Evidence map›Paper›PMID 41196520›Full record

Trial reportIrish journal of medical science2026

Cross-education after forearm fracture: a randomised controlled trial.

Dilara Ekici Zincirci, Esin Çakır, Sevgi Atar, Abdullah Faruk Uyanık, Esma Demirhan, İlhan Karacan, Ömer Kuru

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Irish journal of medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Dilara Ekici ZincirciCemil Taşcıoğlu City Hospital, Physical Therapy and Rehabilitation Department, Health Science University, Istanbul, Turkey. drdilaraekici@gmail.com.ORCID http://orcid.org/0000-0001-7702-0227
Esin ÇakırCemil Taşcıoğlu City Hospital, Physical Therapy and Rehabilitation Department, Health Science University, Istanbul, Turkey.
Sevgi AtarCemil Taşcıoğlu City Hospital, Physical Therapy and Rehabilitation Department, Health Science University, Istanbul, Turkey.
Abdullah Faruk UyanıkCemil Taşcıoğlu City Hospital, Orthopaedics and Traumatology Department, Health Science University, Istanbul, Turkey.
Esma DemirhanCemil Taşcıoğlu City Hospital, Physical Therapy and Rehabilitation Department, Health Science University, Istanbul, Turkey.
İlhan KaracanIstanbul Physical Therapy and Rehabilitation Research Hospital, Health Science University, Istanbul, Turkey.
Ömer KuruCemil Taşcıoğlu City Hospital, Physical Therapy and Rehabilitation Department, Health Science University, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to examine whether isokinetic exercises applied to the intact wrist could reduce muscle strength loss and prevent the development of Complex Regional Pain Syndrome (CRPS) type I in adults with distal radius fractures.

methodsForty-two patients with distal radius fractures were randomized into two groups: a Cross-Education (CE) group (n = 21) and a control group (n = 21). Both groups received a standard home exercise program. In addition, the CE group performed 12 supervised sessions of isokinetic wrist strengthening exercises on the non-fractured side during the immobilization period. After cast removal, isometric muscle strength of the fractured wrist was evaluated, and patients were monitored for the development of CRPS type I.

resultsThe CE group showed significantly higher isometric muscle strength in wrist flexors and extensors compared with the control group (wrist flexors: d = 0.73, p = 0.024; wrist extensors: d = 0.87, p = 0.008). Furthermore, the incidence of CRPS type I was significantly lower in the CE group (p = 0.03).

conclusionCross-Education training applied during immobilization can prevent muscle weakness and decrease the risk of CRPS in fracture rehabilitation. SIGNIFICANCE: These findings highlight CE as a safe and effective early intervention strategy that may enhance functional outcomes and reduce complications in patients with distal radius fractures.

Indexed as

Complex Regional Pain SyndromesExercise TherapyPatient Education as TopicRadius FracturesAdultAgedFemaleHumansMaleMiddle AgedMuscle StrengthComplex Regional Pain SyndromesCross-EducationDistal Radius FracturesIsokinetic ExerciseMuscle Strength

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.