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Effect of desensitization methods during the early mobilization phase in post-fracture conditions of upper extremity
Shah PS, Shinde SB
Asian Journal of Pharmaceutical and Clinical Research 2018 Jul;11(7):93-96
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVES: The objectives of the present study were to determine the effect of desensitization methods during early phase of mobilization in post-fracture conditions of upper extremity and to compare the effects of conventional physiotherapy methods and desensitization methods. METHODS: A total of 30 subjects having fractures of upper extremity were assigned into two groups. Subjects included in group A received conventional treatment (hot moist fomentation, mobilization, free exercises, resisted exercises, and strength training exercises). Group B received desensitization methods. The pre-and post-assessment is taken using visual analog scale, range of motion (ROM), manual muscle testing, and disabilities of the arm, shoulder and hand. RESULT: Desensitization showed significant improvement in ROM for elbow flexion (p = 0.0427) (t = 2.124) and in strength for shoulder flexion (p = 0.0246) (t = 2.376), shoulder extension (p = 0.0246) (t = 2.376), shoulder abduction (p = 0.0246) (t = 2.376)), shoulder adduction (p = 0.0246) (t = 2.376), and elbow extension (p = 0.0472) (t = 2.075) when compared to the conventional treatment, but the conventional treatment showed overall improvement in all outcome variables. CONCLUSION: Desensitization methods showed a significant effect on reducing pain and improving functional outcome.

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