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Abstract
Background: Colles{u2019} fracture referred to fracture of the lower third of the radius with some complications after healing like; pain and hand stiffness. The development of hand stiffness is associated with poorer functional outcome, increase pain around wrist and impairment of range of motion (ROM) and grip strength. Closed kinetic chain exercises (CKC) used to increase proprioceptive and sensorimotor input causing improving in muscle function. Neuromuscular electrical stimulation is one of the modalities that use different amplitude electrical pulses to activate motor neurons, thereby causing involuntary muscle contractions. The purpose: To investigate the effect of closed kinetic chain exercise and electrical Russian current on patients with colles{u2019} fracture. Subjects: Sixty patients with colles{u2019} fracture participated in this study, their age ranged from 20 to 50 years. They were assigned randomly into four groups with fifteen patients in each group; group (A) received conventional therapy, group (B) received CKC exercises plus conventional therapy, group (C) electrical Russian current stimulation in addition to conventional therapy and group (D) received CKC exercises and electrical Russian current stimulation in addition to conventional therapy. Methods: Pain, functional disability, wrist ROM and hand grip strength were measured pre and post treatment by patient-rated wrist evaluation (PRWE) questionnaire, electrgoniometer and Jamar hand dynamometer respectively. Results: There were a significant differences between the four groups after treatment in all outcome measures with greater statistical significant in group (D) as the percentage of improvement in pain (47.77%), functional disability (46.40%), wrist flexion (87.00%), extension (127.00%), radial deviation (109.52%), ulnar deviation (60.31%) and hand grip strength (173.74%). Conclusion: CKC exercises and electrical Russian current plus conventional therapy may be one of the effective methods in reducing pain, improving functional activities, increasing wrist ROM and hand grip strength in patients with colles{u2019} fracture.