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Physiotherapy for management of edema after a distal radius fracture. A systematic review

Abstract:

Aim: To determine whether there is scientific evidence supporting the clinical effectiveness of different physiotherapy modalities used for the management of edema secondary to distal radius fracture. Search strategy: Randomized clinical trials were included, using the databases: Medline, PEDro, Lilacs, Central, Cinahl and SPORTDiscus. Study selection: Six studies fulfilling our eligibility criteria were selected. Summary of results: Two studies showed significant short-term decrease when manual lymphatic drainage was added to the conventional treatment (P < 05). Conclusion: There is moderate short term evidence that manual edema mobilization and whirlpool hydrotherapy are not more effective than standard treatment. There is also moderate evidence that adding manual lymph drainage to a conventional treatment produces a significant decrease in edema in patients with distal radius fracture.