Journal Article

Does interferential current provide additional benefit to orthopedic rehabilitation for the patients with proximal humeral fractures? A randomized controlled study

Duran, Emine, Küçük, Levent, Kadı, Mehmet Resul, Atamaz, Funda Çalış, Durmaz, Berrin

2024

Overview

Background Approximately 80% of all proximal humeral fractures (PHFs) are non-displaced or minimally displaced fractures, which can be treated with conservative treatment. This study investigated the effect of interferential current (IFC) added to orthopedic rehabilitation on shoulder function, pain, and disability in patients with PHF. Methods This study was a prospective, double-blind, randomized, placebo-controlled conducted in physical medicine and rehabilitation outpatient clinic. Thirty-five patients were randomly separated into the IFC group ( n  = 18) and the sham group ( n  = 17). The orthopedic rehabilitation program was applied to all patients by the same physiotherapist three times a week for four weeks. Patients in the IFC group received the intervention for 20 minutes 3 times a week before the exercise. The same pads were performed for the sham group, but no electrical stimulation was applied. Constant-Murley score (CMS) for shoulder function, visual analog scale (VAS) activity pain, disabilities of the arm, shoulder, and hand (DASH) score, and paracetamol intake were recorded post-treatment, at 6 weeks and 18 weeks post-treatment. Results The demographic and fracture characteristics were not different between the groups. Significant differences were observed in the IFC and sham group in intragroup comparisons of total CMS, VAS activity pain, DASH score, and paracetamol intake over time ( p  < 0.001). Significant improvement over time was valid for all pairwise comparisons in both groups. However, no significant differences were detected between the IFC and sham group. Conclusion IFC added to orthopedic rehabilitation could not appear to be an electrotherapy modality that could potentially benefit shoulder function and disability in patients with PHF.

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Analgesics / Arm / Care and treatment / Causes of / Diagnosis / Electrical stimuli / Epidemiology / Fractures / Humeral fractures / Humerus / Injuries / Interferential current therapy / Internal Medicine / Medicine / Medicine & Public Health / Musculoskeletal rehabilitation and physiotherapy / Orthopedic surgery / Orthopedics / Osteoporosis / Outpatient care facilities / Pain / Paracetamol / Patient outcomes / Patients / Questionnaires / Range of motion / Rehabilitation / Rheumatology / Risk factors / Shoulder / Shoulder pain / Sports Medicine / Visual perception