Kaltenborn versus Mulligan mobilization for wrist stiffness after Colles fracture
Comparison of Kaltenborn Mobilization and Mobilization With Movement (MWM) in Wrist Hypomobility After Colle's Fracture
This trial will try to see if Kaltenborn mobilization or Mulligan Mobilization with Movement helps adults aged 40–70 regain wrist motion after a Colles fracture treated in a cast.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 40 (estimated) |
| Ages | 40 Years to 70 Years |
| Sex | All |
| Sponsor | Foundation University Islamabad Academic / other |
| Locations | 1 site (Islamabad) |
| Trial ID | NCT07060430 on ClinicalTrials.gov |
What this trial studies
This randomized controlled trial assigns patients by coin toss to receive either Kaltenborn mobilization or Mulligan Mobilization with Movement for wrist hypomobility following a conservatively treated Colles fracture. Treatment includes joint mobilizations plus wrist, forearm, and finger range-of-motion and isometric exercises, as well as progressive hand-grip strengthening. Outcomes include changes in wrist, forearm and finger ROM, grip strength, and subjective stiffness. The trial enrolls adults 40–70 years old treated with plaster cast fixation, excludes those with surgical fixation or major comorbid musculoskeletal or neuromuscular conditions, and is conducted at Foundation University College of Physical Therapy in Islamabad.
Who should consider this trial
Good fit: Ideal candidates are adults 40–70 years old with persistent wrist stiffness after a Colles fracture that was treated conservatively with a plaster cast.
Not a fit: Patients who had surgical fixation (K‑wiring or ORIF), active neuromuscular disease, rheumatoid arthritis, metacarpal fractures, compartment syndrome, or non‑union are excluded and unlikely to benefit from these specific interventions.
Why it matters
Potential benefit: If successful, the trial could identify which manual therapy approach better reduces stiffness and improves wrist motion and grip strength after a Colles fracture.
How similar studies have performed: Previous small trials and physiotherapy reports suggest Mulligan and other manual mobilization techniques can help peripheral joint stiffness, but high-quality head-to-head comparisons at the wrist are limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Both male and female participants (40-70 years old) Participants who will have diagnosed Colle's fracture and treated conservatively by plaster cast fixation and should referred from department of orthopedic surgery Patients group with post Colle's fractures stiffness Exclusion Criteria: * Patients having diagnosed Colle's fracture and treated with invasive procedure like K wiring, ORIF etc. * Patient with Neuromuscular injuries.(diagnosed) * Rheumatoid arthritis. * Patients with metacarpal fracture or compartment syndrome, non-union.(diagnosed)
Where this trial is running
Islamabad
- Foundation University College of Physical Therapy — Islamabad, Pakistan (Recruiting)
Study contacts
- Study coordinator: Tooba Kazmi, DPT
- Email: tubaqaxmi0ct@gmail.com
- Phone: +92332 5853330
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.