Early vs Delayed Physical Therapy (Exercises) for Non-Operatively-Treated Proximal Humerus Fractures: A Prospective Randomized Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 63
- 试验地点
- 1
- 主要终点
- Shoulder Flexion
研究概览
简要总结
The purpose of the study is to compare two common ways of rehabilitating after proximal humerus fractures treated non-operatively.
详细描述
Proximal humerus fractures with limited displacement and fractures that occur in older, less active or infirm patients are treated non-operatively. There is a general impression, supported by some data, that better function is obtained with immediate initiation of shoulder exercises. However, there is some concern that this may contribute to nonunion of the fracture and may be unnecessary. Some researchers have demonstrated better outcomes with immediate rehabilitation with pendulum movements. Others have shown similar functional outcomes when rehabilitation begins approximately a month after injury, or when radiographs show signs of bone healing, and this delay is associated with lower rates of non-union and malunion occurrence.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male and Female patients.
- •Older than 18y
- •Diagnosed with proximal humeral fracture clinically and confirmed by imaging studies: X rays and/or CT Scans.
- •Any type of proximal humeral fracture according to the Neer or AO classification system.
- •Patient should have received non-operative treatment.
排除标准
- •Patients younger than 18 y.
- •Patients with multiple other fractures.
- •Patients that have received surgical treatment including closed reduction and percutaneous fixation, open reduction and internal fixation (plates, screws, pins, tension wire bands, cerclage wiring and/or intramedullary nailing) and/or articular shoulder prosthesis.
结局指标
主要结局
Shoulder Flexion
时间窗: 6 months
We measured active forward flexion of the shoulder
次要结局
- External Rotation(3 months, 6 months)
- Abduction(3 months, 6 months)
- Disability of the Hand, Shoulder, and Arm Score(3 months, 6 months)
- Shoulder Pain Likert Scores(3 months, 6 months)
研究者
Neal Chung-Jen Chen
Principal Investigator; Hand Service
Massachusetts General Hospital