Static vs. Dynamic Progressive Splinting for Persistent Wrist Stiffness After DRF

Launched by AL HAYAH UNIVERSITY IN CAIRO · Mar 31, 2025

Keywords

ClinConnect Summary

This clinical trial is studying two different types of splints—static progressive splinting and dynamic splinting—to see which one is more effective for helping adults who still have wrist stiffness after a distal radius fracture (a common wrist break). The trial is looking for participants who are at least 18 years old and have had their fracture for at least 8 weeks. To qualify, they should show that their wrist is stiff, with less than half the movement compared to their other wrist, and they should have finished standard rehabilitation.

Participants in this trial will receive one supervised therapy session each week for six weeks, along with one of the two types of splints. Throughout the study, the researchers will measure how well the splints help improve wrist movement and gather feedback on how satisfied participants are with their wrist function. It's important to note that individuals with certain medical conditions, like complex regional pain syndrome or significant wrist problems unrelated to the fracture, won't be eligible to participate.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Adults aged 18 years or older. At least 8 weeks post distal radius fracture (operative or nonoperative) who have completed standard rehabilitation.
• • Demonstrated persistent wrist stiffness with ≤50% of contralateral wrist extension or flexion.
• • Capable of providing written informed consent and complying with study procedures
• Exclusion Criteria:
• • Presence of complex regional pain syndrome (CRPS) or active fracture healing issues.
• • History of significant wrist pathology unrelated to the DRF. Uncontrolled medical conditions that would interfere with splint application or therapy.
• • Known skin conditions or allergies that preclude orthosis use. Inability or unwillingness to adhere to the intervention protocol or follow-up schedule.
• • Pregnant or breastfeeding individuals.