores for specific hand functions; and greater participation in activities of daily living compared with the comparison group. CONCLUSION: This randomized controlled trial shows that using compression gloves during the rehabilitation phase after distal radius fracture improves daily functioning and reduces adverse symptoms. These improvements, which are important in their own right, are also expected to aid in preventing the development of chronic conditions and disability. EVIDENCE LEVEL II: Un-blinded prospective comparative study.