The Effect of Burst Mode Alternating Current Versus Axial Load Exercises on Hand Improvement and Grip Strength Post Colles Fracture

Background: Colles fracture is one of the fractures that affect the lower third of the radius with complications after healing like; pain, and hand stiffness. Objective: This study compared the effects of Burst Mode Alternating Current and closed kinetic chain exercise on pain, functional disability and grip strength post colles fracture. Methods: Forty-five patients with stable colles fractures were randomly classified into three groups with fifteen patients in each group; Group I received traditional exercise as; wrist Mobilization, stretching exercises, range of motion exercises (passive and active) and edema control of the wrist joint. Group II stimulated by burst mode alternating current (Russian current) in addition to traditional exercise. Group III received axial load exercises (closed kinetic chain exercise) as; wall press, plyometric wall push up, Quadruped rhythmic stabili-zation, and Push up exercises) plus traditional exercise. All outcome measures including Pain, functional disability and grip strength were evaluated before and after the treatment program by Patient rated wrist evaluation (PRWE) question-naire and hand dynamometer respectively. Results: Showed that group II that received electrical burst mode alternating current had higher statistical significant than Group I and Group III (p 0.05). Conclusion: The finding of the study revealed that stim-ulation of wrist flexors by burst mode alternating current (Russian current) in addition to a traditional exercise program was more effectivethan exercise alone after colles fracture.