Physiotherapy post elbow fracture

Abstract

Introduction: The elbow joint plays a significant role in upper extremity function. Limited elbow function may prevent the ability to perform daily life activities, physical exercise as well as impairing workability. A number of different treatment measures for rehabilitation after elbow fractures has been described in the literature, but the effects of the various measures is not known. The current paper aims to identify recommendations for rehabilitation after elbow fractures with an evidence-based practice model. Main section: This article is based on current studies on patients with elbow fractures and relevant knowledge-based medical encyclopaedias on the subject. In particular, early mobilisation is a recurring treatment measure both postoperatively and after the immobilisation period. Apart from motion exercise, the effect of immobilisation and other mentioned treatment measures on elbow function is assessed, as well as the duration and extent of the rehabilitation period. End section: The review of the literature gives no clear recommendations for rehabilitation after elbow fracture. Some recommendations seem to have a strong empirical base and the lack of knowledge is evident on several areas. In spite of this, the value of the various treatment measures should not be depreciated. Early mobilisation can be recommended both postoperatively and after the immobilisation period. Immobilisation following a fracture may not have a negative effect on joint motion and elbow function following a fracture. Individually adapted treatment is recommended and should be adapted to the patient's progression. Most elbow fractures regain their range of motion within three months, while complex injuries require longer and more extensive rehabilitation. There is a need for high quality research on rehabilitation for elbow patients.

Keywords

• elbow
• physical therapy
• immobilisation
• range of motion exercise
• rehabilitation
• clinical procedure