Main Article Content
Abstract
BACKGROUND
The rehabilitation intervention for upper extremity fracture varies from shoulder to finger, obtained from physical modalities and exercise. Physical modality and exercise rehabilitation intervention effectively reduce pain, increase range of motion (ROM), hand function and improve quality of life. This systematic review aims to synthesize current scientific knowledge on rehabilitative interventions with a specific focus on upper extremity fractures and the effect of all interventions on the patient.
METHODS
Three scholarly databases (PubMed, Google Scholar, Science Direct) were systematically searched. Literature published before 10 January 2022 focused on upper extremity fracture and rehabilitation treatment patients. Quality assessment was completed with CEBM tools by Oxford University. For PICO, The Population was upper extremity fractures, and the intervention was rehabilitation intervention, both physical modality and exercise. The comparation was other rehabilitation interventions or without rehabilitation, and the outcome in this study were measured with the visual analogue scale (VAS), ROM, hand function, and quality of life (QoL).
RESULTS
Eight studies were included in this review among 18.326 reference titles founded and screened. All of the studies had various sample sizes followed by bias analysis with CEBM tools. Rehabilitation for elbow fracture was dynamic fixation using rigid tape and proprioceptive neuromuscular facilitation stretching. Rehabilitation for distal radius fracture was scapular exercise, graded motor imagery, hot pack on hand volume, illusory kinesthesia, and wrist exercise. These interventions can reduce the pain, improve strength, range of motion, hand function and quality of life in upper extremity fracture patients.
CONCLUSIONS
Exercise and physical modality rehabilitation intervention have proven to reduce pain, improve strength, range of motion, hand function and quality of life in upper extremity fracture patients.
Keywords
Article Details

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References
- Morgan EF, deGiacomo A, Gerstenfeld LC. Overview of skeletal repair (fracture healing and its assessment). Methods Mol Biol 2014;1130:13-31.
- Burge R, Dawson-Hughes B, Solomon DH, et al. Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025. J Bone Miner Res 2007;22(3):465-75.
- Kraus R, Wessel L. The treatment of upper limb fractures in children and adolescents. Deutsches Ärzteblatt International 2010;107(51-52):903-10.
- Meena S, Sharma P, Sambharia AK, et al. Fractures of distal radius: an overview. J Family Med Prim Care 2014;3(4):325-32.
- Fallatah S, DervinGF, Brunet JA, et al. Functional outcome after proximal humeral fractures treated with hemiarthroplasty. Can J Surg 2008;51(5):361-5.
- Mills JA, Marks E, Reynolds T, et al. Rehabilitation: essential along the continuum of care. Md Med 2017;4(4):28.
- Latham NK, Harris BA, Bean JF, et al. Effect of a home-based exercise program on functional recovery following rehabilitation after hip fracture: a randomized clinical trial. JAMA 2014;311(7):700-8.
- AIHW Australian Institute of Health and Welfare. Arthritis and osteoporosis in Australia 2008. Arthritis and Osteoporosis in Australia 2008 [Internet]. 2008 https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/arthritis-osteoporosis-australia-2008/contents/table-of-contents
- Bruder AM, Taylor NF, Dodd KJ, et al. Physiotherapy intervention practice patterns used in rehabilitation after distal radial fracture. Physiotherapy 201399(3):233-40.
- Michlovitz SL, LaStayo PC, Alzner S, et al. Distal radius fractures: therapy practice patterns. J Hand Ther 2001;14(4):249-57.
- Mitsukane M, Sekiya N, Himei S, et al. Immediate effects of repetitive wrist extension on grip strength in patients with distal radial fracture. Arch Phys Med Rehabil 2015;96(5):862-8.
- Du S, Wei L, He B, et al. Dynamic fixation using rigid tape in rehabilitation after surgery of terrible triad injury of the elbow: a randomized trial. J Back Musculoskelet Rehabil 2021;34(6):957-64.
- Hays PL, Rozental TD. Rehabilitative strategies following hand fractures. Hand Clin 2013;29(4):585-600.
- Birinci T, Ozdincler AR, Altun S, et al. A structured exercise programme combined with proprioceptive neuromuscular facilitation stretching or static stretching in posttraumatic stiffness of the elbow: a randomized controlled trial. Clin Rehabil 2019;33(2):241-52.
- Gutiérrez-Espinoza H, Araya-Quintanilla F, Gutiérrez-Monclus R, et al. The effectiveness of adding a scapular exercise programme to physical therapy treatment in patients with distal radius fracture treated conservatively: a randomized controlled trial. Clin Rehabil 2019;33(12):1931-9.
- Dilek B, Ayhan C, Yagci G, et al. Effectiveness of the graded motor imagery to improve hand function in patients with distal radius fracture: a randomized controlled trial. J Hand Ther 2018;31(1):2-9.e1.
