Efficacy of Shoulder Mobilisation Versus Conventional Immobilisation for Nonsurgically Proximal Humerus Fracture
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Purpose
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.
| Condition | Intervention | Phase |
|---|---|---|
|
Shoulder Fracture |
Procedure: mobilisation (rehabilitation) |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind Primary Purpose: Treatment |
| Official Title: | Effectiveness at 3 Months of Immediate Shoulder Mobilisation Versus Conventional Immobilisation for Impacted Nonsurgically Treated Proximal Humerus Fracture: a Randomised Controlled Trial. |
- The primary outcome was functional assessment of the shoulder (Constant score) at 3 months.
- 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.
| Estimated Enrollment: | 76 |
| Study Start Date: | October 2002 |
| Estimated Study Completion Date: | September 2005 |
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.
Eligibility| Ages Eligible for Study: | 20 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
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
Contacts and Locations
More Information
Additional Information:
No publications provided
| ClinicalTrials.gov Identifier: | NCT00326794 History of Changes |
| Other Study ID Numbers: | P011022 |
| Study First Received: | May 15, 2006 |
| Last Updated: | May 15, 2006 |
| Health Authority: | France: Institutional Ethical Committee |
Keywords provided by Assistance Publique - Hôpitaux de Paris:
|
Nonsurgical proximal humerus fracture Rehabilitation Physiotherapy randomised controlled trial |
Additional relevant MeSH terms:
|
Fractures, Bone Humeral Fractures Shoulder Fractures Wounds and Injuries Arm Injuries |
ClinicalTrials.gov processed this record on June 18, 2013