The Proximal Humerus Fracture Rehab Protocol Guide
The Proximal Humerus Fracture Rehab Protocol Guide A proximal humerus fracture, occurring near the shoulder joint, is a common injury, especially among older adults with osteoporosis. Effective rehabilitation is crucial to restore shoulder function, improve mobility, and prevent long-term disability. The rehab protocol for proximal humerus fractures is typically divided into phases, each tailored to promote healing while gradually increasing activity levels and strength.
Initially, the focus is on pain control and immobilization. Patients are often placed in a sling to stabilize the fracture and minimize discomfort. During this stage, which usually lasts for the first one to three weeks post-injury or surgery, the primary goal is to reduce swelling, facilitate tissue healing, and prevent stiffness. Patients are encouraged to perform gentle passive movements within a pain-free range, often guided by a physical therapist, to maintain joint mobility without disrupting the healing process. Light hand and finger exercises are also promoted to prevent stiffness and promote circulation. The Proximal Humerus Fracture Rehab Protocol Guide
The Proximal Humerus Fracture Rehab Protocol Guide As healing progresses, typically between weeks three and six, the focus shifts toward active-assisted and active range of motion (ROM) exercises. Patients begin to move the shoulder more independently, gradually increasing the movement within safe limits. This phase aims to restore joint mobility, prevent adhesions, and reduce stiffness. Safe, controlled exercises such as pendulum swings, assisted shoulder flexion and abduction, and scapular stabilization exercises are introduced. Strengthening exercises are generally avoided until there is sufficient evidence of fracture stability and healing, as determined by imaging and clinical assessment.
By around six to twelve weeks, provided the fracture shows signs of consolidation and healing, the rehabilitation program advances to include more active strengthening exercises. These exercises target the rotator cuff, deltoid, and scapular stabilizers to restore muscular support around the shoulder. Resistance bands, light weights, and proprioception exercises are incorporated progressively. The goal is to regain functional strength, improve shoulder stability, and facilitate return to daily activities. The Proximal Humerus Fracture Rehab Protocol Guide
Throughout the rehab process, it is essential to maintain close communication with healthcare providers. Regular imaging may be required to monitor healing, and any signs of pain, swelling, or abnormal movement should prompt reassessment. Overly aggressive exercises or premature loading can jeopardize healing, so a cautious, patient approach is vital. The Proximal Humerus Fracture Rehab Protocol Guide
Full recovery from a proximal humerus fracture can take several months. Patient adherence to the prescribed protocol, combined with proper medical supervision, significantly influences outcomes. Patience and gradual progression are key to avoiding setbacks and achieving optimal shoulder function.
The Proximal Humerus Fracture Rehab Protocol Guide In summary, the rehab protocol for proximal humerus fractures involves staged progression from immobilization and passive motion to active exercises and strengthening. Tailored rehabilitation plans, respecting individual healing timelines, are essential for successful recovery and returning to daily life.
