DOI QR코드

DOI QR Code

Occupational Therapy Intervention for Malunion of Distal Radial Fracture: A Case Report

  • Noor Mohammad (Department of Rehabilitation Sciences, Jamia Hamdard) ;
  • Nahid Khan (Department of Rehabilitation Sciences, Jamia Hamdard)
  • Received : 2023.04.04
  • Accepted : 2023.05.09
  • Published : 2023.05.31

Abstract

Objective: Malunion of distal radial fracture can result in pain, stiffness, and decreased function of the affected limb. Occupational therapy intervention can improve outcomes in these patients, but there is limited research on the effectiveness of such interventions. Case Description: This case report describes the occupational therapy intervention and outcomes for a 44-year-old female patient with malunion of left distal radial fracture. The patient received 8 weeks of occupational therapy intervention consisting of therapeutic exercises, joint mobilization, and fine motor activities. The patient demonstrated significant improvements in range of motion, grip strength, and activities of daily living (ADL) in her left hand. The patient also reported less pain and greater ease in performing activities of daily living. Conclusion: Occupational therapy intervention can be effective in improving outcomes for patients with malunion of distal radial fracture. This case report highlights the importance of early intervention and interdisciplinary collaboration among healthcare professionals to optimize patient outcomes. Further research is needed to explore the effectiveness of occupational therapy interventions for patients with malunion of distal radial fracture.

Keywords

Acknowledgement

Thank you CellMed for helping us write our thesis.

References

  1. Luokkala, T. et al. Distal radius fractures in the elderly population. 5, 361 (2020).
  2. Angst, F. et al. Prediction of grip and key pinch strength in 978 healthy subjects. 11, 1-6 (2010).
  3. Vannabouathong, C., Hussain, N., Guerra-Farfan, E. & Bhandari, M. J. J.-J. o. t. A. A. o. O. S. Interventions for distal radius fractures: a network meta-analysis of randomized trials. 27, e596-e605 (2019). https://doi.org/10.5435/JAAOS-D-18-00424
  4. Handoll, H. H. & Elliott, J. J. C. D. o. S. R. Rehabilitation for distal radial fractures in adults. (2015).
  5. Bazira, P. J. J. S. Surgical anatomy of the hand. (2022).
  6. Sunderland, S. S. J. M. & Medicine, N. O. J. o. t. A. A. o. E. The anatomy and physiology of nerve injury. 13, 771-784 (1990).
  7. Gummesson, C., Atroshi, I. & Ekdahl, C. J. B. m. d. The disabilities of the arm, shoulder and hand (DASH) outcome questionnaire: longitudinal construct validity and measuring self-rated health change after surgery. 4, 1-6 (2003).
  8. Herren DB, S. A., Gerber H, et al. . Rehabilitation after distal radius fractures: a systematic review. Shoulder Elbow 8, 83-93.
  9. MacDermid, J. C., Donner, A., Richards, R. S. & Roth, J. H. J. J. o. c. e. Patient versus injury factors as predictors of pain and disability six months after a distal radius fracture. 55, 849-854 (2002). https://doi.org/10.1016/S0895-4356(02)00445-6
  10. Michlovitz, S. L., LaStayo, P. C., Alzner, S. & Watson, E. J. J. o. H. T. Distal radius fractures: therapy practice patterns. 14, 249-257 (2001).
  11. Roll, S. C. & Hardison, M. E. J. T. A. J. o. O. T. Effectiveness of occupational therapy interventions for adults with musculoskeletal conditions of the forearm, wrist, and hand: a systematic review. 71, 7101180010p7101180011-7101180010p7101180012 (2017).
  12. Rozental, T. D. et al. Functional outcomes for unstable distal radial fractures treated with open reduction and internal fixation or closed reduction and percutaneous fixation: a prospective randomized trial. 91, 1837-1846 (2009). https://doi.org/10.2106/JBJS.H.01478