Bertoft E S, Lundh I, Ringqvist I
Scand J Rehabil Med. 1984;16(1):11-6.
Two methods of physiotherapy after fracture of the proximal end of the humerus were compared. The study was designed as a randomized, controlled and single-blind trial. Twenty patients were assigned to two groups 10-12 days after the injury. One group was treated conventionally, the other received instructions in self-training with follow-up control of results. Objective examination and subjective assessment were made at five intervals, up to one year after the injury. The greatest improvement in function was shown in both groups between 3 and 8 weeks. The patients deemed their daily life functions to be normal 8 weeks after the injury. The objective assessment was normal at later stages. No significant differences were found between the two groups in any of the tests. Instruction in self-training with control of results including objective assessments are therefore an adequate method in the rehabilitation of these patients.
对肱骨近端骨折后的两种物理治疗方法进行了比较。该研究设计为一项随机、对照、单盲试验。受伤后10 - 12天，将20名患者分为两组。一组接受传统治疗，另一组接受自我训练指导并对结果进行随访控制。在受伤后长达一年的时间里，分五个时间间隔进行客观检查和主观评估。两组在3至8周时功能改善最为明显。患者认为受伤8周后其日常生活功能恢复正常。后期客观评估也恢复正常。在任何一项测试中，两组之间均未发现显著差异。因此，包括客观评估在内的自我训练指导并对结果进行控制，是这些患者康复的一种适当方法。
