Minimal Clinically Important Difference of the Push-Off Test

Condition(s) studied

Investigational drug(s) / intervention(s)

Physical therapy: For all patients treated conservatively or surgically, active range of motion exercises for the hand, wrist, and forearm will be initiated after cast removal or on the first postoperative day, respectively. To control edema, bandaging, contrast baths, and retrograde massage will be recommended. In the subsequent weeks of rehabilitation, resisted exercises for the hand, wrist, and forearm will be introduced. All patients will be followed with a home exercise program and will be scheduled for follow-up visits once a week.

Study summary

The aim was to determine the minimal clinically important difference of the push-off test in distal radius fractures.

Eligibility

Primary outcome measure(s)

• Range of Motion (ROM) Measurement — Assessments will be performed at the 12th and 18th weeks after the fracture.
  Forearm pronation and supination, as well as wrist flexion, extension, radial deviation, and ulnar deviation, will be measured using a universal goniometer.
• Patient-Rated Wrist Evaluation (PRWE) — Assessments will be performed at the 12th and 18th weeks after the fracture.
  The questionnaire assesses the severity of wrist pain and the level of disability in activities of daily living. It consists of two subscales comprising a total of 15 items. The pain subscale includes questions related to pain intensity and frequency, while the function subscale consists of six items related to specific activities and four items related to usual daily activities.
• Push-Off Test (POT) — Assessments will be performed at the 12th and 18th weeks after the fracture.
  The POT determines the amount of force that an individual can transmit through the upper extremity. The measurement is performed using a hand dynamometer with the dynamometer handle inverted. The test is conducted while the participant is standing at the edge of a high table, and compensatory movements are not permitted. The tested extremity is positioned with the shoulder in approximately 30° of extension, the elbow in 30° of flexion, and the forearm, wrist, and hand positioned in a manner comfortable for the individual. Measurements are repeated three times for each extremity, and the mean value is recorded in kilograms.
• Gross Grip Strength Test — Assessments will be performed at the 12th and 18th weeks after the fracture.
  Grip strength is measured using a hand dynamometer in accordance with the standard measurement protocol of the American Society of Hand Therapists.

Trial sites (1)

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