Occupational Therapy for Nonoperative Four-Part Proximal Humerus Fracture: A Case Report.
作者信息
Finley William P, Van Lew Steve
机构信息
William P. Finley, MS, OTR/L, CSCS, CHT, is Senior Clinical Instructor, Department of Rehabilitation Medicine, NYU Langone Medical Center, New York, and Lead Instructor, Gold Standard Seminars LLC, New York;
Steve Van Lew, MS, OTR/L, is Director, Department of Rehabilitation Medicine, NYU Langone Medical Center, New York.
出版信息
Am J Occup Ther. 2018 May/Jun;72(3):7203210010p1-7203210010p6. doi: 10.5014/ajot.2018.026963.
OBJECTIVE
Proximal humerus fractures are highly traumatic and debilitating. Surgical fixation may be contraindicated in older clients, thus requiring a systematic rehabilitation protocol. These clients may suffer loss of independence and require long-term assistance if not treated properly.
METHOD
In this case report, we describe the occupation-based conservative rehabilitation of a retired male client after a four-part proximal humerus fracture. Outcome measurements used were the QuickDASH, the Numeric Rating Scale for Pain, goniometric measurements, and manual muscle testing. Repeated measures were used to collect data throughout a 12-mo period.
RESULTS
Scores and measurements demonstrated improvement in all four outcome measures with clinically notable improvements achieved and maintained throughout the 12-mo period. The client reported a full return to activity.
CONCLUSION
The techniques presented can be used by clinicians to create treatment plans, achievable functional goals, and realistic expectations for their clients. The protocol can aid clinicians in achieving objective milestones through occupation-based interventions.
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