Supracondylar Humeral Fracture in Pediatric
Conditions
Keywords
SCHF- low level laser- pulsed electromagnetic field.
Brief summary
the aim of the study is comparing the effects of LLLT and PEMFT on range of motion of elbow and radioulnar joint ,pain ,muscles strength of upper limb and hand function in children with post-operative type II and III supracondylar humeral fracture.
Detailed description
intervention study describe the effects of low level laser and pulsed electromagnetic field in children with supracondylar humeral fracture . All children will be randomly classified by envelope method into two study groups of equal number. study group A and study group B. Both groups will receive designed physical therapy program, 20 minutes, 3 times per week for six weeks in addition to study group A will receive LLLT, 5 minutes and study group B will receive the same physical therapy program, in addition to PEMF, 20 minutes.
Interventions
DEVICElow level laser ,pulsed electromagnetic field .
LLL ,ASA via Alessandro Volta, 9 .36057 Arcugnano- Italy. With 905-nm wavelength, and maximum power output of 500 mW, laser spot of approximately 1 cm2 . PEMF, ASA, Easy teraza serie (ETS), Italy 2011, its code F9020087 and 230 its voltage.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
low level laser and pulsed electromagnetic field will be applied separated to different study groups of children with supracondylar humeral fracture.
Eligibility
Sex/Gender
ALL
Age
6 Years to 10 Years
Healthy volunteers
No
Inclusion criteria
1. Age ranges from 6 to 10 years of both genders. 2. All subjects have unilateral extension type II and III supracondylar humeral fracture requiring closed reduction and percutaneous pinning (CRPP). 3. The study will be start immediately after removal the splint. 4. Children clinically and medically stable. 5. Children able to follow verbal commands. 6. Children sample will represent those children who enrolled in schools and other not yet. \-
Exclusion criteria
The patients will be excluded if they have one of the following criteria; 1. Previous soft tissue injury at the same affected side of fracture. 2. Presence of associated fractures on the ipsilateral or contralateral upper limb. 3. Active infection near the fracture site. 4. Children with congenital or acquired skeletal deformities in the upper limbs. 5. Children with neurological deficits such as convulsions, involuntary movements, receiving muscle relaxants. \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pain measurement | six weeks post intervention. | Numerical pain rating scale will be used to assess elbow pain intensity pre and post treatment in both groups. |
| Range of motion measurement | six weeks post intervention | The 2- in-1 Digital Angle Ruler goniometer will be used to assess elbow and radio-ulnar joint ROM (flexion-extension -supination and pronation) pre and post treatment in both groups |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hand function | six weeks post intervention | Jebsen-Taylor Hand Function Test (JHFT) will be used to assess hand function pre and post treatment in both groups. |
Countries
Egypt
Contacts
Primary ContactAmira Ezzat, master degree
Backup ContactHoda Eltalawy, professer
Outcome results
None listed