Department of Physiotherapy, La Trobe University, Victoria 3086, Australia.
Physiotherapy. 2013 Sep;99(3):233-40. doi: 10.1016/j.physio.2012.09.003. Epub 2012 Nov 30.
To identify the type and frequency of interventions used by physiotherapists in rehabilitating patients after a distal radial fracture; and, to examine whether any patient or therapist characteristics had an effect on the frequency of interventions administered.
Observational study.
Four metropolitan outpatient physiotherapy departments.
14 physiotherapists reported on 160 distal radial fracture consultations.
Physiotherapists recorded the type of interventions and time spent administering interventions during each distal radial fracture consultation.
A combined site response rate of 70% was achieved (160/204). The most common interventions were exercise (155/160), advice (144/160), passive joint mobilisation (88/160) and massage (60/160). Patient characteristics and physiotherapist experience had little impact on the type and frequency of interventions reported by physiotherapists.
Exercise and advice were the most frequently administered interventions for patients after a distal radial fracture irrespective of physiotherapist or patient factors. During rehabilitation, these interventions aim to restore wrist mobility and are consistent with both fracture management principles and a self management approach. Due to the routine use of exercise and advice there is a need for further research to provide high quality evidence that these interventions improve outcomes in patients after a distal radial fracture.
确定物理治疗师在康复桡骨远端骨折患者中使用的干预措施的类型和频率；并研究患者或治疗师的任何特征是否对干预措施的实施频率有影响。
观察性研究。
四个大都市门诊物理治疗部门。
14 名物理治疗师报告了 160 例桡骨远端骨折咨询。
物理治疗师记录了在每次桡骨远端骨折咨询中干预措施的类型和实施干预措施所花费的时间。
达到了综合地点 70%的应答率（160/204）。最常见的干预措施是运动（155/160）、建议（144/160）、被动关节松动术（88/160）和按摩（60/160）。患者特征和治疗师经验对物理治疗师报告的干预措施的类型和频率影响不大。
无论治疗师或患者因素如何，运动和建议都是桡骨远端骨折患者康复后最常实施的干预措施。在康复过程中，这些干预措施旨在恢复手腕活动度，与骨折管理原则和自我管理方法一致。由于常规使用运动和建议，因此需要进一步研究，以提供高质量的证据，证明这些干预措施可以改善桡骨远端骨折患者的结局。
