The effect of short.term physical therapy on hand function and pain after the bone fracture of the distal radius

Tema ovog diplomskog rada je fizioterapeutska procjena statusa šake i ručnog zgloba nakon prijeloma distalnog dijela radiusa: prije i nakon dvotjedne rehabilitacije. U svrhu istraživanja, prikupljeni su klinički i terapijski podaci ispitanika iz medicinske dokumentacije. Ključni ulazni podaci uključivali su: godina rođenja, spol, vrsta prijeloma, metoda liječenja (konzervativno ili operativno) te prisutnost komplikacija. Mjerenja su obavljena prije i nakon dvotjedne fizikalne terapije koristeći goniometar za mjerenje opsega pokreta, dinamometar za mjerenje stiska šake te upitnik QUICKDASH za procjenu funkcionalnosti šake. U istraživanju sudjelovalo je 30 ispitanika, od čega je 67% žena (N=20) i 33% muškaraca (N=10). Svi ispitanici, njih 30, pripadali su dobnoj skupini između 60 i 78 godina, s prosječnom dobi od 71,75 godina, minimalnom dobnom vrijednošću od 60 godina i maksimalnom od 78 godina. Od 30 ispitanika, njih 17 je imalo prijelome s pomakom koji su zahtijevali operativno liječenje, dok je 13 ispitanika prošlo kroz konzervativnu terapiju bez pomaka u prijelomima. Snaga šake povećala se s 20,7±4,5 prije terapije na 28,8±3,59 nakon terapije. Funkcionalnost ručnog zgloba i šake mjerena QUICKDASH upitnikom povećana je s 39.8±10.74 na 19.9±6.51 (niži postotak označava bolju funkcionalnost). Razina boli mjerena VAS skalom smanjena je s 5.6±1.38 prije terpaije na 3±1 nakon dvotjedne terapije. Opseg pokreta fleksije u ručnom zglobu povećan je s 40.9±7.93 na 50.4±8.87 nakon dvotjedne terapije. Opseg pokreta ekstenzije u ručnom zglobu povećan je s 35.6±10.69 na 45.13±9.46 nakon dvotjedne terapije. Zaključak je da dvotjedna fizikalna terapija poboljšava kretnje u ručnom zglobu nakon prijeloma distalnog dijela radiusa , smanjuje bolnost te povećava funkcionalnost osobe. Poboljšanje nakon terapije ima iznimnu važnost jer ukazuje na uspješnost tretmana i rehabilitacije te poboljšava kvalitetu života pacijenata.The topic of this master's thesis is the physiotherapeutic assessment of hand and wrist status after a distal radius fracture: before and after a two-week rehabilitation period. For the purpose of the research, clinical and therapeutic data of the participants were collected from medical records. Key input data included: date of birth, gender, type of fracture, treatment method (conservative or surgical), and the presence of complications. Measurements were taken before and after a two-week physiotherapy session using a goniometer for measuring range of motion, a dynamometer for measuring grip strength, and the QUICKDASH questionnaire to assess hand functionality. The study included 30 participants, of which 67% were women (N=20) and 33% were men (N=10). All participants, 30 in total, belonged to the age group between 60 and 78 years, with an average age of 71.75 years, a minimum age of 60 years, and a maximum age of 78 years. Out of the 30 participants, 17 had fractures with displacement requiring surgical treatment, while 13 participants underwent conservative therapy without fracture displacement. Hand grip strength increased from 20.7±4.5 before therapy to 28.8±3.59 after therapy. Hand and wrist functionality measured by the QUICKDASH questionnaire improved from 39.8±10.74 to 19.9±6.51 (a lower percentage indicates better functionality). Pain level measured using the VAS scale decreased from 5.6±1.38 before therapy to 3±1 after the two-week therapy. The range of motion for wrist flexion increased from 40.9±7.93 to 50.4±8.87 after the two-week therapy. The range of motion for wrist extension increased from 35.6±10.69 to 45.13±9.46 after the two-week therapy. In conclusion, a two-week physiotherapy session improves hand and wrist mobility after a distal radius fracture, reduces pain, and enhances the individual's functionality. Improvement after therapy is of utmost importance as it indicates the success of treatment and rehabilitation, ultimately improving the quality of life for patients