Proximal Humeral Fracture Fixated With PHILOS© Plate, Rotator Cuff Tear Surgical Repair
Conditions
Brief summary
Fractures of the proximal humerus account for between 5% and 8% off all reported fractures. Post-operative shoulder pain is highly frequent. Due to either surgical procedure, soft tissues surrounding the shoulder area can be damaged. The purpose of the current clinical trial was to compare the effects of physiotherapy versus physiotherapy plus TrP-DN on pain and function in patients who exhibit post-operative shoulder pain after a PHILOS procedure for proximal humeral fixation or rotator cuff tear repair.
Interventions
Best-evidence physical therapy intervention in addition to a single session of TrP-DN targeted to active TrPs in the neck-shoulder muscles
Best-evidence physical therapy intervention
Sponsors
Study design
Eligibility
Inclusion criteria
* proximal humeral fracture * rotator cuff tear * open reduction and internal fixation with PHILOS© plate (Synthes, Switzerland) * rotator cuff tear repair * post-operative shoulder pain * active TrPs in the neck-shoulder muscles
Exclusion criteria
* no active TrPs * multiple fracture * previous surgery * cervical radiculopathy or myelopathy * diagnosis of fibromialgia * having undergone any physical therapy intervention in the year before the surgery * fear of needles * any contraindication for dry needling
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Constant-Murley score before and after the intervention | Baseline and one week after the intervention | The Constant-Murley score is a 100-point scoring system that is divided into 4 main sub-scales: pain (15 points); activities of daily living (20 points); range of motion (40 points); and strength (25 points). Higher score represents better function |
Countries
Spain