Does mental practice or mirror therapy help prevent functional loss after distal radius fracture? A randomized controlled trial.
A randomized, single-blinded controlled trial. Therapy results after distal radius fractures (DRF) especially with older patients are often suboptimal. One possible approach for counteracting the problems are motor-cognitive training interventions such as Mental Practice (MP) or Mirror Therapy (MT),...
| Publicado en: | Journal of Hand Therapy Vol. 35; no. 1; pp. 86 - 97 |
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| Autores principales: | , |
| Formato: | research randomized controlled trial Journal Article |
| Publicado: |
Elsevier B.V.
Jan2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=155526436&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 155526436 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08941130 4C0 jtl: Journal of Hand Therapy issn: 08941130 maglogo: N pubinfo: dt: Jan2022 vid: 35 iid: 1 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 155526436 155526436 155526436 10.1016/j.jht.2020.10.017 155526436 ppf: 86 ppct: 11 formats: tig: atl: Does mental practice or mirror therapy help prevent functional loss after distal radius fracture? A randomized controlled trial. aug: au: Korbus, Heide Schott, Nadja affil: Department of Sport and Exercise Science, University of Stuttgart, Stuttgart, Germany sug: subj: Mirror Therapy Wrist Physiopathology Functional Assessment Radius Fractures, Distal Physiopathology Radius Fractures, Distal Rehabilitation Motor Skills Cognition Task Performance and Analysis Treatment Outcomes Evaluation Human Randomized Controlled Trials Single-Blind Studies Pilot Studies Female Comparative Studies Home Rehabilitation Prospective Studies Descriptive Statistics Questionnaires Range of Motion Evaluation Grip Strength Evaluation Quality of Life Evaluation Immobilization Female ab: A randomized, single-blinded controlled trial. Therapy results after distal radius fractures (DRF) especially with older patients are often suboptimal. One possible approach for counteracting the problems are motor-cognitive training interventions such as Mental Practice (MP) or Mirror Therapy (MT), which may be applied in early rehabilitation without stressing the injured wrist. The aim of the study is to investigate the effects of MP and MT on wrist function after DRF. The pilot study should furthermore provide information about the feasibility of these methods. Thirty-one women were assigned either to one of the two experimental groups (MP, MT) or to a control group (relaxation intervention). The participants completed a training for six weeks, administered at their homes. Measurements were taken at four times (weeks 0, 3, 6 and 12) to document the progression in subjective function (PRWE, QuickDASH) and objective constraints of the wrist (ROM, grip strength) as well as in health-related quality of life (EQ-5D). The results indicated that both experimental groups showed higher improvements across the intervention period compared to the control group; e.g. PRWE: MT 74.0%, MP 66.2%, CG 56.9%. While improvements in grip strength were higher for the MP group, the MT group performed better in all other measures. However, time by group interactions approached significance at best; e.g. ROM: P =.076; η p 2 =.141. The superiority of MP as well as MT supports the simulation theory. Motor-cognitive intervention programs are feasible and promising therapy supplements, which may be applied in early rehabilitation to counteract the consequences of immobilization without stressing the injured wrist. • Therapy results after distal radius fractures are often not satisfactory, especially in older adults. • Motor-cognitive interventions such as mental practice or mirror therapy can be therapy approaches, applicable during immobilization without stressing the injured bone. • Our study revealed mental practice as well as mirror therapy as feasible therapy supplements, both outperforming conventional therapy. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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