Efficacy of Physiotherapist-supervised Rehabilitation After Proximal Humerus Fracture

University of Aarhus

Status

Completed

Conditions

Proximal Humeral Fracture

Treatments

Other: Home-based training

Other: Physiotherapist-supervised training

Study type

Interventional

Funder types

Other

Identifiers

NCT03498859

ProxHumRehab

Details and patient eligibility

About

This study investigates the efficacy of physiotherapist-supervised training once per week during 10 weeks compared to home-based training during 10 weeks, after proksimal humerus fracture.

Full description

Proximal humerus fracture is the third most common fracture in elderly people after hip and colles fracture, and are often caused by fall and osteoporosis. These fractures are highly related to morbidity and mortality among elderly people and consumes considerably health care resources. More than 70% of the proximal humerus fracture patients are over 60 years of age and 75% are female.

Only sparse evidence reveals to what extend the patients need rehabilitation and how it should be implemented in the treatment strategy.

In Denmark as well as in Finland the rehabilitation after proximal humerus fractures takes place in local centers in the municipalities, and the rehabilitation offered to the patients varies significantly. Currently in Denmark there are no national clinical guidelines to support the rehabilitation strategy.

Enrollment

70 patients

Sex

All

Ages

60+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

•Low energy proximal humeral displaced (more than 5mm or 30 degrees) two-part fracture where fracture line emerges through the surgical (or anatomical) neck, treated non-operatively

Exclusion criteria

Refuse to participate in the study
Younger than 60 years old
Non-independent
Demented
Does no understand written and spoken guidance in local language
Pathological fracture or previous fracture in the same proximal humerus
Other operational injuries in the same upper limb
Major nerve injury (e.g. Complete radialis- or delta palsy)
Open fracture
Multi-trauma patient
Fracture dislocation or head splitting fracture
Undisplaced fracture
Isolated tuberculum fracture
Fracture has no precondition to ossify by conservative treatment (no bony contact between fracture parts or the humeral shaft is in contact with the articular surface)
Treating surgeon considers patient unsuitable to attend the study on medical basis