Understanding of functional difficulties among patients with Colles’ Fracture

Abstract

Background: Colles' fracture, a common type of distal radial fracture, is frequently encountered in Bangladesh, particularly among older adults with osteoporosis and individuals who experience falls or road traffic accidents. Due to limited access to specialized rehabilitation services and financial constraints, many patients face significant functional difficulties during recovery and difficulty in performing daily activities such as eating, dressing, personal care. Additionally, the lack of ergonomic workplace adjustments and social support further hinders functional recovery. Understanding these challenges from a qualitative perspective is essential to developing patient-centered rehabilitation strategies in the Bangladeshi context. Aim: To explore and understand the functional difficulties experienced by patients with Colles’ Fracture. Method: The phenomenological approach of qualitative research design was chosen to conduct study. Data collection questionnaire was followed self-developed interview guide. Data was collected by conducting face-to-face in depth semi-structured interview. Seven participants who have Colles’ Fracture were accepted by simple random sampling of probability sampling. Data was analyzed by thematic analysis according Braun and Clark’s six step. Result: The findings explored in-depth information regarding functional difficulties of Colles’ fracture with nine themes: i) Impact on Activities of Daily Living, ii) Impact on Instrumental Activities of Daily Living, iii) Activity Restriction, iv) Coping strategies, v) Time and routine management, vi) Leisure activities, vii) Physical limitations, viii) Emotional & Mental health impact, ix) Family and Social Support. Conclusion: Patients with Colles’ fracture face significant functional difficulties that impact their daily lives, including pain, limited mobility and limitation performing essential tasks. The study identified several themes to find out and understanding the functional difficulties of patients’ activities of daily living, productive life. A qualitative approach highlights the need for tailored rehabilitation programs, emphasizing not only physical recovery but also emotional support to help patients regain confidence and improve their overall quality of life. Key words: Colles’ Fracture, Functional difficulties.