Physiotherapy management of proximal humerus fracture –

| Advanced Physiotherapy
Physiotherapy management of proximal humerus fracture –

Physiotherapy plays a crucial role in the comprehensive management of proximal humerus fractures.


  1. Immobilization Phase:


  • Initially, focus on pain management and swelling reduction.
  • Immobilize the affected arm using a sling to provide support and prevent further injury.


  1. Early Mobilization :


  • Begin gentle range of motion exercises for the elbow, wrist, and fingers to prevent stiffness.
  • Gradual pendulum exercises can be initiated to encourage joint movement without putting excessive strain on the fracture site.


  1. Active Range of Motion (ROM) Exercises:


  • As pain allows, progress to active assisted and active range of motion exercises for the shoulder joint.
  • Pendulum exercises and wall climbing exercises can be beneficial.


  1. Strengthening Exercises:


  • Initiate isometric exercises for the shoulder muscles to prevent muscle atrophy.
  • Gradually progress to resistive exercises using resistance bands or light weights as tolerated.


  1. Functional Activities:


  • Incorporate functional tasks into rehabilitation, focusing on activities of daily living (ADLs).
  • Gradually reintroduce activities that involve reaching and lifting, ensuring proper biomechanics.


  1. Proprioception and Balance Training:


  • Include exercises to improve proprioception and balance, which are crucial for shoulder stability.
  • Proprioceptive exercises, such as weight shifts and perturbation training, can be beneficial.


  1. Scapular Stabilization Exercises:


  • Emphasize exercises targeting scapular stability to optimize shoulder mechanics.
  • Include scapular retraction and protraction exercises.


  1. Cardiovascular Fitness:


  • Integrate cardiovascular exercises that do not strain the healing fracture but maintain overall fitness.


  1. Progressive Resistance Training:


  • Gradually introduce progressive resistance training as the fracture heals and pain diminishes.
  • Focus on strengthening the rotator cuff muscles and the deltoids.


  1. Patient Education:


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