{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T17:17:58Z","timestamp":1778087878396,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T00:00:00Z","timestamp":1773619200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T00:00:00Z","timestamp":1773619200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Distal radius fractures (DRFs) are common upper\u2010extremity fractures in older adults and are often considered sentinel events for frailty and future falls. COVID\u201019 lockdowns introduced major mobility restrictions that altered physical activity patterns and injury epidemiology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe nationwide trends in DRF incidence before, during, and after COVID\u201019 lockdown phases in Israel, and to interpret these trends in the context of deconditioning and rehabilitation needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective population\u2010based cohort study analyzed electronic health records from Clalit Health Services, covering\u00a0&gt;\u00a04.5 million insured individuals. Adults aged\u00a0\u2265\u00a018\u00a0years with a documented DRF between June 2019 and December 2022 were included in the phase\u2010based analysis. Seven pandemic phases were defined according to national restriction policies. DRF incidence was calculated as cases per 100,000 insured individuals per day, and demographic trends were described across phases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 62,731 DRFs were identified (mean age 57.1\u00a0\u00b1\u00a019.0\u00a0years; 58.4% female). DRF incidence declined by 27% during the first national lockdown compared with the pre\u2010pandemic period. Incidence increased across later phases and exceeded baseline in the post\u2010pandemic period (+19.8%). Mean age rose over time, and the proportion of fractures among women was higher in later phases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>DRF incidence showed a marked short\u2010term decline during strict lockdowns followed by a sustained rebound above baseline. These patterns likely reflect combined effects of restrictions, behavioral adaptations, and lockdown\u2010related deconditioning. DRFs may indicate functional vulnerability, supporting timely rehabilitation and integrated fall\u2010prevention strategies, including tele\u2010rehabilitation, during and after periods of restricted mobility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pri.70194","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T04:38:41Z","timestamp":1773722321000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Changes in Distal Radius Fracture Incidence Across COVID\u201019 Lockdown Phases: A Nationwide Population\u2010Based Study of 62,731 Cases in Israel"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8724-129X","authenticated-orcid":false,"given":"Mahmod","family":"Hasan","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery at Carmel Hospital in Haifa  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6466-6420","authenticated-orcid":false,"given":"Yaron","family":"Berkovich","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery at Carmel Hospital in Haifa  Haifa Israel"},{"name":"Technion Faculty of Medicine in Haifa Department of Orthopedic Surgery at Carmel Hospital in Haifa  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4161-6894","authenticated-orcid":false,"given":"Yaniv","family":"Yonai","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery at Carmel Hospital in Haifa  Haifa Israel"},{"name":"Technion Faculty of Medicine in Haifa Department of Orthopedic Surgery at Carmel Hospital in Haifa  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1548-7865","authenticated-orcid":false,"given":"Eyal","family":"Ginesin","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery at Carmel Hospital in Haifa  Haifa Israel"},{"name":"Technion Faculty of Medicine in Haifa Department of Orthopedic Surgery at Carmel Hospital in Haifa  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,16]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"Brigham and Women\u2019s Hospital. Distal Radius Fracture Post\u2010Operative Hand Therapy Guideline2020.Boston (MA): Brigham and Women\u2019s Hospital Department of Rehabilitation Services."},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e4547"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010020\u201080309\u2010x"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/2151459320972673"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010022\u201014156\u2010y"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afae110"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007146.pub3"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.2016632118"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.9790\/0853\u20102310010111"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2020.11.044"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010021\u201010931\u20105"},{"key":"e_1_2_13_13_1","doi-asserted-by":"crossref","unstructured":"Katz G. M. K. B.Born R. D.Balicer et\u00a0al.2021. \u201cLessons Learned From Israel\u2019s Reopening During a Nationwide COVID\u201019 Vaccination Campaign.\u201d [cited 2025 Aug 8].https:\/\/covid19\u2010sciencetable.ca\/sciencebrief\/lessons\u2010learned\u2010from\u2010israels\u2010reopening\u2010during\u2010a\u2010nationwide\u2010covid\u201019\u2010vaccination\u2010campaign\/.","DOI":"10.47326\/ocsat.2021.02.33.1.0"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010023\u201006634\u20100"},{"issue":"8","key":"e_1_2_13_15_1","article-title":"The Effect of COVID\u201019\u2010Related Lockdowns on Diet and Physical Activity in Older Adults: A Systematic Review","volume":"12","author":"Larson E. A.","year":"2021","journal-title":"Aging and disease"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102022\u201006954"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100043\u20101769925"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afad297"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.4081\/ejtm.0.9069"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1308267"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s11556\u2010022\u201000309\u2010w"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2021.01.003"},{"key":"e_1_2_13_23_1","article-title":"Distal Radius Fracture Non\u2010Operative Protocol","author":"Ridley T. J.","year":"2020","journal-title":"Twin Cities Orthopedics"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD012424.pub2"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1134\/s2079057022040154"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afae071"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100042\u20101756496"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010024\u201005032\u2010y"},{"key":"e_1_2_13_29_1","unstructured":"Wider Impacts of COVID\u201019 on Physical Activity Deconditioning and Falls in Older Adults."},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010024\u201007317\u20100"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0313013"}],"container-title":["Physiotherapy Research International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pri.70194","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pri.70194","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pri.70194","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T17:01:18Z","timestamp":1778086878000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pri.70194"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,16]]},"references-count":30,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/pri.70194"],"URL":"https:\/\/doi.org\/10.1002\/pri.70194","archive":["Portico"],"relation":{},"ISSN":["1358-2267","1471-2865"],"issn-type":[{"value":"1358-2267","type":"print"},{"value":"1471-2865","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,16]]},"assertion":[{"value":"2026-01-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70194"}}