Repetitive Wrist Extension at multiple angles with Maitland Mobilization in patients with Colle Fracture

Background- Hand plays an important role in the execution of various daily activities. A well-coordinated finger forces and grip strength are very important for defining the level of skills and level of expression and integration One of the most common causes for the dysfunction of hand is colle’s fracture. It has been reported that patients after fracture may not be able to exert enough strength to correspond daily activities. However, there is limited co-existence of rehabilitation protocol for the colle’s fracture. Objectives - The study evaluated the defined protocol which will help the patients with colle’s fracture to achieve functions of daily activities as early as possible. Methods- This experimental study involved 45 subjects selected randomly based on inclusion and exclusion criteria with sign and symptoms of colle’s fracture as diagnosed by Orthopedician in SGT Hospital and then screened in physiotherapy OPD. Information on Pain, Range of Motion and grip strength were obtained using structured scales and instruments. Data was analyzed with the software package SPSS 21.00 for window version. Mean and standard deviation of all the variables were calculated. Independent t-test was used to analyze and compare the difference between the groups for variables (range of motion, strength and pain) at baseline, last day of 2nd week. One-way ANOVA followed by post-hoc test was used to analyze the difference within the groups for the variables (range of motion, strength and pain) at baseline, last day of 2nd week. Result- Results of this study showed that cylindrical grip was improved with repetitive wrist extension when wrist joint is at 15 degree Similarly spherical grip then was improved at 45degree angle of wrist whereas Hook Grip was improved at 30degree wrist extension. Conclusion - Variables have improved significantly with repetitive extension exercise at wrist joint at different angles and was concluded that at different angles we can improve the different types of grip strength in patients with Colle’s fracture