Tele-rehabilitation program in patients with distal radius fracture: a controlled clinical trial




Roberto C. Pech-Argüelles, Departamento de Rehabilitación, Hospital General Regional Lic. Ignacio García Téllez, Instituto Mexicano del Seguro Social (IMSS), Mérida, Yucatán, México
Yetlanezi J. Miranda-Ortiz, Departamento de Rehabilitación, Hospital General Regional Lic. Ignacio García Téllez, Instituto Mexicano del Seguro Social (IMSS), Mérida, Yucatán, México
Hector E. Velázquez-Hernández, Departamento de Rehabilitación, Hospital General Regional Lic. Ignacio García Téllez, Instituto Mexicano del Seguro Social (IMSS), Mérida, Yucatán, México
Rafael Domínguez-Cordero, Departamento de Rehabilitación, Hospital General Regional Lic. Ignacio García Téllez, Instituto Mexicano del Seguro Social (IMSS), Mérida, Yucatán, México
Cecilia Ruiz-Pacheco, Departamento de Rehabilitación, Hospital General Regional Lic. Ignacio García Téllez, Instituto Mexicano del Seguro Social (IMSS), Mérida, Yucatán, México
Juan Figueroa-García, Hospital General de Zona No. 26, IMSS, Ciudad de México, México
David Rojano-Mejía, Coordinación de Investigación en Salud, Instituto Mexicano del Seguro Social (IMSS), Ciudad de México. México


Objective: To determine the effectiveness of tele rehabilitation versus supervised treatment in the functional recovery of patients with distal radius fracture. Method: A randomized clinical trial was conducted that included 91 patients with distal radius fractures grades AO23 A and AO23B, which were randomly assigned to a treatment group, the supervised rehabilitation group received for two weeks a program of 10 treatment sessions and the tele rehabilitation group received through the Moodle platform instructions to carry out the rehabilitation program. Outcome measures (functionality, active range of motion, hand grip strength, quality of life and pain) were measured at the time of admission to rehabilitation and at 1, 3 and 6 months. Results: In both treatment groups at 6 months, statistically significant intragroup differences in functionality were demonstrated, with no intergroup differences. Conclusions: At 6 months, both rehabilitation programs increase functionality, range of motion, quality of life and decrease pain, without statistically significant differences intergroup.



Keywords: Distal radius fracture. Tele rehabilitation. Physiotherapy. Functionality. Quality of life.