| Physical Therapy Rehabilitation Program After Compressed Fracture of The Proximal Humerus: (Case Report) |
| Paper ID : 1086-ISCSR3 (R2) |
| Authors |
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Yusuf Mohamed hafiz El falaha *1, Fatma elzahraa AbdelAziz Elbayomi2, Manar .. Tarek3, Ahmed .. Salah1, Ahmed Ragab1, Mohamed Ellithy1, Nariman Ali1, Ashrakat Haisham1, Asmaa Atef1 1Internship student 2Assistant Lecturer at Orthopedic Department of the Faculty of Physical Therapy- Ahram Canadian University. 3Teaching Assistant at Orthopedic Department of the Faculty of Physical Therapy- Ahram Canadian University. |
| Abstract |
| Background: Proximal humeral fractures are among the most common osteoporotic fractures and are frequently observed in elderly patients. Any fracture to the anatomical neck, surgical neck, greater tuberosity (GT), or lesser tuberosity, either alone or in combination, is referred to as a proximal humerus fracture (PHF). the importance of this case report is to clarify the detailed rehabilitation program of Proximal humeral fracture Case description This case report presents the rehabilitation of female patient, a 62-year-old right-handed with a compressed fracture of the proximal humeral end affecting the greater tuberosity, following a motorcycle accident 6 months ago, the fracture healed within 3 months and ten days, The patient presented to the physiotherapy department 5 months post fracture with complaints of pain. By palpation, the patient has limitation of range of motion (ROM) in all directions, muscle spasm in the upper trapezius and pectoralis minor. Weakness of the serratus anterior led to obvious scapular winging and dyskinesia. Methods: The rehabilitation program was conducted from 19th October 2022 to 9th November 2022, twice a week. The program included strengthening exercises for the weak scapular muscles, stretching for tight muscles, GH joint mobilization, and auto-passive exercises. The therapeutic exercises were designed based on a program suggested by Cools A.M. et al. (2007. Results: After 4 weeks of the rehabilitation program, the ROM of shoulder flexion improved by 115 degrees, shoulder extension improved by 62 degrees, shoulder internal rotation improved by 45 degrees, shoulder external rotation improved by 40 degrees, and shoulder abduction improved by 120 degrees. Conclusion: This case report shows that a tailored integrated physical therapy program, as described, effectively improved shoulder function in a patient with a compressed proximal humeral fracture. Key Words: Proximal humerus fractures, Scapulohumeral rhythm, Rehabilitation, Stretches, Mobilization, Home program exercises. |
| Keywords |
| Proximal humerus fractures, Rehabilitation, Scapulohumeral rhythm, Mobilization, Home program exercises. |
| Status: Abstract Accepted |