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

Item

Title
Osteopathic treatment during immobilization of
conservatively treated radial fractures in patients
older than 45 years
Author(s)
Martschini Gerda
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.
Date Accepted
2008
Date Submitted
1.9.2008 00:00:00
Type
osteo_thesis
Language
English
Number of pages
86
Submitted by:
62
Pub-Identifier
13194
Inst-Identifier
781
Keywords
Fractures,Radius
Recommended
0
Medium
MartschiniGerda.pdf
Item sets
Thesis

Martschini Gerda, “Osteopathic treatment during immobilization of conservatively treated radial fractures in patients older than 45 years”, Osteopathic Research Web, accessed May 10, 2024, https://www.osteopathic-research.com/s/orw/item/3024