title: The Effect of Isometric Massage on Global Grip Strength after Conservative Treatment of Distal Radial Fractures. Pilot Study.
abstract: BACKGROUND
  The most common fracture of the distal end of the radius is Colles' fracture. Treatment modalities available for use in hand rehabilitation after injury include massage. The aim of this study was to evaluate the effect of isometric massage on the recovery of hand function in patients with Colles fractures. For this purpose, the strength of the finger flexors was assessed as an objective criterion for the evaluation of hand function.
  
  
  METHODS
  The study involved 40 patients, randomly divided into Group A of 20 patients and Group B of 20 patients. All patients received physical therapy and exercised individually with a physiotherapist. Isometric massage was additionally used in Group A. Global grip strength was assessed using a pneumatic force meter on the first and last day of therapy. Statistical analysis was performed using STATISTICA. Statistical significance was defined as a P value of less than 0.05.
  
  
  RESULTS
  In both groups, global grip strength increased significantly after the therapy. There was no statistically significant difference between the groups. The men and women in both groups equally improved grip strength. A statistically significant difference was demonstrated between younger and older patients, with younger patients achieving greater gains in global grip strength in both groups.
  
  
  CONCLUSIONS
  The incorporation of isometric massage in the rehabilitation plan of patients after a distal radial fracture did not significantly contribute to faster recovery of hand function or improve their quality of life.
authors.affiliation: Department of Orthopaedics, Military Institute of Medicine, Warszawa.
authors.forename: Karina
authors.initials: K
authors.lastname: Ratajczak
authors.affiliation: Department of Orthopaedics, Military Institute of Medicine, Warszawa.
authors.forename: Janusz
authors.initials: J
authors.lastname: Płomiński
mesh_terms: D003100:Colles' Fracture / Q000628:therapy*; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D005592:Fracture Fixation; D017102:Fracture Healing / Q000502:physiology; D018737:Hand Strength; D006801:Humans; D007537:Isometric Contraction / Q000502:physiology*; D008297:Male; D008405:Massage / Q000379:methods*; D010865:Pilot Projects; D016896:Treatment Outcome