Comparison of Early and Late Therapy for Adults With Non-Operatively Treated Proximal Humerus Fractures
The purpose of the study is to compare two common ways of rehabilitating after proximal humerus fractures treated non-operatively.
Proximal Humeral Fractures
|Study Design:||Observational Model: Cohort
Time Perspective: Prospective
|Official Title:||Early vs Delayed Physical Therapy (Exercises) for Non-Operatively-Treated Proximal Humerus Fractures: A Prospective Randomized Trial|
- shoulder flexion [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- shoulder pain Likert scores [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- external and internal rotation [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- abduction [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- DASH and Constant scores [ Time Frame: 6 months ] [ Designated as safety issue: No ]
|Study Start Date:||February 2005|
|Estimated Study Completion Date:||December 2013|
|Estimated Primary Completion Date:||December 2012 (Final data collection date for primary outcome measure)|
Subjects who begin therapy immediately after diagnosis of injury.
Subjects who delay therapy for 3 weeks after diagnosis of injury.
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.
|United States, Massachusetts|
|Massachusetts General Hospital|
|Boston, Massachusetts, United States, 02114|
|Principal Investigator:||David Ring, Md, PhD||Massachusetts General Hospital|