Bruinsma, Wendy, Goslings, J. Carel, Schep, Neils, Ring, David. (1402). Nonoperatively Treated Proximal Humerus Fractures: Randomized Trial of Immediate Versus Delayed Initiation of Exercises. , 11(11), 672-676. doi: 10.22038/abjs.2023.50201.2493
Wendy E. Bruinsma; J. Carel Goslings; Neils W L Schep; David Ring. "Nonoperatively Treated Proximal Humerus Fractures: Randomized Trial of Immediate Versus Delayed Initiation of Exercises". , 11, 11, 1402, 672-676. doi: 10.22038/abjs.2023.50201.2493
Bruinsma, Wendy, Goslings, J. Carel, Schep, Neils, Ring, David. (1402). 'Nonoperatively Treated Proximal Humerus Fractures: Randomized Trial of Immediate Versus Delayed Initiation of Exercises', , 11(11), pp. 672-676. doi: 10.22038/abjs.2023.50201.2493
Bruinsma, Wendy, Goslings, J. Carel, Schep, Neils, Ring, David. Nonoperatively Treated Proximal Humerus Fractures: Randomized Trial of Immediate Versus Delayed Initiation of Exercises. , 1402; 11(11): 672-676. doi: 10.22038/abjs.2023.50201.2493
Nonoperatively Treated Proximal Humerus Fractures: Randomized Trial of Immediate Versus Delayed Initiation of Exercises
2Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands
3Maasstad Ziekenhuis, Rotterdam, The Netherlands
4Dell Medical School--The University of Texas at Austin, USA
چکیده
Objectives: There is debate about when to start exercises in the nonoperative treatment of a proximal humerus fracture. This randomized trial compared immediate and one-month delayed shoulder exercises in the nonoperative treatment of fractures of the proximal humerus. Methods: Twenty-six patients with a fracture of the proximal humerus who chose nonoperative treatment were randomized to start pendulum exercises within a few days and 24 were randomized to delayed exercises and started with active self-assisted stretching 1 month after fracture. Three and six months after the injury, patients completed the Disabilities of the Arm Shoulder and Hand questionnaire to measure capability, a measure of pain intensity, and had motion measurements. Results: There was no significant difference in forward flexion (primary outcome) six months after injury between patients that started motion exercises immediately compared to 1 month after injury (p = 0.85). There was no difference in any motion measurement, pain intensity, upper extremity specific disability (DASH score) three or six months after injury. Conclusion: Delaying exercises for a month does not affect recovery from nonoperative treatment of a fracture of the proximal humerus. People can choose whether to start exercises immediately or wait until they feel comfortable. Level of evidence: II
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