Article

OBJECTIVE: To evaluate the immediate effect of repetitive wrist extension on grip
strength in patients with distal radial fracture. DESIGN: Interventional study.
SETTING: Patients who were admitted to a hospital department of occupational
therapy. PARTICIPANTS: Consecutive patients with a unilateral distal radial
fracture (N=28). INTERVENTION: Each patient was randomly allocated to either the
experimental group (n=14) or the control group (n=14). The experimental group
performed 30 repetitive wrist extensions with maximal isometric contraction of
the extensors of their affected hands during a 6-minute intervention period,
whereas the control group did not perform the exercise. MAIN OUTCOME MEASURES:
Grip strength was measured just before and after the intervention period. Pain
during grip strength measurements was also quantified using the visual analog
scale. Wrist extension strength was measured 10 minutes after the grip strength
measurement. RESULTS: Grip strength increased immediately after repetitive wrist
extension in the experimental group, but it remained the same in the control
group. Visual analog scale scores indicated that pain was relieved only in the
experimental group. However, pain was unrelated to strength production.
CONCLUSIONS: The intervention used in this study might be useful during physical
examination to reveal the potential grip strength of patients. The intervention
may also be an effective warm-up training procedure in preparation for
conventional grip-strengthening exercises.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS