The fractures usually involve not only the ends of the bone but also the small ligaments in the wrist. This may further decrease stability of the wrist joint & create problems with functioning of the wrist & hand.The purpose of study is to describe the effect of Home based Exercise Program (HEP) verses Institution based Occupational Therapy (IOT) in improving hand function in post-operative colles fracture. Methods: - Pre test and post test experimental group design was used. By using Convenient sampling method A total number of 40 subjects were selected for the study. 20 patient in group 1(experimental group) & 20 patient in group 2(experimental group) all the subjects were recruited from hand section, department of occupational therapy at SVNIRTAR. The subject of group 1 underwent IOT programme along with conventional therapy. The subject of group 2 underwent HEP .The Patient-rated Wrist Hand Evaluation (PRWHE) was developed to assess pain in the wrist joint and functional difficulties in activities of daily living. The results shows U=0.000 & Z value -4.715 which corresponds to p value of 0.00 PRWHE score as the p value is less than set level of confidence (<_0.05), there is significant difference in PRWHE between the group Conclusion: The result of this study found that there is difference on improvement of hand function of the subjects undergone for IOT & HEP.Hence the experimental hypothesis was rejected & null hypothesis was accepted. It is concluded that HEP & need based IOT both are not equally effective in improving hand function.
Colles (Distal radius) fracture neuromuscular function dinner fork’ deformity body mass index radial shortening dorsal angulations
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