There was preliminary evidence from one trial that exercise to the non-injured arm during immobilisation might lead to short-term benefits on increasing grip strength and range of movement following distal radius fracture .
There is emerging evidence that current prescribed exercise regimens may not be effective in reducing impairments and improving activity following an upper limb fracture .
Starting exercise early combined with a shorter immobilisation period is more effective than starting exercise after a longer immobilisation period .
QUESTION What is the effect of exercise on increasing participation and activity levels and reducing impairment in the rehabilitation of people with upper limb fractures ?
Bruder AM , Shields N , Dodd KJ , Taylor NF ( 2017 ) Prescribed exercise programs may not be effective in reducing impairments and improving activity during upper limb fracture rehabilitation : a systematic review .
Rehabilitation of two-part fractures of the neck of the humerus (two-year follow-up).
The 2-year results of a r and omized , prospect i ve , controlled trial of minimally displaced proximal humeral fractures treated either by immediate physiotherapy ( group A ) or after 3 weeks of immobilization ( group B ) are reported . At 1 year shoulder disability , as measured with the Croft shoulder disability question naire , was found in 42.8 % of patients in group A and 72.5 % in group B ( P < .01 ) . By 2 years , shoulder disability in group A remained unchanged ( 43.2 % ) but had reduced in group B ( 59.5 % ) . This difference was not statistically significant . Immediate physiotherapy after a minimally displaced proximal humeral fracture results in faster recovery , with maximal functional benefit being achieved at 1 year . Delayed rehabilitation by 3 weeks of shoulder immobilization produces a slower recovery , which continues for at least 2 years after the time of injury
There was preliminary evidence from one trial that exercise to the non-injured arm during immobilisation might lead to short-term benefits on increasing grip strength and range of movement following distal radius fracture .
There is emerging evidence that current prescribed exercise regimens may not be effective in reducing impairments and improving activity following an upper limb fracture .
Starting exercise early combined with a shorter immobilisation period is more effective than starting exercise after a longer immobilisation period .
QUESTION What is the effect of exercise on increasing participation and activity levels and reducing impairment in the rehabilitation of people with upper limb fractures ?
Bruder AM , Shields N , Dodd KJ , Taylor NF ( 2017 ) Prescribed exercise programs may not be effective in reducing impairments and improving activity during upper limb fracture rehabilitation : a systematic review .