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[Tele-rehabilitation program in patients with distal radius fracture: a controlled clinical trial]
Roberto C Pech-Argüelles1, Yetlanezi J Miranda-Ortiz1, Hector E Velázquez-Hernández1
1Departamento de Rehabilitación, Hospital General Regional Lic. Ignacio García Téllez, Instituto Mexicano del Seguro Social (IMSS), Mérida, Yucatán, México.
Background:
Distal radius fractures are very frequent fractures in the world, so it is necessary to establish new rehabilitation strategies.
Objective:
To determine the effectiveness of tele rehabilitation versus supervised treatment in the functional recovery of patients with distal radius fracture.
Method:
A randomized clinical trial was conducted that included 91 patients with distal radius fractures grades AO23 A and AO23B, which were randomly assigned to a treatment group, the supervised rehabilitation group received for two weeks a program of 10 treatment sessions and the tele rehabilitation group received through the Moodle platform instructions to carry out the rehabilitation program. Outcome measures (functionality, active range of motion, hand grip strength, quality of life and pain) were measured at the time of admission to rehabilitation and at 1, 3 and 6 months.
Results:
In both treatment groups at 6 months, statistically significant intragroup differences in functionality were demonstrated, with no intergroup differences.
Conclusions:
At 6 months, both rehabilitation programs increase functionality, range of motion, quality of life and decrease pain, without statistically significant differences intergroup.
