Effectiveness at 3 Months of Immediate Shoulder Mobilisation Versus Conventional Immobilisation for Impacted Nonsurgically Treated Proximal Humerus Fracture: a Randomised Controlled Trial.
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Shoulder Fracture
- Sponsor
- Assistance Publique - Hôpitaux de Paris
- Enrollment
- 76
- Locations
- 1
- Primary Endpoint
- The primary outcome was functional assessment of the shoulder (Constant score) at 3 months.
- Status
- Terminated
- Last Updated
- 19 years ago
Overview
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.
Investigators
Eligibility Criteria
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
Outcomes
Primary Outcomes
The primary outcome was functional assessment of the shoulder (Constant score) at 3 months.
Secondary Outcomes
- 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.