AzTrials
AzTrials

Distal Radius FracturesNCT07756619

Neuromuscular Stimulation in the Distal Radius Fractures

A study testing Traditional Exercises and Neuromuscular Stimulation in people with Distal Radius Fractures, run by Kirsehir Ahi Evran Universitesi.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

Distal radius fractures (DRFs) are fractures affecting the wrist and occurring in the distal portion of the radius bone. DRFs can also be classified as Colles, Barton, Smith, and Hutchinson/Chauffeur fractures according to the characteristics of the fracture. Read more about this study

Who is it for?
Ages 18 to 90 years
Conditions the study is for
Distal Radius Fractures
What is being tested?
Traditional Exercises and Neuromuscular Stimulation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
No sites listed yet
Study dates
1 Sep 2026to 1 Jun 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients who underwent open reduction and volar plate surgery due to distal radius fracture (DRF) evaluated with plain radiography and CT scans.

Who cannot join

  • Polytrauma
  • Surgical intervention other than volar plate
  • History of surgery on the affected extremity
  • Injury to multiple anatomical sites in the affected extremity
  • Hemiplegia or contracture in the affected extremity
  • Major complications such as postoperative neurovascular injury and hematoma

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Basak Cigdem Karacay, Assoc Prof contact

+90-386-280-4101

basak.cigdemkaracay@ahievran.edu.tr

About this study

Official title: The Effectiveness of Neuromuscular Stimulation in the Rehabilitation of Operated Distal Radius Fractures

Distal radius fractures (DRFs) are fractures affecting the wrist and occurring in the distal portion of the radius bone. DRFs can also be classified as Colles, Barton, Smith, and Hutchinson/Chauffeur fractures according to the characteristics of the fracture. The incidence of these fractures shows a bimodal distribution. In young adults, distal radius fractures occur more often as a result of high-energy traumas (e.g., traffic accidents or impacts during contact sports), while in older adults, especially during winter months, low-energy falls from standing height (falling onto an outstretched hand) are a more common cause.

Read the detailed description

Distal radius fractures (DRFs) can be treated surgically, or conservatively with closed reduction followed by immobilization with a cast. Fractures with minimal displacement are treated conservatively in approximately one-third of cases. The standard immobilization period for DRFs is six weeks to allow for callus formation and healing of the bone and soft tissues. During plaster cast application, the standard practice is to ensure the preservation of the range of motion of the upper extremity joints above and below the cast.

Recent studies have investigated shorter immobilization periods to allow for earlier mobilization. In studies comparing plaster cast applications that can be as short as 10 days with the standard duration (approximately 6 weeks), no significant difference was found between the groups in terms of patient-reported functional outcomes, pain levels, development of Complex Regional Pain Syndrome (CRPS), secondary displacement or complications in follow-ups up to nine months after the fracture. In DRF, regardless of the treatment method, the recovery of motor functions, strength and mobility generally takes three to six months. In a small percentage of patients, mild disability and pain may persist even years after a distal radius fracture (DRF). As a result of DRF, individuals experience a decrease in wrist joint range of motion (ROM), a decrease in grip strength, impairment of hand skills (hand agility/dexterity), and an increase in pain. The main aim of rehabilitation is to eliminate these disorders using physical agents (modalities), manual therapy and exercise programs. Exercise programs include exercises aimed at improving range of motion, hand skills and muscle strength. Rehabilitation makes significant contributions to reducing functional losses, accelerating the recovery process and shortening the time individuals are away from work .Neuromuscular Electrical Stimulation (NMES) is a useful treatment method for preserving, maintaining, and restoring neuromuscular function losses resulting from disuse. One of the significant advantages of NMES is that the devices are easily purchased for individual use and can be applied at home. NMES is used in the treatment of paresis, contractures, and spasticity in the upper extremities after stroke. Studies on the upper extremities have shown that NMES application provides improvements in muscle strength, range of motion (ROM), functional performance, and cortical activation. Reduction in upper extremity spasticity and pain has also been reported. In knee osteoarthritis (OA), NMES applications have resulted in improved muscle strength and function along with reduced pain and stiffness. Furthermore, NMES applied after knee and hip replacement surgeries has been shown to increase muscle strength and functional capacity, reduce muscle atrophy, and decrease pain. Due to the positive effects of NMES on muscle strength, blood circulation, and hand edema in the early stages, this study will investigate the effects of neuromuscular stimulation on pain, grip strength, edema, range of motion, and functionality in the rehabilitation of operated distal radius fractures. This approach is expected to provide an innovative contribution to the classical rehabilitation protocols used in distal radius fractures.

