Study On Functional Rehabilitation Of Proximal Humerus Two-Part Fractures After Operation Under The Guidance Of "Static And Dynamic Balance" Theory

Objective:Based on the active-passive functional rehabilitation exercise under the guidance of traditional Chinese medicine "dynamic and static balance" theory after proximal two-part fracture of the humerus and the active functional rehabilitation exercise under the principle of painlessness,the differences between the two programs were compared,and the two postoperative functional rehabilitation exercise programs were observed.Differences in clinical efficacy and discuss the guiding significance and clinical application value of "dynamic and static balance" theory for early postoperative functional rehabilitation.Methods:A total of 68 patients with two-part proximal humerus fractures who were admitted to the Department of Orthopedics,Affiliated Hospital of Shandong University of Traditional Chinese Medicine and met the inclusion criteria from June 2019 to September 2020 were randomly divided into two groups:the treatment group and the control group,with 34 cases in each group.Preoperative evaluation of variables,exclusion of interference factors,and selection of appropriate surgical timing.Both groups were treated with Proximal Humeral Locking System(PHLOS)internal fixation.The postoperative treatment group underwent early active-passive rehabilitation exercise under the guidance of physicians using the theory of "dynamic and static balance";the control group underwent active functional rehabilitation exercise under the principle of painless.The perioperative variables of the two groups of patients were evaluated,and the Constant-Murley shoulder joint score and visual analog scale(VAS)were used to evaluate and analyze the preoperative conditions of the two groups of patients and the clinical treatment effect at 1 month,2 months,and 3 months after the operation.Results:There was no significant difference in preoperative condition and perioperative variables between the two groups(P>0.05).Compared with before operation,the VAS scores of both groups decreased significantly,and the Constant-Murley shoulder joint scores increased significantly with the prolongation of postoperative rehabilitation exercise time in both groups(P<0.05).During the 3-month follow-up,the Constant-Murley shoulder joint score and VAS score in the treatment group were higher than those in the control group,and the difference was statistically significant(P<0.05).At the last follow-up,the Constant-Murley score and the excellent and good rate of Constant-Murley score in the treatment group(85.29%)were significantly higher than those in the control group(41.18%),and the treatment group showed an advantage in postoperative functional recovery,and the difference was statistically significant(P <0.05).Conclusion:Under the guidance of the theory of "dynamic and static balance" in traditional Chinese medicine,early rehabilitation exercise after proximal humerus fracture is a safe,effective and feasible rehabilitation method.It is of great significance to reduce the consumption of medical resources and provide new ideas for the treatment of clinical orthopaedic and traumatic diseases.