WISE
Wrist Injury Strengthening Exercise: a randomised multicentre feasibility study of resistance exercise versus usual care for optimising function after distal radius fracture in adults aged 50 years or over
Background
In the UK, there are 100,000 distal radius fractures each year, representing 1 in 5 of all broken bones. The majority affect women over the age of 50. Most patients experience pain and stiffness in their wrist and develop upper limb weakness, making activities of daily living difficult. Optimising rehabilitation could improve these specific areas. Guidance in 2018 concluded there was insufficient evidence to inform rehabilitation recommendations. The James Lind Priority Setting Partnership in this area ranked rehabilitation as one of the top priorities for research.
Currently, rehabilitation consists of verbal and written advice on self-management and mobilising exercises. We hypothesise that introducing resistance exercise training into the rehabilitation period has the potential to improve functional recovery.
Aim, Objectives and Study Design
Feasibility objectives are to assess:
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Patient engagement with the trial, assessed by recruitment
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Acceptability of the interventions, assessed by adherence and participant and therapist experience
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Retention of participants in the trial
Study design: A randomised multicentre feasibility study with an embedded qualitative study
Our team
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David Keene
University Research Lecturer
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Matthew Costa
Professor of Orthopaedic Trauma Surgery
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Sallie Lamb
Honorary Departmental Professor
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Juul Achten
Research Manager - Oxford Trauma
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Duncan Appelbe
Senior Research Information Specialist
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Elizabeth Tutton
Senior Research Fellow in Patient Experience and Qualitative Methods
