Clinical outcomes of conservative versus surgical treatment for patients with proximal humeral fracture before physiotherapy

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dc.authoridGungor, Feray/0000-0003-2814-3276
dc.authoridZENGIN ALPOZGEN, AYSE/0000-0003-0436-1164
dc.authoridkus, gamze/0000-0003-4564-8065
dc.contributor.authorKus, G.
dc.contributor.authorAlpozgen, A. Zengin
dc.contributor.authorGungor, F.
dc.contributor.authorOzdincler, A. Razak
dc.contributor.authorAltun, S.
dc.date.accessioned2024-09-18T20:25:12Z
dc.date.available2024-09-18T20:25:12Z
dc.date.issued2024
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractFear of movement, pain, and loss of shoulder function are the most common problems irrespective of their approach to management after proximal humeral fracture (PHF). However, it has been unclear whether there could be differences between both treatments in early clinical outcomes. It can help physiotherapists to guide in choosing treatment approaches. This study aimed to compare kinesiophobia, pain, range of motion (ROM), shoulder function, and Quality of life (QoL) in patients treated with either conservative (CT) versus surgical (ST) after PHF. In addition, it aimed to determine correlations between fear of movement and seconder outcome measures. This cross-sectional study enrolled the patients having 5-6 weeks (being permitted active movement) after being treated either CT or ST and receiving no physical therapy. Pain, passive and active ROMs, shoulder function, fear of movement, and QoL were evaluated. 42 patients were recruited. Kinesiophobia scores were similar (p=0.55) and moderate in both groups. There was a significant difference in degrees of shoulder active flexion, active and passive abduction in favor of the CT group (p=0.05, p=0.02, p=0.04, respectively). However, there was no difference between groups regarding the remaining clinical outcomes. Furthermore, kinesiophobia showed a moderate negative correlation with energy/fatigue, social functioning, and general health. These findings showed that patients treated surgically did not have more kinesiophobia, less function, and QoL before starting physiotherapy, despite having soft tissue damage and different types of fractures. However, surgically treated patients had significantly less range of motion.en_US
dc.identifier.doi10.52628/90.1.12409
dc.identifier.endpage101en_US
dc.identifier.issn0001-6462
dc.identifier.issue1en_US
dc.identifier.pmid38669657en_US
dc.identifier.scopus2-s2.0-85191638722en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage96en_US
dc.identifier.urihttps://doi.org/10.52628/90.1.12409
dc.identifier.urihttps://hdl.handle.net/20.500.12483/10159
dc.identifier.volume90en_US
dc.identifier.wosWOS:001223645600003en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherActa Medica Belgicaen_US
dc.relation.ispartofActa Orthopaedica Belgicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectfracturesen_US
dc.subjectdisability evaluationen_US
dc.subjectmusculoskeletal conditionsen_US
dc.subjectoutcomesen_US
dc.subjectassessment/measurementen_US
dc.titleClinical outcomes of conservative versus surgical treatment for patients with proximal humeral fracture before physiotherapyen_US
dc.typeArticleen_US

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