Nearly 2 out of 10 women will sustain a distal forearm fracture throughout their lifespan.Recent longitudinal studies illustrate that as many as 1/3 of all persons who undergo closed reduction and casting for distal radius fractures (DRF) go on to develop type 1 complex regional pain syndrome (CRPS). Graded motor imagery (i.e., motor imagery and mirror therapy), a movement representation technique, is strongly supported in the literature as a treatment of CRPS and has recently been suggested as a potential strategy to prevent its onset. Other complications include disability, wrist/forearm tightness and sensorimotor changes. The investigators propose that an early intervention protocol which includes graded motor imagery (GMI) will improve the pain, functional and upper limb sensorimotor outcomes of persons following closed reduction and casting of DRF relative to a standard of care intervention.
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Change in The McGill Pain Scale - Short Form(SF-MPQ) Scores
Timeframe: Change from baseline to 18 weeks
Change in Patient Rated Wrist Evaluation (PRWE) Scores
Timeframe: Change from baseline to 18 weeks
Assessment of Veldman CRPS Type I Diagnostic Criteria
Timeframe: 18 weeks