Efficacy of Physiotherapy in Improving the Range of Motion of Elbow after the Treatment of Pediatric Supracondylar Humeral Fracture

  • Subash Chandra Jha Birat Medical College and Teaching Hospital
  • Prakash Shakya Kyorin University
  • Pramod Baral B.P. Koirala Institute of Health Sciences
Keywords: Children, physiotherapy, supracondylar humeral fracture

Abstract

Introduction: Temporary stiffness of elbow range of motion (ROM) after treatment of supracondylar humeral fracture in children is often a parental concern.

Objectives: We examined the role of physiotherapy in improving the elbow ROM in management of supracondylar humeral fracture in children.

Methodology: Sixty-four patients were randomly divided into intervention and control groups. Then intervention group patients received regular physiotherapy sessions while control group patients were not sent for physiotherapy. We assessed the outcome according to Flynn criteria during their follow-ups at two, six and 12 weeks, after removal of cast/k-wires.

Results: In intervention group, 77.4% children had excellent outcome, and in control group, 80.6% children had excellent outcome. However, we did not find any statistically significant association between physiotherapy and outcome at 12 weeks, after controlling for baseline characteristics in multivariable regression model.

Conclusion: Children managed by close reduction for uncomplicated supracondylar humeral fracture with immobilization for three weeks regain their functional ROM within 12 weeks of mobilization by themselves, with no added benefit from physiotherapy.


BJHS 2018;3(2)6: 432-436.

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Author Biographies

Subash Chandra Jha, Birat Medical College and Teaching Hospital
Lecturer, Department of Orthopedic
Prakash Shakya, Kyorin University
Post-doc fellow, Department of community health
Pramod Baral, B.P. Koirala Institute of Health Sciences
Assistant Professor, Department of Orthopedics
Published
2018-09-05
How to Cite
Jha, S., Shakya, P., & Baral, P. (2018). Efficacy of Physiotherapy in Improving the Range of Motion of Elbow after the Treatment of Pediatric Supracondylar Humeral Fracture. Birat Journal of Health Sciences, 3(2), 432-436. https://doi.org/10.3126/bjhs.v3i2.20940
Section
Original Research Articles