- Szekeres M, MacDermidJC, Birmingham T, et al. The effect of therapeutic whirlpool and hot packs on hand volume during rehabilitation after distal radius fracture: a blinded randomized controlled trial. Hand (NY) 2017;12(3):265-71.
- Imai R, Osumi M, Ishigaki T, Morioka S. Effect of illusory kinesthesia on hand function in patients with distal radius fractures: a quasi-randomized controlled study. Clin Rehabil 2017;31(5):696-701.
- Pishkhani MK, Dalvandi A, Ebadi A, et al. Factors affecting adherence to rehabilitation in Iranian stroke patients: a qualitative study. J Vasc Nurs 2019;37(4):264-71.
- NovikovaLB, Akopyan AP, Sharapova KM. Factors affecting the effectiveness of rehabilitation in patients in the acute period of cerebral stroke. Voprosy Kurortologii, Fizioterapii, i Lechebnoi Fizicheskoi Kultury 2020;97(2):5-11.
References
Morgan EF, deGiacomo A, Gerstenfeld LC. Overview of skeletal repair (fracture healing and its assessment). Methods Mol Biol 2014;1130:13-31.
Burge R, Dawson-Hughes B, Solomon DH, et al. Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025. J Bone Miner Res 2007;22(3):465-75.
Kraus R, Wessel L. The treatment of upper limb fractures in children and adolescents. Deutsches Ärzteblatt International 2010;107(51-52):903-10.
Meena S, Sharma P, Sambharia AK, et al. Fractures of distal radius: an overview. J Family Med Prim Care 2014;3(4):325-32.
Fallatah S, DervinGF, Brunet JA, et al. Functional outcome after proximal humeral fractures treated with hemiarthroplasty. Can J Surg 2008;51(5):361-5.
Mills JA, Marks E, Reynolds T, et al. Rehabilitation: essential along the continuum of care. Md Med 2017;4(4):28.
Latham NK, Harris BA, Bean JF, et al. Effect of a home-based exercise program on functional recovery following rehabilitation after hip fracture: a randomized clinical trial. JAMA 2014;311(7):700-8.
AIHW Australian Institute of Health and Welfare. Arthritis and osteoporosis in Australia 2008. Arthritis and Osteoporosis in Australia 2008 [Internet]. 2008 https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/arthritis-osteoporosis-australia-2008/contents/table-of-contents
Bruder AM, Taylor NF, Dodd KJ, et al. Physiotherapy intervention practice patterns used in rehabilitation after distal radial fracture. Physiotherapy 201399(3):233-40.
Michlovitz SL, LaStayo PC, Alzner S, et al. Distal radius fractures: therapy practice patterns. J Hand Ther 2001;14(4):249-57.
Mitsukane M, Sekiya N, Himei S, et al. Immediate effects of repetitive wrist extension on grip strength in patients with distal radial fracture. Arch Phys Med Rehabil 2015;96(5):862-8.
Du S, Wei L, He B, et al. Dynamic fixation using rigid tape in rehabilitation after surgery of terrible triad injury of the elbow: a randomized trial. J Back Musculoskelet Rehabil 2021;34(6):957-64.
Hays PL, Rozental TD. Rehabilitative strategies following hand fractures. Hand Clin 2013;29(4):585-600.
Birinci T, Ozdincler AR, Altun S, et al. A structured exercise programme combined with proprioceptive neuromuscular facilitation stretching or static stretching in posttraumatic stiffness of the elbow: a randomized controlled trial. Clin Rehabil 2019;33(2):241-52.
Gutiérrez-Espinoza H, Araya-Quintanilla F, Gutiérrez-Monclus R, et al. The effectiveness of adding a scapular exercise programme to physical therapy treatment in patients with distal radius fracture treated conservatively: a randomized controlled trial. Clin Rehabil 2019;33(12):1931-9.
Dilek B, Ayhan C, Yagci G, et al. Effectiveness of the graded motor imagery to improve hand function in patients with distal radius fracture: a randomized controlled trial. J Hand Ther 2018;31(1):2-9.e1.
Szekeres M, MacDermidJC, Birmingham T, et al. The effect of therapeutic whirlpool and hot packs on hand volume during rehabilitation after distal radius fracture: a blinded randomized controlled trial. Hand (NY) 2017;12(3):265-71.
Imai R, Osumi M, Ishigaki T, Morioka S. Effect of illusory kinesthesia on hand function in patients with distal radius fractures: a quasi-randomized controlled study. Clin Rehabil 2017;31(5):696-701.
Pishkhani MK, Dalvandi A, Ebadi A, et al. Factors affecting adherence to rehabilitation in Iranian stroke patients: a qualitative study. J Vasc Nurs 2019;37(4):264-71.
NovikovaLB, Akopyan AP, Sharapova KM. Factors affecting the effectiveness of rehabilitation in patients in the acute period of cerebral stroke. Voprosy Kurortologii, Fizioterapii, i Lechebnoi Fizicheskoi Kultury 2020;97(2):5-11.