Being tested
Traditional Exercises, Neuromuscular Stimulation
Keywords
Wrist Fractures, pain, distal radius fractures, electrotherapy
Medical subject headings
Wrist Fractures, Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Traditional ExercisesOther

    active joint movements of the hand and wrist, passive, active-assisted and active stretching exercises

  • Neuromuscular StimulationOther

    Neuromuscular stimulation will be applied to the m. flexor digitorum superficialis and m. flexor digitorum profundus muscles.

Study groups in NCT07756619
Study groupRoleWhat they receive
Traditional TreatmentActive comparatorIndividuals in this group will undergo passive, active-assisted, and active hand and wrist joint exercises. The exercises will be tailored to protocols reported as safe and effective in the literature.
Receives: Other: Traditional Exercises
Neuromuscular StimulationExperimentalIndividuals in this group will receive neuromuscular stimulation in addition to the Traditional Treatment protocol.
Receives: Other: Traditional Exercises; Other: Neuromuscular Stimulation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Visual analog scale

    A visual analog scale will be used to evaluate the patients' current pain severity. This scale is one of the frequently preferred scales to evaluate the pain intensity of patients during rest, activity and night. The scale has a 10 cm long line where the patient can mark the intensity of pain. The patient will be asked to indicate the degree of pain intensity between no pain (left part) and unbearable pain (right part) of the line.

    Measured: Baseline

  2. Visual analog scale

    A visual analog scale will be used to evaluate the patients' current pain severity. This scale is one of the frequently preferred scales to evaluate the pain intensity of patients during rest, activity and night. The scale has a 10 cm long line where the patient can mark the intensity of pain. The patient will be asked to indicate the degree of pain intensity between no pain (left part) and unbearable pain (right part) of the line.

    Measured: 4th week

  3. Visual analog scale

    A visual analog scale will be used to evaluate the patients' current pain severity. This scale is one of the frequently preferred scales to evaluate the pain intensity of patients during rest, activity and night. The scale has a 10 cm long line where the patient can mark the intensity of pain. The patient will be asked to indicate the degree of pain intensity between no pain (left part) and unbearable pain (right part) of the line.

    Measured: 6th week

  4. Edema

    Edema measurement will be done using a thin measuring tape, measuring in figure-eight increments, and recorded in centimeters.

    Measured: Baseline

  5. Edema

    Edema measurement will be done using a thin measuring tape, measuring in figure-eight increments, and recorded in centimeters.

    Measured: 4th week

  6. Edema

    Edema measurement will be done using a thin measuring tape, measuring in figure-eight increments, and recorded in centimeters.

    Measured: 6th week

  7. Grip Strength

    The Jamar hand dynamometer, recommended by the American Association of Hand Therapists (AETD) and considered the gold standard due to its high validity and reliability in numerous studies, will be used to measure hand grip strength. Hand grip strength will be measured in the standard position recommended by the AETD: seated, with shoulder adduction and neutral rotation, elbow 90 degrees flexion, forearm mid-rotation and supported, and wrist in neutral position. According to the test procedure, three consecutive measurements of hand grip strength will be taken, and the averages will be recorded in kilograms.

    Measured: Baseline

  8. Grip Strength

    The Jamar hand dynamometer, recommended by the American Association of Hand Therapists (AETD) and considered the gold standard due to its high validity and reliability in numerous studies, will be used to measure hand grip strength. Hand grip strength will be measured in the standard position recommended by the AETD: seated, with shoulder adduction and neutral rotation, elbow 90 degrees flexion, forearm mid-rotation and supported, and wrist in neutral position. According to the test procedure, three consecutive measurements of hand grip strength will be taken, and the averages will be recorded in kilograms.

    Measured: 4th week

  9. Grip Strength

    The Jamar hand dynamometer, recommended by the American Association of Hand Therapists (AETD) and considered the gold standard due to its high validity and reliability in numerous studies, will be used to measure hand grip strength. Hand grip strength will be measured in the standard position recommended by the AETD: seated, with shoulder adduction and neutral rotation, elbow 90 degrees flexion, forearm mid-rotation and supported, and wrist in neutral position. According to the test procedure, three consecutive measurements of hand grip strength will be taken, and the averages will be recorded in kilograms.

