The Effects of Proprioceptive Neuromuscular Facilitation Techniques on Clinical Outcomes in Patients with Proximal Humerus Fractures
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Proximal Humeral Fracture
- Sponsor
- Istanbul University - Cerrahpasa (IUC)
- Enrollment
- 32
- Locations
- 1
- Primary Endpoint
- Disability of the Arm, Shoulder and Hand (DASH) questionnaire
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The aim of this study is to compare the effect of Proprioceptive Neuromuscular Facilitation (PNF) techniques on functional status, pain, range of motion (ROM), muscle strength, quality of life, and patient satisfaction in people with Proximal Humerus Fracture. There will be two groups, PNF and conservative treatment, and the program will consist of 6 weeks. Patients will randomly be assigned to the conservative treatment group and the PNF group. Patients in the conservative group will deliver shoulder muscle static stretching, active-assistive ROM exercises, scapular mobilization, posterior capsule stretching, and isometric strengthening for 3 weeks. Between 3-6 weeks these exercises will progress and shoulder muscles strengthening via Neuromuscular Electrical Stimulation (NMES) and active ROM exercises will add to the program. Patients in the PNF group will deliver PNF stretching, active-assistive ROM exercises, PNF scapular patterns mobilization, posterior capsule stretching, and isometric strengthening for 3 weeks. Between 3-6 weeks PNF stretching and scapular mobilization exercises will progress and PNF strengthening and active ROM exercises will add to the program.
Detailed Description
The aim of this study is to compare the effect of Proprioceptive Neuromuscular Facilitation (PNF) techniques on functional status, pain, range of motion (ROM), muscle strength, quality of life, and patient satisfaction in people with Proximal Humerus Fracture. There will be two groups, PNF and conservative treatment, and the program will consist of 6 weeks. Patients will randomly be assigned to the conservative treatment group and the PNF group. Patients in the conservative group will deliver shoulder muscle static stretching, active-assistive ROM exercises, scapular mobilization, posterior capsule stretching, and isometric strengthening for 3 weeks. Between 3-6 weeks these exercises will progress and shoulder muscles strengthening via NMES and active ROM exercises will add to the program. Patients in the PNF group will deliver PNF stretching, active-assistive ROM exercises, PNF scapular patterns mobilization, posterior capsule stretching, and isometric strengthening for 3 weeks. Between 3-6 weeks PNF stretching and scapular mobilization exercises will progress and PNF strengthening and active ROM exercises will add to the program. Measurements will always taken by the blinded therapist who did not deliver the interventions. Our primary outcome measure was the function of the upper limb as assessed by the Turkish version of the Disability of the Arm, Shoulder and Hand (DASH) questionnaire. SF-36 for quality of life andThe Global Rating of Change Scale. (GRC). The outcome assessments will be evaluated at three points in time: at the baseline, after a three-week intervention, and at the end of the treatment (6 weeks).
Investigators
Ayse Zengin Alpozgen
Principal Investigator
Istanbul University - Cerrahpasa (IUC)
Eligibility Criteria
Inclusion Criteria
- •Patients diagnosed with humerus proximal fracture and stable information obtained by an orthopedist
- •Patients aged ≥ 18 years
- •Patients who volunteered to participate in the study
Exclusion Criteria
- •Bad union of tuberculum majus
- •Advanced osteoporosis
- •Humeral head avascular necrosis
- •Presence of severe cardiac disease
- •Uncontrollable hypertension
- •Presence of neurological and rheumatological disease
- •Presence of recurrent infection and open wound incision in the region
- •Patients with communication problems
- •Patients for whom exercise is not indicated
Outcomes
Primary Outcomes
Disability of the Arm, Shoulder and Hand (DASH) questionnaire
Time Frame: 6 weeks
The DASH is a validated score to assess the physical function and symptoms of people with upper limb disabilities. It contains 30 questions: 6 items about symptoms and 21 items about function. Patients answer the questions using a 5-point, scaling from 0 to 100, with higher scores indicating more disability.
Secondary Outcomes
- The Constant-Murley (CSM)(6 weeks)
- Range of Motion (ROM)(6 weeks)
- Muscle strength(6 weeks)
- Visual Analog Scale (VAS)(6 weeks)
- Short Form-36 (SF-36)(6 weeks)
- The Tampa Scale for Kinesiophobia (TSK)(6 weeks)
- The Global Rating of Change Scale (GRC)(6 weeks)