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Multi-sensory training and wrist fractures: a randomized, controlled trial

Multi-sensory training and wrist fractures: a randomized, controlled trial

Title: Multi-sensory training and wrist fractures: a randomized, controlled trial
Author: Baldursdottir, Bergthora   orcid.org/0000-0002-5669-756X
Whitney, Susan L.
Ramel, Alfons
Jónsson, Pálmi V.
Mogensen, Brynjólfur
Petersen, Hannes   orcid.org/0000-0002-2327-523X
Kristinsdóttir, Ella K.
Date: 2019-02-11
Language: English
Scope: 29-40
University/Institute: Háskóli Íslands
University of Iceland
School: Heilbrigðisvísindasvið (HÍ)
School of Health Sciences (UI)
Department: Læknadeild (HÍ)
Faculty of Medicine (UI)
Faculty of Food Science and Nutrition (UI)
Matvæla- og næringarfræðideild (HÍ)
Series: Aging Clinical and Experimental Research;32(1)
ISSN: 1594-0667
1720-8319 (eISSN)
DOI: 10.1007/s40520-019-01143-4
Subject: Exercise; Fracture; Rehabilitation; Sensation; Wrist; Úlnliðir; Beinbrot; Endurhæfing; Hreyfing (heilsurækt)
URI: https://hdl.handle.net/20.500.11815/1503

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Baldursdottir, B., Whitney, S.L., Ramel, A. et al. Multi-sensory training and wrist fractures: a randomized, controlled trial. Aging Clin Exp Res 32, 29–40 (2020). https://doi.org/10.1007/s40520-019-01143-4


Background: Asymmetric vestibular function, decreased plantar sensation, postural control and functional ability have been associated with fall-related wrist fractures. Objective: To investigate whether multi-sensory training (MST) improves postural control, vestibular function, foot sensation and functional ability among people with fall-related wrist fractures compared to wrist stabilization training (WT). Methods: This was an assessor-blinded, randomized controlled trial. Ninety-eight participants, age 50–75 years, were randomized to MST or WT. Pre- and post-training measurements: Head Shake Test (HST), Video-Head Impulse Test (vHIT), Semmes–Weinstein Monofilaments (SWF), Biothesiometer (BT), Sensory Organization Test (SOT), 10-m Walk Test (10MWT), Five Times Sit to Stand Test (FTSTS), Activities-Specific Balance Confidence (ABC) and Dizziness Handicap Inventory Scales (DHI). The training period was 12 weeks, with six supervised sessions by a physical therapist and daily home exercises for both groups. Results: There were significant endpoint differences in SOT (p = 0.01) between the two groups, in favor of the MST group, but no changes were seen in other outcome variables. Subgroup analysis with participants below normal baseline SOT composite scores indicated that the MST was more effective in improving 10MWT fast (p = 0.04), FTSTS (p = 0.04), SWF (p = 0.04) and SOT scores (p = 0.04) than the WT. Conclusions: MST improves postural control among people with a fall-related wrist fracture. The results further suggest that the program is more effective for those with SOT balance scores below age-related norms.


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