Impact of Early ADL Participation on Outcomes Post DRF

This study is a randomized controlled trial (RCT). This RCT which will study the effect of performing daily activities early after a distal radius fracture being treated conservatively in a cast. This study will have two groups. The experimental group will watch a video and be given a handout on how to perform daily activities with the hand of the injured wrist while in a cast and cast care. The control group will watch a video on cast care and be given a handout on cast care. Outcome measures will be taken at initial evaluation between 0-3 weeks, at 6 weeks, at 9 weeks, and at 3 months. Outcome measures will include the Michigan Wrist Evaluation, Visual Analog Pain Scale, Tampa Scale of Kinesiophobia-11 Scale, finger mobility testing, grip and pinch strength, and the 9 hole peg test to test fine motor coordination. Outcome measure scores will be compared between groups using a t-test statistical test. Outcome measure scores will also be tested within groups using a paired t-test.

Inclusion Criteria:English SpeakingDRFs treated with a castIndividuals over the age of 18Less than 3 weeks from DRFExclusion Criteria:Individuals with pre-existing neurological conditions affecting the upper limbIndividuals with cognitive deficits that would limit the ability to correctly report information on outcome measuresIndividuals with psychological deficits which would limit the ability to correctly report information on outcome measuresIndividuals with multiple injuries to the affected upper limbIndividuals with multiple injuries to both upper limbsIndividuals requiring surgery to fixate the distal radius fracturePrior distal radius fracture involving the same wristIndividuals receiving hand therapy for another injury at enrollment into study