ArticleBMC sports science, medicine & rehabilitation2025
Investigating the effects of closed kinetic chain exercises on joint position sense, functionality, range of motion, and pain in individuals with distal radius fracture: a randomized controlled trial.
Article in BMC sports science, medicine & rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06811480 (The Effectiveness of Closed Kinetic Chain Exercises in Individuals With a Distal Radius Fracture), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effectiveness of Closed Kinetic Chain Exercises in Individuals With a Distal Radius Fracture
Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Proprioception Training and Surrogate Outcomes: A Systematic Review of Definitions, Measures, and Effectiveness Claims.Sports medicine (Auckland, N.Z.) · 2026Pooled it
- Advances in rehabilitation for bone and joint pain: a critical narrative review of evidence, gaps, and future directions.Frontiers in pain research (Lausanne, Switzerland) · 2026Review
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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDistal radius fractures (DRFs) are common upper extremity injuries that often result in pain, limited mobility, and impaired proprioception. While conventional rehabilitation typically targets range of motion (ROM) and strength, closed kinetic chain (CKC) exercises may offer additional benefits by enhancing neuromuscular control and proprioception. This study aimed to investigate the effects of CKC exercises on pain, function, proprioception, and ROM in individuals recovering from conservatively treated DRFs.
methodsForty individuals with conservatively treated DRF were randomly assigned to either the CKC group (n = 20) or the conventional group (CP) (n = 20). Both groups participated in a six-week rehabilitation program after cast removal. Outcome measures included Visual Analog Scale for activity-related pain (VAS-Activity), active ROM (flexion/extension), Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, and joint position sense (JPS).
resultsBoth groups demonstrated significant improvements in all outcomes after six weeks (p < 0.05). However, the CKC group showed greater improvements across all domains. Specifically, JPS improved by 6.75° ± 3.21° in the CKC group compared to 4.95° ± 2.88° in the CP (Cohen d = 2.05), exceeding the minimal clinically important difference (MCID) of 5°. DASH scores decreased by 37.11 ± 10.27 points in the CKC group and 18.15 ± 9.61 in the CP (Cohen d = 3.46 vs. 1.77), both surpassing the 10-point MCID. Wrist extension increased by 44.00° ± 13.01 (CKC) versus 30.10° ± 11.42 (CP) (p < 0.001), and flexion by 52.50° ± 14.81 (CKC) vs. 39.20° ± 14.21 (CP) (p < 0.001). VAS-Activity scores improved by 5.35 ± 2.04 (CKC) and 3.40 ± 1.52 (CP) (Cohen d = 2.60 vs. 1.72), both exceeding the 2-point MCID threshold.
conclusionsCKC exercises were more effective than conventional therapy in improving proprioception (measured by joint position sense), upper extremity function (assessed by the DASH questionnaire), pain levels (VAS-Activity), and wrist ROM in individuals undergoing DRF rehabilitation. These findings from a randomized controlled trial support the integration of CKC exercises into standard physiotherapy programs for this population. CLINICAL
trial registrationNCT06811480.
trial registrationProspectively registered in the ClinicalTrials.gov registry (NCT06811480) on 06/12/2024.
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