Clinical effect of rehabilitation after distal radius fracture surgery using a wearable device: A comparative prospective cohort study

IF 0.9 4区医学 Q4 ORTHOPEDICS Hand Surgery & Rehabilitation Pub Date : 2024-12-01 DOI:10.1016/j.hansur.2024.101779

SeongJu Choi , Joonha Lee , Kee Jeong Bae , Dong Kyun Kim , Young Ho Lee , Yohan Lee

{"title":"Clinical effect of rehabilitation after distal radius fracture surgery using a wearable device: A comparative prospective cohort study","authors":"SeongJu Choi , Joonha Lee , Kee Jeong Bae , Dong Kyun Kim , Young Ho Lee , Yohan Lee","doi":"10.1016/j.hansur.2024.101779","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Appropriate postoperative rehabilitation of distal radius fractures is essential for early recovery and pain management, but may be limited by medical staff and equipment availability and costs. Home-based training or wearable devices provide an alternative.</div></div><div><h3>Objectives</h3><div>To assess use of a wearable device and home-based training for rehabilitation after distal radius fracture surgery.</div></div><div><h3>Design</h3><div>Prospective comparative cohort study.</div></div><div><h3>Method</h3><div>Between April and November 2021, patients aged > 20 years with distal radius fracture who could understand and use wearable devices and their application were recruited. Patients with polytrauma, neurological disorder or musculoskeletal disorder were excluded. The control group underwent a regimen of passive and active finger and wrist exercises after surgery, while the experimental group performed equivalent rehabilitation using a wearable device (smart glove).</div><div>Outcomes comprised pain on visual analog scale, wrist range of motion, Quick Disabilities of the Arm, Shoulder, and Hand score, Modified Mayo Wrist Score, and radiographic parameters (radial inclination, radial height, ulnar variance and volar tilt) at 6 and 12 weeks after surgery.</div></div><div><h3>Results</h3><div>Fracture type, age and gender did not differ between the control (n = 7) and experimental (n = 7) groups. All participants achieved bone union and exhibited equivalent radiographic parameters at follow-up.</div><div>The experimental group showed significantly improved Mayo scores (65.7 vs. 56.4, p = 0.044), wrist range of motion (259.3 vs. 179.3, p = 0.021), and pain (1.43 vs. 3.29, p = 0.011) at 6 but not 12 weeks’ follow-up.</div></div><div><h3>Conclusions</h3><div>Rehabilitation using a smart glove showed better short-term clinical outcomes after surgery than conventional rehabilitation. Rehabilitation using a wearable device may be beneficial for early recovery after distal radius fracture surgery.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"43 6","pages":"Article 101779"},"PeriodicalIF":0.9000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hand Surgery & Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S246812292400210X","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Appropriate postoperative rehabilitation of distal radius fractures is essential for early recovery and pain management, but may be limited by medical staff and equipment availability and costs. Home-based training or wearable devices provide an alternative.

Objectives

To assess use of a wearable device and home-based training for rehabilitation after distal radius fracture surgery.

Design

Prospective comparative cohort study.

Method

Between April and November 2021, patients aged > 20 years with distal radius fracture who could understand and use wearable devices and their application were recruited. Patients with polytrauma, neurological disorder or musculoskeletal disorder were excluded. The control group underwent a regimen of passive and active finger and wrist exercises after surgery, while the experimental group performed equivalent rehabilitation using a wearable device (smart glove).

Outcomes comprised pain on visual analog scale, wrist range of motion, Quick Disabilities of the Arm, Shoulder, and Hand score, Modified Mayo Wrist Score, and radiographic parameters (radial inclination, radial height, ulnar variance and volar tilt) at 6 and 12 weeks after surgery.

Results

Fracture type, age and gender did not differ between the control (n = 7) and experimental (n = 7) groups. All participants achieved bone union and exhibited equivalent radiographic parameters at follow-up.

