Rehabilitation Workbook After Wrist Fracture.
Research type
Research Study
Full title
Routine Exercises and Either a Psychological (Therapy-based) or a Placebo (Informational) Intervention Workbook After Distal Radius Fracture. A Double Blind Randomised Control Trial.\n
IRAS ID
187532
Contact name
Stuart T Goudie
Contact email
Sponsor organisation
NHS Lothian Research & Development Office
Clinicaltrials.gov Identifier
Duration of Study in the UK
1 years, 5 months, 30 days
Research summary
Outcomes following distal radius fracture are generally good but there is a degree of variation. A number of factors have been identified that impact upon patient reported outcomes following injury. It is though that a patient’s beliefs and perceptions about their injury, treatment and rehabilitation account for a proportion of the variation in patient reported outcomes. \n\nA patient’s illness perceptions are based on five recognised domains (identity, cause, duration, consequences and control) and form the basis from which a patient makes sense of their illness and its treatment. The Illness Perception questionnaire is a validated tool which can measure illness perception. Within a particular illness group perception can vary widely. It has been shown that certain perceptions can adversely affect outcomes following acute illness and that early psychological intervention to address these can alter illness perception and improve outcomes. The role for early psychological intervention following fracture is currently unclear. \n\nPatients presenting with suitable distal radius fractures to our unit are currently treated with manipulation and casting/casting alone or surgery. Rehabilitation involves immobilisation in a cast for 6 weeks followed by a course of physiotherapy exercises. The research proposed is a randomised controlled superiority trial comparing use of a therapy based psychological work book vs a placebo (information based) work book during rehab. The aim is to explore the impact on outcomes after fracture of the distal radius. \n
REC name
North of Scotland Research Ethics Committee 2
REC reference
16/NS/0017
Date of REC Opinion
3 Mar 2016
REC opinion
Further Information Favourable Opinion