Background: therapeutic exercises post DRFs surgeries are shown to be very important in preventing complications and deformities. The orthopedic nurses' role post DRFs surgeries includes physical assessment, pain management, and patients' education on the safe compensatory strategies for enhancing hand functional abilities. Aim: Compare the effect of activation of shoulder girdle muscles exercises versus hand on wrist joint mechanics of patients post intraarticular distal radius fracture surgeries. Design: A comparative quasi experimental research design.