Maryam Aslam, Afifah Rehman, Iqra Mubeen, Mamoona Tasleem Afzal, Salman Bashir.
Effects of Graded Motor Imagery Techniques on Grip Strength in Female patients with Colles Fracture.
Healer J Physiotherap Rehab Jan ;3(7):689-95.

Background: Colles fracture usually occurs with a fall on an outstretched hand and the post-traumatic complication of this fracture includes loss of grip strength, pain and decreased functional outcome. Objective: To determine the effects of graded motor imagery technique on grip strength in female patients with Colle's fracture. Methods: A quasi-experimental study was conducted on females with the Colles fracture and decreased grip strength. Participants were divided into experimental and conventional groups, with the same baseline treatment based on convenience. Only females with Colles fractures of age 40 to 70 years and those who were conservatively managed were included in the study. Whereas patients with any systematic diseases e.g. rheumatic disease or fracture treated by internal fixation were excluded from the study. A modified sphygmomanometer for assessing grip strength and a patient-rated risk evaluation questionnaire were used. Data was collected using a purposive sampling technique and a sample of 44 was divided into two groups. Patient-rated wrist evaluation and a modified sphygmomanometer were used as data collection tools. The SPSS 20.0 version was used for data analysis. Mean and standard deviation was calculated for group statistics. Active variables were tested with an independent sample t-test. Results: The results of the comparison of experimental and conventional groups, grip strength after six weeks of treatment showed a difference of 66.64 and 43.8 for the conventional group respectively, with a value of p:0.000, showing significant differences in all variables. The results regarding the comparison of groups for patient-rated wrist evaluation were categorized into functional and pain components, mean functional score of wrist joint before and after treatment in the experimental group was M=89.63 and M=37.68 respectively whereas the conventional group showed a lesser reduction with M=88.35 and M= 43.85. After six weeks of treatment, the total score had an average difference of -3.39, with a p-value of 0.543. while the degree of freedom was 40. Conclusion: The findings of this study concluded that the graded-motor imagery technique combined with traditional rehabilitation protocol is effective in improving grip strength in females with Colles fractures.

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