    Measured: 6th week

  10. Pinch Strength

    Pinch strength measurement will be performed in the standard position recommended by AETD; sitting position, shoulder in adduction and neutral rotation, elbow 90 degrees flexion, forearm in mid-rotation and supported, wrist in neutral position. According to the test procedure, 3 consecutive measurements will be taken for pinch strength and the averages will be recorded in kg.

    Measured: Baseline

  11. Pinch Strength

    Pinch strength measurement will be performed in the standard position recommended by AETD; sitting position, shoulder in adduction and neutral rotation, elbow 90 degrees flexion, forearm in mid-rotation and supported, wrist in neutral position. According to the test procedure, 3 consecutive measurements will be taken for pinch strength and the averages will be recorded in kg.

    Measured: 4th week

  12. Pinch Strength

    Pinch strength measurement will be performed in the standard position recommended by AETD; sitting position, shoulder in adduction and neutral rotation, elbow 90 degrees flexion, forearm in mid-rotation and supported, wrist in neutral position. According to the test procedure, 3 consecutive measurements will be taken for pinch strength and the averages will be recorded in kg.

    Measured: 6th week

Secondary outcomes (3)
  1. Patient-Reported Wrist Assessment Questionnaire

    The Patient-Reported Wrist Assessment Questionnaire (PRWE) will be used to assess patients' activities of daily living, pain levels, and functional impairment (disability).

    On the pain subscale of the PRWE, the patient can score a maximum of 50 points, and on the function subscale, a maximum of 50 points. The total PRWE score assesses both pain and functional impairment. Higher scores indicate more severe pain and more significant functional impairment/disability.

    Measured: Baseline

  2. Patient-Reported Wrist Assessment Questionnaire

    The Patient-Reported Wrist Assessment Questionnaire (PRWE) will be used to assess patients' activities of daily living, pain levels, and functional impairment (disability).

    On the pain subscale of the PRWE, the patient can score a maximum of 50 points, and on the function subscale, a maximum of 50 points. The total PRWE score assesses both pain and functional impairment. Higher scores indicate more severe pain and more significant functional impairment/disability.

    Measured: 4th week

  3. Patient-Reported Wrist Assessment Questionnaire

    The Patient-Reported Wrist Assessment Questionnaire (PRWE) will be used to assess patients' activities of daily living, pain levels, and functional impairment (disability).

    On the pain subscale of the PRWE, the patient can score a maximum of 50 points, and on the function subscale, a maximum of 50 points. The total PRWE score assesses both pain and functional impairment. Higher scores indicate more severe pain and more significant functional impairment/disability.

    Measured: 6th week

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Aug 2026
  2. Study start1 Sep 2026 (estimated)
  3. Primary completion1 May 2027 (estimated)
  4. Study completion1 Jun 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomised Controlled
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
36 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07756619
Sponsor's protocol ID
09.07.2026-256351
Status last verified
Aug 2026
First submitted
7 Aug 2026
Last updated
17 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Horoz L, Karacay BC, Ceylan I, Cakmak MF. Is home-based real-time video conferencing telerehabilitation as effective as conventional face-to-face rehabilitation in patients with operated for distal radius fracture? A single-blind, randomized prospective study. Turk J Phys Med Rehabil. 2024 Apr 26;70(4):506-516. doi: 10.5606/tftrd.2024.13739. eCollection 2024 Dec.

    PubMed 40028408
  • Cigdem-Karacay B, Horoz L, Ceylan I, Alkan H. Effectiveness of instrument-assisted soft tissue mobilization in patients operated for distal radius fracture: A randomized controlled blinded clinical study. J Hand Ther. 2026 Jan-Mar;39(1):236-244. doi: 10.1016/j.jht.2025.05.009. Epub 2025 Jul 5.

    PubMed 40619299
  • Cigdem-Karacay B, Horoz L, Ceylan I, Alkan H. The effectiveness of dry heat treatment (fluidotherapy) in patients with distal radius fracture followed conservatively: a single-blinded, randomized controlled clinical study. Rev Assoc Med Bras (1992). 2025 Dec 8;71(11):e20250806. doi: 10.1590/1806-9282.20250806. eCollection 2025.

    PubMed 41370488

Questions about this trial

What is this clinical trial studying?

A study testing Traditional Exercises and Neuromuscular Stimulation in people with Distal Radius Fractures, run by Kirsehir Ahi Evran Universitesi.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 17 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Basak Cigdem Karacay, Assoc Prof (+90-386-280-4101, basak.cigdemkaracay@ahievran.edu.tr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Visual analog scale (time frame: Baseline). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07756619, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Aug 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in