Sternoclavicular Joint Mobilization In The Treatment Of Proximal Humeral Fracture Of Shoulder Joint Dysfunction In Patients With Clinical Studies

Objective to study on the basis of conventional treatment with sternoclavicular joint mobilization of proximal humeral fractures postoperative rehabilitation efficacy of shoulder joint dysfunction.Methods 40 cases of postoperative patients of proximal humeral fractures,according to random number table method divided the patients into observation group and control group(n =20).Control group using conventional rehabilitation treatment,including:joint mobilization,ultrasonic therapy,Chinese medicine fumigation,interfere with the electrical treatment,observation group on the basis of routine rehabilitation treatment increase the sternoclavicular joint mobilization.Before and 4 weeks and 8 weeks after treatment with Constant-Murley shoulder joint function assessment scale(CMS),visual analog score(VAS)and to evaluate the range of shoulder joint activity and shoulder joint function in patients.Results(1)after treatment of 4 weeks and 8 weeks,CMS score than before treatment in both groups were significantly increased(P<0.05).4 weeks after treatment,the observation group(12.95±2.8)in daily activities and joint range(17.40±3.32mm)score is significantly higher than control group(P<0.05).8 weeks after treatment,the observation group,except pain score(14.70±3.79),in daily activities,joint range(22.10±4.38)and strength test(15.3±2.94)score were significantly higher than that of control group(P<0.05).(2)8 weeks after treatment,two groups of patients before treatment on the shoulder joint activity and VAS score were significantly increased(P<0.05).4 weeks after treatment,two groups' patients with shoulder joint proneness(108.2±26.28)°,outreach(78.35±19.49)°and VAS(3.55±0.14)score no significant changes from the previous(P>0.05).After 8 weeks treatment,the observation group of shoulder joint flexion(127.75±25.30)°,outreach(95.50-16.93)°and VAS(2.05±0.15)score significantly higher than the control group(P<0.05).Conclusion on the basis of conventional rehabilitation treatment increases the sternoclavicular joint mobilization can effectively improve the range of shoulder joint activities and the function of shoulder joint movement.