Physical Therapy for Broken Humerus
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores the optimal timing for starting physical therapy after surgery for a broken shoulder bone, specifically following reverse total shoulder arthroplasty (rTSA). The researchers aim to determine whether beginning physical therapy earlier (at 2 weeks) or later (at 6 weeks) results in better recovery and fewer complications for individuals undergoing this surgery due to fractures. The focus is on enhancing the ability to perform daily activities and effectively manage pain. The trial seeks participants aged 50-85 who have recently undergone rTSA for a shoulder fracture. As an unphased trial, it offers participants the chance to contribute to valuable insights that could improve post-surgery recovery strategies.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications.
What prior data suggests that early postoperative physical therapy is safe for patients undergoing reverse total shoulder arthroplasty?
Research has shown that starting physical therapy soon after a humerus fracture is generally safe. Some studies have found that early therapy can speed up healing and reduce future complications. Those who begin early often recover more quickly and face fewer issues later.
Evidence also indicates that waiting longer to start physical therapy is safe. Studies suggest that delaying therapy does not increase risks, and both early and delayed therapy are well-tolerated by patients.
In summary, both early and delayed physical therapy are safe options. Early therapy might accelerate recovery, but both choices are generally safe for patients.12345Why are researchers excited about this trial?
Researchers are excited about this trial because it explores the timing of physical therapy after a broken humerus, which could transform recovery protocols. Currently, physical therapy usually starts around six weeks post-surgery. This trial examines whether starting therapy as early as two weeks post-surgery could enhance healing and improve outcomes. If successful, it could lead to faster recovery times and better arm function, offering a significant improvement over the traditional approach.
What evidence suggests that early postoperative physical therapy is effective for proximal humerus fractures?
This trial will compare two approaches to physical therapy for patients with a broken humerus. Research has shown that starting physical therapy soon after surgery can help patients with upper arm fractures recover faster and experience fewer complications. Participants in the "Early Onset Physical Therapy" arm will begin therapy at 2 weeks post-surgery, potentially leading to quicker healing, fewer issues, and reduced healthcare costs. Meanwhile, those in the "Delayed Onset Physical Therapy" arm will start therapy at 6 weeks post-surgery, which can also improve movement and pain relief over time. Some studies have found no major difference in results between starting therapy early or later in cases where surgery isn't needed. Both options offer benefits, but early therapy might lead to feeling better sooner.23467
Who Is on the Research Team?
Seth Yarboro, MD
Principal Investigator
University of Virginia
Are You a Good Fit for This Trial?
This trial is for elderly patients who have had a reverse total shoulder arthroplasty (rTSA) due to a proximal humerus fracture. It's designed to help those struggling with pain and limited shoulder movement after their injury.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants undergo reverse total shoulder arthroplasty (rTSA) followed by either early or delayed rehabilitation
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Physical Therapy
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Virginia
Lead Sponsor
Foundation of Orthopedic Trauma
Collaborator