PMID- 27454629
OWN - NLM
STAT- MEDLINE
DCOM- 20181029
LR  - 20181029
IS  - 2424-8363 (Electronic)
VI  - 21
IP  - 2
DP  - 2016 Jun
TI  - The Optimal Rehabilitation Period for Patients with Distal Radius Fractures 
      According to the MCID in DASH Scores; A Preliminary Study.
PG  - 161-6
LID - 10.1142/S2424835516500144 [doi]
AB  - BACKGROUND: The statistical concept of minimal clinically important difference 
      (MCID) enables the interpretation of small but meaningful changes that result 
      from an intervention. This retrospective study aimed to examine the factors that 
      influence the achievement of MCID after a distal radius fracture. METHODS: A 
      total of 45 patients (mean age: 54.2 +/- 16 years) were included. Of these, 27 
      patients started rehabilitation within 3 days of surgery (Early group), and 18 
      patients underwent immobilization for 2 weeks after surgery, before starting 
      rehabilitation (Non-early group). Functional outcomes and DASH scores at 4 weeks 
      (baseline) were compared with those measured at 8 and 12 weeks for both groups, 
      to determine whether the MCID had been achieved. RESULTS: Our results showed that 
      at 8 weeks after surgery in the early group, the grip strength, ulnar flexion, 
      and baseline DASH score were significantly different between the groups that did 
      and did not show an MCID ([Formula: see text]). There was also a significant 
      difference in the baseline DASH score at 12 weeks after surgery ([Formula: see 
      text]). None of these factors were significant in the non-early group. Logistic 
      regression analysis revealed that the DASH score at 4 weeks (baseline) was an 
      independent predictor for achieving a DASH MCID at 8 weeks postoperatively in the 
      early group (odds ratio: 1.193). Those achieving a DASH MCID at 12 weeks 
      postoperatively were completely separated by the baseline DASH score (>/= 29 
      points). CONCLUSIONS: If it is assumed that the effectiveness of rehabilitation 
      depends upon achieving the DASH MCID by promoting functional recovery, early 
      initiation might be recommended.
FAU - Iitsuka, Terufumi
AU  - Iitsuka T
AD  - 1 Faculty of Rehabilitation and Care, Seijoh University, Tokai, Japan.
FAU - Iwatsuki, Katsuyuki
AU  - Iwatsuki K
AD  - 2 Department of Orthopedic Surgery, Nagoya Ekisaikai Hospital, Nagoya, Japan.
FAU - Ota, Hideyuki
AU  - Ota H
AD  - 2 Department of Orthopedic Surgery, Nagoya Ekisaikai Hospital, Nagoya, Japan.
FAU - Hirata, Hitoshi
AU  - Hirata H
AD  - 3 Department of Hand Surgery, Nagoya University Graduate School of Medicine, 
      Nagoya, Japan.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Singapore
TA  - J Hand Surg Asian Pac Vol
JT  - The journal of hand surgery Asian-Pacific volume
JID - 101688432
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Fracture Fixation/*rehabilitation
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Postoperative Period
MH  - Radius Fractures/physiopathology/*rehabilitation
MH  - Range of Motion, Articular/*physiology
MH  - *Recovery of Function
MH  - Retrospective Studies
MH  - Young Adult
OTO - NOTNLM
OT  - Outcome assessment
OT  - Radius fracture
OT  - Rehabilitation
EDAT- 2016/07/28 06:00
MHDA- 2018/10/30 06:00
CRDT- 2016/07/26 06:00
PHST- 2016/07/26 06:00 [entrez]
PHST- 2016/07/28 06:00 [pubmed]
PHST- 2018/10/30 06:00 [medline]
AID - 10.1142/S2424835516500144 [doi]
PST - ppublish
SO  - J Hand Surg Asian Pac Vol. 2016 Jun;21(2):161-6. doi: 10.1142/S2424835516500144.