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The Archives of Bone and Joint Surgery، جلد ۱۱، شماره ۱۱، صفحات ۶۷۲-۶۷۶
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عنوان انگلیسی Nonoperatively Treated Proximal Humerus Fractures: Randomized Trial of Immediate Versus Delayed Initiation of Exercises
چکیده انگلیسی مقاله 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
کلیدواژه‌های انگلیسی مقاله Exercises, Nonoperative treatment, Proximal Humerus Fracture
نویسندگان مقاله | Wendy Bruinsma
Medisch Centrum Leeuwarden, The Netherlands


| J. Carel Goslings
Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands


| Neils Schep
Maasstad Ziekenhuis, Rotterdam, The Netherlands


| David Ring
Dell Medical School--The University of Texas at Austin, USA
نشانی اینترنتی https://abjs.mums.ac.ir/article_23267.html
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