Interventions for treating proximal humeral fractures in adults (Review)
Interventions for treating proximal humeral fractures in adults (Review)
Interventions for treating proximal humeral fractures in adults (Review)
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Lundberg 1979 (Cont<strong>in</strong>ued)<br />
Assigned: 20/22<br />
Completed (at 3 months): 20/22<br />
Outcomes Length of follow up: > 1 year (mean 16 months); also assessed at 1 & 3 months<br />
Range of movement: abduction, shoulder elevation - active & passive<br />
Pa<strong>in</strong> (<strong>in</strong>significant, moderate, severe), longstand<strong>in</strong>g<br />
Lift<strong>in</strong>g power of shoulder<br />
Frozen shoulder (secondary)<br />
Neer score (at f<strong>in</strong>al evaluation) <strong>in</strong>clud<strong>in</strong>g failure category<br />
Hand grip strength<br />
Notes No <strong>in</strong>dication <strong>in</strong> the report of any loss to follow up at last follow up (> 1 year).<br />
Risk of bias<br />
Item Authors’ judgement Description<br />
Allocation concealment? Unclear B - Unclear<br />
Revay 1992<br />
Methods Randomisation from closed envelopes<br />
Assessor bl<strong>in</strong>ded<br />
Loss to follow up at 1 year: 1/48<br />
Participants Danderyd Hospital, Danderyd, Sweden<br />
48 patients with 2, 3 or 4 part m<strong>in</strong>imally displaced <strong>proximal</strong> <strong>humeral</strong> <strong>fractures</strong> (< 1 cm or 45 degrees;<br />
Neer Group 1) treated conservatively with sl<strong>in</strong>g immobilisation <strong>for</strong> 1 week.<br />
Excluded: patients with sk<strong>in</strong> diseases and/or chlor<strong>in</strong>e allergy, non-ambulatory<br />
39 female, 9 male; mean age 66 years<br />
<strong>Interventions</strong> <strong>Interventions</strong> started 5-10 days post-<strong>in</strong>jury after removal of sl<strong>in</strong>g.<br />
(1) Swimm<strong>in</strong>g pool tra<strong>in</strong><strong>in</strong>g <strong>in</strong> groups plus <strong>in</strong>structions <strong>for</strong> self tra<strong>in</strong><strong>in</strong>g<br />
(2) Instructions <strong>for</strong> self-tra<strong>in</strong><strong>in</strong>g<br />
Assigned: 25/23<br />
Completed: ?/?<br />
Outcomes Length of follow up 1 year; also assessed at 3 weeks, 2 & 3 months<br />
Pa<strong>in</strong> (analogue scale)<br />
Activities of daily liv<strong>in</strong>g - subjective assessment of 9 activities each rated on a 5 po<strong>in</strong>t scale<br />
Functional scale - 6 po<strong>in</strong>t scale<br />
Jo<strong>in</strong>t movement (abduction, flexion, <strong>in</strong>ternal rotation)<br />
Notes Means presented without standard deviations.<br />
Risk of bias<br />
Item Authors’ judgement Description<br />
<strong>Interventions</strong> <strong>for</strong> <strong>treat<strong>in</strong>g</strong> <strong>proximal</strong> <strong>humeral</strong> <strong>fractures</strong> <strong>in</strong> <strong>adults</strong> (<strong>Review</strong>)<br />
Copyright © 2008 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.<br />
25
Change language