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Background: Nonsurgical proximal humerus fracture is common, causing prolonged disability, for which the time to begin rehabilitation is not well determined. We assessed the feasibility and efficacy of early (within 3 days'after fracture) mobilisation of the shoulder compared with conventional 3-week immobilization followed by physiotherapy.
Methods: We randomly assigned 74 patients with impacted nonsurgically treated proximal humerus fracture to receive early passive mobilisation or conventional-treatment. The primary outcome was functional assessment of the shoulder (Constant score) at 3 months. Secondary outcomes were functional assessment at 6 weeks and at 6 months, change in pain (on a visual analogue scale) and passive range of motion.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| mobilisation (rehabilitation) | Procedure |
| Measure | Description | Time Frame |
|---|---|---|
| The primary outcome was functional assessment of the shoulder (Constant score) at 3 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Functional assessment at 6 weeks and at 6 months | ||
| Change in pain (on a visual analogue scale)at 6 weeks, 3 months and at 6 months | ||
| Passive range of motion at 6 weeks, 3 months and at 6 months. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marie-Martine Lefevre-colau, MDPhD | APHP | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hopital Cochin | Paris | 75014 | France |
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| ID | Term |
|---|---|
| D012784 | Shoulder Fractures |
| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D000070599 | Shoulder Injuries |
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| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| ID | Term |
|---|---|
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D013812 | Therapeutics |
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| D006296 |
| Health Services |
| D005159 | Health Care Facilities Workforce and Services |