International Journal For Multidisciplinary Research

E-ISSN: 2582-2160   •   Impact Factor: 9.24

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Volume 8 Issue 3
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Effect of Combined Physiotherapy and Hydrotherapy on Post-Immobilization Wrist Stiffness in an Elderly Patient: A Case Study”

Author(s) Kritika Verma
Country India
Abstract Background:
Post-immobilization wrist stiffness is a common complication following distal radius fractures, particularly in elderly individuals. It often results in pain, restricted range of motion, reduced grip strength, and difficulty performing daily activities, thereby affecting overall functional independence.
Objective:
To evaluate the effectiveness of combined physiotherapy and hydrotherapy in reducing pain, improving wrist mobility, and restoring functional ability in a patient with post-immobilization stiffness.
Case Description:
A 72-year-old female presented with complaints of wrist pain, stiffness, and inability to perform activities of daily living following immobilization with a plaster cast after a distal radius fracture. Clinical examination revealed reduced range of motion, decreased muscle strength, and mild swelling, while sensation remained intact.
Intervention:
The patient underwent a structured physiotherapy program including infrared radiation (IRR), interferential therapy (IFT), joint mobilization, and Muscle Energy Technique (MET). In addition, hydrotherapy was incorporated through active exercises in lukewarm water, particularly ball-squeezing activities to enhance functional movement and reduce stiffness.
Outcome Measures:
Pain intensity was assessed using the Numeric Rating Scale (NRS). Range of motion was measured using goniometry, and muscle strength was evaluated using Manual Muscle Testing (MMT). Functional improvement was assessed based on the patient’s ability to perform daily activities.
Results:
Following intervention, the patient demonstrated significant reduction in pain (NRS 8 to 2), improvement in wrist range of motion across all planes, and increased muscle strength from grade 3 to grade 4. Functional ability improved notably, with the patient able to perform daily household activities more independently. Swelling was also reduced.
Conclusion:
The combined use of physiotherapy and hydrotherapy proved to be an effective and practical approach in managing post-immobilization wrist stiffness. The addition of simple hydrotherapy techniques enhanced recovery by promoting movement in a comfortable environment. Further studies with larger sample sizes are recommended to support these findings.
Keywords Distal radius fracture, Wrist stiffness, Hydrotherapy, Muscle Energy Technique, Physiotherapy rehabilitation.
Field Medical / Pharmacy
Published In Volume 8, Issue 3, May-June 2026
Published On 2026-05-15
DOI https://doi.org/10.36948/ijfmr.2026.v08i03.77492
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E-ISSN 2582-2160
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