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Therapist supervised clinic-based therapy versus instruction in a home program following distal radius fracture

VALDES K; NAUGHTON N; MICHLOVITZ S
J HAND THER , 2014, vol. 27, n° 3, p. 165-173
Doc n°: 171425
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.jht.2013.12.010
Descripteurs : DD64 - TRAUMATISMES - AVANT-BRAS

The primary purpose of this systematic review is to determine the
effectiveness of a home program or a structured therapy program for patients
following distal radius fracture. METHODS: A search was performed using terms
wrist fracture, supervised therapy, occupational therapy, physical therapy,
splint, orthosis, distal radius fracture, exercise, and home program. Studies
that met the inclusion criteria were evaluated for research quality using The
Structured Effectiveness for Quality Evaluation of Study (SEQES). RESULTS: Five
of the seven trials found no difference between outcomes for their subjects that
had uncomplicated distal radius fractures. The population that has complications
following distal radius fractures was not represented in the studies reviewed.
CONCLUSION: The available evidence from randomized controlled trials is
insufficient to support a home program or therapist supervised clinic-based
program as a superior method of treatment for adults following a distal radius
fracture without complications or the presence of comorbidities.
CI - Copyright (c) 2014 Hanley & Belfus. Published by Elsevier Inc. All rights
reserved.

Langue : ANGLAIS

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