Humeral fractures distal
Conditions
Interventions
This is a randomized, triple-blind, controlled clinical trial with patients who underwent surgical treatment after elbow fractures. Patients will be divided into 2 groups: the intervention group with
E02.760.169.063.500.387
Sponsors
Universidade Federal de Juiz de Fora
Programa de Pós Graduação em Saúde Faculdade de Medicina da Universidade Federal de Juiz de Fora
Eligibility
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: Individuals aged 18 to 70 years; of both sexes; referred for physiotherapy treatment from the sixth week of surgical intervention after elbow fractures; with limited range of motion greater than or equal to twenty degrees of extension deficit; or less than or equal to one hundred and twenty degrees of elbow flexion; elbow fractures involving the distal segment of the humerus; proximal segment of the ulna; fracture of the neck and head of the radius according to Mason's Classification; elbow fractures and dislocations such as Hotchkiss's terrible triad; Monteggia lesion; transolecranon fracture and dislocation
Exclusion criteria
Exclusion criteria: Patients with bilateral elbow fractures or whose indicated treatment is total elbow arthroplasty; pregnant women; neurological, rheumatic or psychiatric diseases that compromise rehabilitation; previous history of elbow stiffness; previous surgical procedure on the elbow; existence of Kirschner wires or cerclage wires in the proximal ulna and distal humerus; Mini-Mental State Examination score of less than 24 points for those with higher education and 18 points with low to moderate level of education
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the additional effect of therapeutic ultrasound on the range of motion of elbow flexion and extension measured in degrees with a manual goniometer in the orthostatic position, based on the observation of a variation of at least 12 degrees in the pre- and post-intervention measurements, with data collected at baseline, tenth week post-operatively, fourteenth week post-operatively and at follow-up after 6 months of the intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| To investigate the additional effect of ultrasound on elbow functionality using the Disabilities of the Outcome Measure of the Arm, Shoulder and Hand (DASH) questionnaire measured in points, based on the observation of a variation of at least 11 points in the pre- and post-intervention measurements, with data collected at baseline, sixth week of intervention, tenth week of intervention and at follow-up after 6 months;To evaluate the additional effect of ultrasound on the range of motion of pronation and supination measured in degrees with a manual goniometer, based on the observation of a variation of at least 6 degrees in the pre- and post-intervention measurements, with data collected at baseline, sixth week of intervention, tenth week of intervention and at follow-up after 6 months;To investigate the additional effect of ultrasound on handgrip strength, measured in kilograms-force (kgf) using a portable hand dynamometer, based on the observation of a variation of at least five kilograms-force between the pre- and post-intervention measurements and post-intervention, with data collected at baseline, sixth week of intervention, tenth week of intervention and at follow-up after 6 months;To investigate the additional effect of ultrasound on pain, measured using the numerical pain scale in points from zero to ten, based on a variation of at least one point between pre- and post-intervention measurements,data being collected at baseline, sixth week of intervention, tenth week of intervention and at follow-up after 6 months of intervention | — |
Countries
Brazil
Contacts
Public ContactPriscila Veras
Programa de Pós Graduação em Saúde Faculdade de Medicina da Universidade Federal de Juiz de Fora
Outcome results
None listed