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Supervised exercise therapy program vs non-supervised exercise therapy program after distal radius fracture: A

Felipe Soares¹, Darlisson Paranhos¹, Fernanda Campos¹

¹Brazilian Hand Therapy Research Group, Federal University of Triângulo Mineiro, Uberaba, Brazil; Master's Program in Physiotherapy, Federal University of Triângulo Mineiro and Federal University of Uberlândia, Uberaba, Brazil.

Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists

|August 21, 2023

Summary

Supervised exercise therapy (SET) showed no significant advantage over non-supervised exercise therapy (NSET) for distal radius fracture recovery. Evidence quality was very low, indicating insufficient data to confirm these findings for patients.

Keywords:

Advice program Hand therapy Home exercises Radial fracture Rehabilitation

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Area of Science:

Orthopedics
Rehabilitation Medicine
Evidence-Based Practice

Background:

Distal radius fractures are common injuries requiring effective rehabilitation.
Supervised exercise therapy (SET) and non-supervised exercise therapy (NSET) are common treatment approaches.
The comparative effectiveness of SET versus NSET for distal radius fractures remains unclear.

Approach:

An updated systematic review and meta-analysis was conducted.
Searches included multiple electronic databases (Medline/Pubmed, PEDro, Cinahl, Embase, CENTRAL, Lilacs).
Studies were selected using a PICOT strategy, and evidence quality was assessed using GRADE.

Key Points:

Fifteen studies met inclusion criteria, comparing SET and NSET for distal radius fracture patients.
No significant difference in outcomes (pain, range of motion, function, grip strength) was found between SET and NSET.
All analyzed outcomes were based on very low-quality evidence.

Conclusions:

Current evidence does not support SET being more effective than NSET for distal radius fracture rehabilitation.
The limited number of randomized controlled trials and very low evidence quality necessitate further research.
More high-quality studies are needed to definitively compare SET and NSET effectiveness.