The experimental group showed significantly improved Mayo scores (65.7 vs. 56.4, p = 0.044), wrist range of motion (259.3 vs. 179.3, p = 0.021), and pain (1.43 vs. 3.29, p = 0.011) at 6 but not 12 weeks’ follow-up.

Conclusions

Rehabilitation using a smart glove showed better short-term clinical outcomes after surgery than conventional rehabilitation. Rehabilitation using a wearable device may be beneficial for early recovery after distal radius fracture surgery.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

使用可穿戴设备进行桡骨远端骨折术后康复的临床效果：前瞻性队列比较研究

背景：桡骨远端骨折术后适当的康复治疗对早期恢复和疼痛控制至关重要，但可能会受到医务人员、设备可用性和成本的限制。家庭训练或可穿戴设备提供了另一种选择：评估桡骨远端骨折术后使用可穿戴设备和家庭训练进行康复的情况：设计：前瞻性队列比较研究：方法：2021 年 4 月至 11 月间，招募年龄大于 20 岁、能够理解和使用可穿戴设备及其应用的桡骨远端骨折患者。排除多发性创伤、神经系统疾病或肌肉骨骼疾病患者。对照组在术后进行手指和手腕的被动和主动锻炼，而实验组则使用可穿戴设备（智能手套）进行同等的康复训练。结果包括术后6周和12周的疼痛视觉模拟量表、腕关节活动范围、手臂、肩部和手部快速残疾评分、改良梅奥腕关节评分以及放射学参数（桡侧倾斜、桡侧高度、尺侧偏差和外侧倾斜）：对照组（7 人）和实验组（7 人）的骨折类型、年龄和性别没有差异。所有参与者都实现了骨结合，并在随访时显示出相同的放射学参数。实验组的梅奥评分（65.7 vs. 56.4，p = 0.044）、腕关节活动范围（259.3 vs. 179.3，p = 0.021）和疼痛（1.43 vs. 3.29，p = 0.011）在随访 6 周（而非 12 周）时均有明显改善：结论：与传统康复训练相比，使用智能手套进行术后康复训练可获得更好的短期临床效果。使用可穿戴设备进行康复治疗可能有利于桡骨远端骨折术后的早期恢复。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Hand Surgery & Rehabilitation Medicine-Surgery

CiteScore

1.70

自引率

27.30%

发文量

审稿时长

49 days

期刊介绍： As the official publication of the French, Belgian and Swiss Societies for Surgery of the Hand, as well as of the French Society of Rehabilitation of the Hand & Upper Limb, ''Hand Surgery and Rehabilitation'' - formerly named "Chirurgie de la Main" - publishes original articles, literature reviews, technical notes, and clinical cases. It is indexed in the main international databases (including Medline). Initially a platform for French-speaking hand surgeons, the journal will now publish its articles in English to disseminate its author''s scientific findings more widely. The journal also includes a biannual supplement in French, the monograph of the French Society for Surgery of the Hand, where comprehensive reviews in the fields of hand, peripheral nerve and upper limb surgery are presented. Organe officiel de la Société française de chirurgie de la main, de la Société française de Rééducation de la main (SFRM-GEMMSOR), de la Société suisse de chirurgie de la main et du Belgian Hand Group, indexée dans les grandes bases de données internationales (Medline, Embase, Pascal, Scopus), Hand Surgery and Rehabilitation - anciennement titrée Chirurgie de la main - publie des articles originaux, des revues de la littérature, des notes techniques, des cas clinique. Initialement plateforme d''expression francophone de la spécialité, la revue s''oriente désormais vers l''anglais pour devenir une référence scientifique et de formation de la spécialité en France et en Europe. Avec 6 publications en anglais par an, la revue comprend également un supplément biannuel, la monographie du GEM, où sont présentées en français, des mises au point complètes dans les domaines de la chirurgie de la main, des nerfs périphériques et du membre supérieur.