Shoulder Fracture
Conditions
Keywords
Nonsurgical proximal humerus fracture, Rehabilitation, Physiotherapy, randomised controlled trial
Brief summary
Background: Nonsurgical proximal humerus fracture is common, causing prolonged disability, for which the time to begin rehabilitation is not well determined. We assessed the feasibility and efficacy of early (within 3 days'after fracture) mobilisation of the shoulder compared with conventional 3-week immobilization followed by physiotherapy.
Detailed description
Methods: We randomly assigned 74 patients with impacted nonsurgically treated proximal humerus fracture to receive early passive mobilisation or conventional-treatment. The primary outcome was functional assessment of the shoulder (Constant score) at 3 months. Secondary outcomes were functional assessment at 6 weeks and at 6 months, change in pain (on a visual analogue scale) and passive range of motion.
Interventions
PROCEDUREmobilisation (rehabilitation)
Sponsors
Assistance Publique - Hôpitaux de Paris
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Impacted nonsurgically treated proximal humerus fracture * Patients over the age 20
Exclusion criteria
* Pre-existing shoulder pathology * Neurological disorders of the upper limbs * Indication for surgery of the shoulder * Combined polytrauma * Difficulties with language or comprehension to understand a rehabilitation program and information
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome was functional assessment of the shoulder (Constant score) at 3 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional assessment at 6 weeks and at 6 months | — |
| Change in pain (on a visual analogue scale)at 6 weeks, 3 months and at 6 months | — |
| Passive range of motion at 6 weeks, 3 months and at 6 months. | — |
Countries
France
Outcome results
None listed