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Effect of Occupational Therapy on the Function and Mobility of Elbow Fractures

This study has been completed.
ClinicalTrials.gov Identifier:
First Posted: March 30, 2009
Last Update Posted: July 2, 2012
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by (Responsible Party):
Gregory Schmale, Seattle Children's Hospital
Supracondylar humerus fracture are common upper extremity injuries in children accounting for over 400 fractures per year and approximately 25% of all fractures treated at Seattle Children's Emergency Department. Most of these fractures are treated with splints and casts though more than one-third undergo surgical fixation followed by casting. Healing is usually complete after 3-4 weeks, when casts (and pins, if fixed operatively) are removed and motion begun. Though stiffness is often a problem after immobilization of adult elbow fractures, stiffness after pediatric elbow fractures is regarded as typically transient. This study addresses the question "Does early motion of the arm with physiotherapy promote the return of function and motion in patients with supracondylar humerus fractures?" The investigators will conduct a prospective randomized trial to determine the effect of six occupational therapy visits over a five week period of time on elbow function and mobility after supracondylar humerus fracture. The investigators will measure motion of the elbow and administer the child and parental Activity Scale for Kids performance versions (ASKp) assessment tool to answer this question.

Condition Intervention
Supracondylar Humerus Fracture Other: Occupational therapy

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Effect of Occupational Therapy on the Function and Mobility in Supracondylar Humerus Fractures: A Randomized Controlled Trial

Resource links provided by NLM:

Further study details as provided by Gregory Schmale, Seattle Children's Hospital:

Primary Outcome Measures:
  • Activity Scale for Kids performance version (ASKp) [ Time Frame: week 1, week 6, week 12, week 24 ]

Enrollment: 61
Study Start Date: March 2009
Study Completion Date: September 2011
Primary Completion Date: September 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: 1
Occupational therapy
Other: Occupational therapy
Participants in this arm will receive six sessions of occupational therapy in a 5 week period.
No Intervention: 2
watchful waiting


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Ages Eligible for Study:   5 Years to 12 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Have a supracondylar fracture which is isolated, non - comminuted, and less than one week old.
  • Will be treated with either casting or surgery.
  • Lack head injuries or other fractures.
  • Are not cognitively impaired or critically ill.
  • Are 5 - 12 years old
  • Speak English or Spanish

Exclusion Criteria:

  • Requires open reduction to align
  • Comminuted or t - intercondylar fracture
  • Other fractures on the same limb
  • Head injury
  • Cognitive impairment
  • Critically ill
  • Mental disorders
  • Fracture occurred more than one week prior to visit.
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00871793

United States, Washington
Seattle Children's Hospital
Seattle, Washington, United States, 98105
Sponsors and Collaborators
Seattle Children's Hospital
Principal Investigator: Gregory Schmale, MD University of Washington - Seattle Children's Hospital
  More Information

Responsible Party: Gregory Schmale, Associate Professor, Seattle Children's Hospital
ClinicalTrials.gov Identifier: NCT00871793     History of Changes
Other Study ID Numbers: AEF-24801
First Submitted: March 27, 2009
First Posted: March 30, 2009
Last Update Posted: July 2, 2012
Last Verified: June 2012

Additional relevant MeSH terms:
Fractures, Bone
Humeral Fractures
Wounds and Injuries
Arm Injuries