There is evidence to support the role of specific exercise regimens in reducing impairments and improving upper limb function following specific upper limb fractures
QUESTION What is the effect of exercise on reducing impairment and increasing activity in the rehabilitation of people with upper limb fractures ?
Early mobilisation for minimally displaced radial head fractures is desirable. A prospective randomised study of two protocols.
We compared two protocol s of early mobilisation for minimally displaced radial head fractures through a single-blinded , prospect i ve r and omised trial . Sixty patients were r and omly allocated to either immediate active mobilisation or 5-day delay before active mobilisation was commenced . Patients were review ed at 7 days , 4 weeks and 3 months after injuries . A blinded observer assessed each patient . All fractures united by the third month . At the end of 7 days , the mobilisation group had less pain ( visual analogue scale ( VAS ) 6 versus 7.6 , P=0.002 ) ; greater flexion ( mean 112 versus 98 degrees , P=0.0004 ) ; greater strength in supination ( P<0.001 ) and better elbow function ( Morrey Score : 54 versus 43 , P=0.005 ) . By the fourth week , both groups were comparable in all parameters and improvement continued into the third month . Mean limit of extension at the third month were 2.3 degrees in the immediate mobilisation group and 1.8 degrees in the delayed group ( NS ) . All had excellent function on the basis of the Morrey Score . Immediate mobilisation did not adversely affect the outcome ; the patients had less pain and better elbow function at 1-week post-injury . Pain , ranges of movement and function were similar by the fourth week post-injury
There is evidence to support the role of specific exercise regimens in reducing impairments and improving upper limb function following specific upper limb fractures
QUESTION What is the effect of exercise on reducing impairment and increasing activity in the rehabilitation of people with upper limb fractures ?