Case Report| Volume 33, ISSUE 4, P580-586, October 2020

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Serious games therapy associated with conventional physical therapy intervention accelerated hand muscles strengthening and hand functioning after complex fracture of the wrist: A case report

Published:March 07, 2019DOI:


      • A case report of a rare wrist fracture submitted to serious games protocol.
      • Serious games use provides different sensations to those experienced in conventional therapy.
      • The uniqueness is serious games use to reduce recovery and lost from work time.


      Study Design

      Case report.


      A severe wrist fracture can cause permanent physical disabilities and deformities, leading to limit patients in their occupation and social environment.

      Purpose of the Study

      We aim at presenting a treatment protocol and the functional outcome of a patient with severe clinical state after a rare wrist fracture.


      We provided physical therapy intervention associated with serious games for muscle strengthening.

      Results and Discussion

      There was an increase in strengthening and a decrease in Disability of the Arm, Shoulder and Hand score and Patient Rated Wrist Evaluation scores. The International Classification of Functioning scores have changed from severe to light or to absent in many of the domains.


      The use of serious games combined with a conventional physical therapy intervention played a fundamental role in recovery and return to work activities, and there was also an important recovery of general health condition.


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      JHT Read for Credit

      Quiz: # 723

      Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to There is only one best answer for each question.
      • # 1.
        The study design was
        • a.
          case series
        • b.
          case study
        • c.
        • d.
      • # 2.
        The wrist fracture (Fx) was described as a
        • a.
          Smith’s Fx
        • b.
          Barton’s Fx
        • c.
          complex Colle’s Fx
        • d.
          combined articular distal radius Fx and articular ulnar head Fx
      • # 3.
        The serious game therapy was characterized as
        • a.
        • b.
          superior to traditional hand therapy
        • c.
        • d.
          created by the patient
      • # 4.
        The fracture was surgically managed by
        • a.
          dorsal ORIF
        • b.
          volar ORIF
        • c.
          pins and plaster
        • d.
          cast immobilization
      • # 5.
        Strengthening was initiated at 16 weeks post-op
        • a.
        • b.
      When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.