National Physical Therapy Examination (NPTE) Practice Exam

What is the best modality to increase ROM in the wrist and fingers post-Colles fracture?

1. Heating pad

2. Paraffin

3. Hot pack

4. Fluidotherapy

The correct answer is: Fluidotherapy

Fluidotherapy is an effective modality for increasing range of motion (ROM) in the wrist and fingers following a Colles fracture for several reasons. This technique involves the use of a dry heat modality that circulates small particles, typically made of cellulose, which provide both thermal and mechanical stimulation to the tissues. Firstly, the thermal effect of fluidotherapy helps increase blood flow to the area, promoting tissue healing and reducing stiffness. The heat also relaxes the surrounding musculature, which is essential for effective stretching and mobilization of the joints. Secondly, the mechanical action provided by the moving particles can create a gentle massaging effect, further aiding in mobility. This is especially beneficial after a fracture, as it helps to mobilize the joint without causing excessive strain or discomfort. This modality also allows for active range of motion exercises to be performed while the therapy is in progress, making it a versatile option that not only warms the tissues but also encourages movement, enhancing the rehab process. The combination of these factors positions fluidotherapy as a prime choice for improving ROM in patients recovering from distal radius fractures, such as a Colles fracture.