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Osteopathic treatment during immobilization of conservatively treated radial fractures in patients older than 45 years

Journal: Unpublished MSc thesis Wiener Schule für Osteopathie, Date: 2008/09, Pages: 86, type of study: controlled clinical trial

Free full text   (https://www.osteopathicresearch.org/s/orw/item/3024)

Keywords:

distal radius fracture [2]
upper limb [6]
osteopathic manipulative treatment [2973]
OMT [2951]
controlled clinical trial [283]
msc thesis [22]
WSO [433]

Abstract:

Problems like pain, restricted movement and loss of power after a distal radius fracture are common. The question behind this study was to see whether osteopathic treatment during immobilization is able to influence the healing process of distal radius fractures. Is there any change in the perception of pain, function/strength, movement and callus formation after the end of the immobilization? 32 patients with fresh distal radius fractures were included; all of them received normal conservative medical treatment. 16 were attributed to the control group, the other 16 patients received osteopathic treatment on the first day after the trauma and then after one, two, four and six weeks. After the end of the immobilization (6 weeks after the trauma) and again two weeks later power and movement were measured, and the DASH questionnaire was answered. Follow-up measurements of both power and movement were taken and the DASH was answered for a second time. The osteopathic treatment was able to reduce the pain. After the treatment the VAS score was on average 10 points lower. Eleven of the osteopathically treated patients had sensations such as warmth, pleasant circulation, stillness and pain reduction. The osteopathic treatment did not influence the healing of the bones, as the radiological parameters (ulnar variance, palmar inclination, ulnar inclination and callus formation) showed no difference between the two groups. The measurement of strength did not show a change either. After the end of the immobilization and eight weeks after the trauma, the osteopathically treated patients had a significantly better movement in the sagittal and the frontal plane, the DASH score was better and they used fewer analgesics. At the follow-up evaluation, no differences between the two groups were found. Therefore it is possible to say that osteopathic treatment has positive effects for a short time after immobilization and also for pain reduction during immobilization, but has no effect in the long term.


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