title: Effect of illusory kinesthesia on hand function in patients with distal radius fractures: a quasi-randomized controlled study.
abstract: OBJECTIVE
  We investigated the effects of the illusion of motion through tendon vibration on hand function in patients with distal radius fractures.
  
  
  METHODS
  Kawachi General Hospital, Japan.
  
  
  METHODS
  A total of 22 patients with distal radius fractures were divided into either an illusory kinesthesia group ( n = 11) or a control group ( n = 11).
  
  
  METHODS
  We performed the intervention for seven consecutive days after surgery. Evaluations were performed at one day, seven days, one month, and two months postsurgery.
  
  
  METHODS
  Data were collected on pain at rest and pain during movement. The Patient-Rated Wrist Evaluation and Pain Catastrophizing Scale were also used.
  
  
  RESULTS
  The illusory kinesthesia group showed significantly better scores on Patient-Rated Wrist Evaluation ( p < 0.01) compared with the control group at seven days, one month, and two months postsurgery. The mean (SD) of the Patient-Rated Wrist Evaluation total score was 97.6 (2.2) at one day postsurgery and 9.1 (5.3) at seven days postsurgery in the illusory kinesthesia group, while the Patient-Rated Wrist Evaluation total score was 96.3 (4.4) at one day postsurgery and 20.1 (17.0) at seven days postsurgery in the control group.
  
  
  CONCLUSIONS
  Our results indicate that illusory kinesthesia is an effective postsurgery management strategy not only for pain alleviation, but also hand function in patients with distal radius fractures. Furthermore, the significant improvements persisted for up to two months after intervention in the illusory kinesthesia group, but not in the control group. In addition, patients in the kinesthetic illusions group showed increased use of the affected limb in daily living.
authors.affiliation: 1 Department of Neurorehabilitation, Kio University, Nara, Japan.|2 Department of Rehabilitation, Kawachi General Hospital, Osaka, Japan.
authors.forename: Ryota
authors.initials: R
authors.lastname: Imai
authors.affiliation: 3 Neuro Rehabilitation Research Center, Kio University, Nara, Japan.
authors.forename: Michihiro
authors.initials: M
authors.lastname: Osumi
authors.affiliation: 1 Department of Neurorehabilitation, Kio University, Nara, Japan.
authors.forename: Tomoya
authors.initials: T
authors.lastname: Ishigaki
authors.affiliation: 1 Department of Neurorehabilitation, Kio University, Nara, Japan.|3 Neuro Rehabilitation Research Center, Kio University, Nara, Japan.
authors.forename: Shu
authors.initials: S
authors.lastname: Morioka
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006225:Hand / Q000503:physiopathology*; D006801:Humans; D007564:Japan; D007699:Kinesthesis / Q000502:physiology*; D008297:Male; D059408:Pain Management / Q000379:methods; D010147:Pain Measurement / Q000379:methods; D063868:Patient Outcome Assessment; D011182:Postoperative Care / Q000379:methods; D011885:Radius Fractures / Q000534:rehabilitation* / Q000601:surgery; D016059:Range of Motion, Articular / Q000502:physiology; D014732:Vibration / Q000627:therapeutic use*
keywords: Illusory kinesthesia; activities of daily living; distal radial fractures; postoperative pain