Development and Trial of a Prototype Device for Sensorimotor Therapy in Patients with Distal Radius Fractures

This study examined the clinical feasibility of a prototype device (development name: Ghost) for facilitating range of motion (RoM) recovery in the acute phase in patients with distal radius fractures (DRF). The Ghost device involves the administration of a combination of vibratory and visual stimul...

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Päätekijät: Daichi Narita, Toyohiro Hamaguchi, Hiromi Nakamura-Thomas
Aineistotyyppi: Artikkeli
Kieli:English
Julkaistu: MDPI AG 2022-02-01
Sarja:Applied Sciences
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Linkit:https://www.mdpi.com/2076-3417/12/4/1967
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author Daichi Narita
Toyohiro Hamaguchi
Hiromi Nakamura-Thomas
author_facet Daichi Narita
Toyohiro Hamaguchi
Hiromi Nakamura-Thomas
author_sort Daichi Narita
collection DOAJ
description This study examined the clinical feasibility of a prototype device (development name: Ghost) for facilitating range of motion (RoM) recovery in the acute phase in patients with distal radius fractures (DRF). The Ghost device involves the administration of a combination of vibratory and visual stimuli. We divided the patients into the Ghost (<i>n</i> = 10) and control group (<i>n</i> = 4; tendon vibration only) groups. The experimental interventions were administered between the day after surgery and day 7 postoperatively. Traditional hand therapy was provided to both groups once daily from day 7 until day 84 postoperatively and once a week from day 84 until the end of the intervention period. Because vibratory stimulation makes the patient focus on wrist flexion, the primary outcome was the arc of wrist flexion-extension on the injured side, which was measured on days 7, 14, 28, 42, 56, 70, and 84. Analysis of covariance was applied using a bootstrap method to evaluate changes over time and compare them between the groups. Analyses was performed after stratification by age and body mass index. Both interventions improved RoM over time in patients with DRF. Results showed that Ghost has greater efficacy for improving wrist RoM in DRF patients than vibration alone. Treatment with Ghost can result in good RoM improvement during the acute phase of DRF in young patients and those with and normal or low body mass index. Further study is needed to verify our findings and assess the extent of RoM recovery.
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spelling doaj.art-cb70a45c9bc44a2db9ca2e50ec9a901b2023-11-23T18:37:01ZengMDPI AGApplied Sciences2076-34172022-02-01124196710.3390/app12041967Development and Trial of a Prototype Device for Sensorimotor Therapy in Patients with Distal Radius FracturesDaichi Narita0Toyohiro Hamaguchi1Hiromi Nakamura-Thomas2Department of Rehabilitation, Graduate School of Health Sciences, Saitama Prefectural University, Koshigaya City 343-8540, Saitama, JapanDepartment of Rehabilitation, Graduate School of Health Sciences, Saitama Prefectural University, Koshigaya City 343-8540, Saitama, JapanDepartment of Rehabilitation, Graduate School of Health Sciences, Saitama Prefectural University, Koshigaya City 343-8540, Saitama, JapanThis study examined the clinical feasibility of a prototype device (development name: Ghost) for facilitating range of motion (RoM) recovery in the acute phase in patients with distal radius fractures (DRF). The Ghost device involves the administration of a combination of vibratory and visual stimuli. We divided the patients into the Ghost (<i>n</i> = 10) and control group (<i>n</i> = 4; tendon vibration only) groups. The experimental interventions were administered between the day after surgery and day 7 postoperatively. Traditional hand therapy was provided to both groups once daily from day 7 until day 84 postoperatively and once a week from day 84 until the end of the intervention period. Because vibratory stimulation makes the patient focus on wrist flexion, the primary outcome was the arc of wrist flexion-extension on the injured side, which was measured on days 7, 14, 28, 42, 56, 70, and 84. Analysis of covariance was applied using a bootstrap method to evaluate changes over time and compare them between the groups. Analyses was performed after stratification by age and body mass index. Both interventions improved RoM over time in patients with DRF. Results showed that Ghost has greater efficacy for improving wrist RoM in DRF patients than vibration alone. Treatment with Ghost can result in good RoM improvement during the acute phase of DRF in young patients and those with and normal or low body mass index. Further study is needed to verify our findings and assess the extent of RoM recovery.https://www.mdpi.com/2076-3417/12/4/1967distal radius fracturesvibrationvisualizationrehabilitationrange of motion
spellingShingle Daichi Narita
Toyohiro Hamaguchi
Hiromi Nakamura-Thomas
Development and Trial of a Prototype Device for Sensorimotor Therapy in Patients with Distal Radius Fractures
Applied Sciences
distal radius fractures
vibration
visualization
rehabilitation
range of motion
title Development and Trial of a Prototype Device for Sensorimotor Therapy in Patients with Distal Radius Fractures
title_full Development and Trial of a Prototype Device for Sensorimotor Therapy in Patients with Distal Radius Fractures
title_fullStr Development and Trial of a Prototype Device for Sensorimotor Therapy in Patients with Distal Radius Fractures
title_full_unstemmed Development and Trial of a Prototype Device for Sensorimotor Therapy in Patients with Distal Radius Fractures
title_short Development and Trial of a Prototype Device for Sensorimotor Therapy in Patients with Distal Radius Fractures
title_sort development and trial of a prototype device for sensorimotor therapy in patients with distal radius fractures
topic distal radius fractures
vibration
visualization
rehabilitation
range of motion
url https://www.mdpi.com/2076-3417/12/4/1967
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