Fracture Humerus Clinical Trial
Official title:
The Effect of Controlled Feedback on the Rehabilitation of Individuals With Disability Due to Stiff Shoulder Following Trauma
This study will compare the effect of manipulated vs. non-manipulated feedback during the rehabilitation of individuals with disability due to stiff shoulder following multiple trauma. This will be accomplished using the state-of-the-art real-time motion capture technology.
In this intervention, comparative study, 30 individuals with stiff shoulder following
fracture to the proximal humerus (4 weeks to 6 months following the injury) will be treated
at the Gait and Motion Laboratory at the Hadassah Medical Center in Jerusalem. Each subject
will undergo a 12-session treatment (2-3 times a week, 30 minutes per session). In each
session, reflective markers will be placed on the upper or lower body of the patient. Ten
fast infra-red cameras will detect the movement of the patient and provide real-time feedback
when obtaining a correct movement pattern, as instructed by the therapist, pretrial. The
motion capture system will provide visual and auditory feedback of success, via a large
screen, located on the wall. This could be manipulated so that the feedback is provided for a
slightly higher range than instructed by the therapist.
The subjects will be randomly divided into two groups. One group will receive the
non-manipulated feedback treatment for 6 sessions and then the manipulated feedback treatment
for the remaining 6 sessions and vice versa for the second group. The shoulder passive and
active range of motions, pain and activity levels will be tested 3 times: at baseline,
following 6 and 12 sessions. A satisfactory questionnaire will be filled out by each patient
twice, following 6 and 12 sessions.
The study will test for no differences in the overall progress of the patients during the
12-session rehabilitation period. The study will further test for differences in all outcome
measures between the manipulated and non-manipulated treatment sessions.
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