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International Orthopaedics
Published in: International Orthopaedics 9/2023

13-07-2023 | Distal Radius Fracture | Original Paper

Baseline predictors related to functional outcomes in patients older than sixty years with complex regional pain syndrome type 1 after distal radius fracture treated conservatively: a prospective observational study

Authors: Javier Román-Veas, Rodrigo Gutiérrez-Monclus, José Francisco López-Gil, Juan Valenzuela-Fuenzalida, Felipe Araya-Quintanilla, Héctor Gutiérrez-Espinoza, Elizabet Hagert

Published in: International Orthopaedics | Issue 9/2023

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Abstract

Purpose

This study aimed to analyze baseline predictors of functional outcomes six weeks and at one year follow-up in patients older than 60 years with complex regional pain syndrome type 1 (CRPS I) after distal radius fracture (DRF).

Methods

A total of 120 patients with CRPS I after DRF were prospectively recruited. Presumptive relevant factors were collected and analyzed as potential baseline predictors. Additionally, functional outcomes were assessed at the beginning of physiotherapy treatment, at six weeks after finishing physiotherapy treatment, and at one year follow-up. Patient-Rated Wrist Evaluation; Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire; Jamar dynamometer; and visual analog scale (VAS) were assessed.

Results

All participants completed the study. At 6 weeks, the main results showed an association of lower values of grip strength with female sex (p = 0.010), intra-articular DRFs (p = 0.030), longer immobilization time (p = 0.040), lower levels of physical activity (p < 0.001), higher levels of kinesiophobia (p = 0.010), and anxiety (p = 0.020). At 1-year follow-up, the results showed an association of lower values of DASH with higher BMI (p < 0.001) and longer immobilization time (p < 0.001); and higher values of VAS showed an association with older age (p = 0.010), higher BMI (p = 0.010), and lower levels of physical activity (p = 0.040).

Conclusion

At six weeks, factors such as BMI, immobilization time, physical activity, and kinesiophobia are associated with lower functional outcomes. Additionally, at one year follow-up, BMI, immobilization time, and physical activity continue to be associated with lower functional outcomes in patients with CRPS I after DRF treated conservatively.
Appendix
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Metadata
Title
Baseline predictors related to functional outcomes in patients older than sixty years with complex regional pain syndrome type 1 after distal radius fracture treated conservatively: a prospective observational study
Authors
Javier Román-Veas
Rodrigo Gutiérrez-Monclus
José Francisco López-Gil
Juan Valenzuela-Fuenzalida
Felipe Araya-Quintanilla
Héctor Gutiérrez-Espinoza
Elizabet Hagert
Publication date
13-07-2023
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 9/2023
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-023-05880-0

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