Clinical Trial: Comparison of Early and Late Therapy for Adults With Non-Operatively Treated Proximal Humerus Fractures
Study Status: Active, not recruiting
Recruit Status: Active, not recruiting
Study Type: Observational
Official Title: Early vs Delayed Physical Therapy (Exercises) for Non-Operatively-Treated Proximal Humerus Fractures: A Prospective Randomized Trial
Brief Summary: The purpose of the study is to compare two common ways of rehabilitating after proximal humerus fractures treated non-operatively.
Detailed Summary: 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.
Sponsor: Massachusetts General Hospital
Current Primary Outcome: shoulder flexion [ Time Frame: 6 months ]
Original Primary Outcome: shoulder flexion
Current Secondary Outcome:
- shoulder pain Likert scores [ Time Frame: 6 months ]
- external and internal rotation [ Time Frame: 6 months ]
- abduction [ Time Frame: 6 months ]
- DASH and Constant scores [ Time Frame: 6 months ]
Original Secondary Outcome:
- shoulder pain Likert scores
- external and internal rotation
- abduction
- DASH and Constant scores
Information By: Massachusetts General Hospital
Dates:
Date Received: February 20, 2007
Date Started: February 2005
Date Completion: December 2017
Last Updated: February 8, 2017
Last Verified: February 2017
