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Functionality before and after a rehabilitation program in patients with clavicle fracture
Functionality before and after a rehabilitation program in patients with clavicle fracture
José F. Espinoza-González 1 
, Arturo García-Galicia 2 , Belén Harnández-Sagastume 1 , José E. Ramírez-Vásquez 1 , José F. García-Gutiérrez 1 , Juan C. López-Bustos 1 , Nancy A. Medina-Ruiz 1 , Álvaro J. Montiel-Jarquín 3 , Susana Barrera-Hernández 2
1 Servicio de Medicina Interna, Hospital General de Zona 20 La Margarita, Órgano de Operación y Administración Descentralizada Puebla, Puebla de Zaragoza, Pue., México; 2 Dirección de Educación e Investigación en Salud, Unidad Médica de Alta Especialidad Hospital de Especialidades de Puebla, Centro Médico Nacional Gral. de Div. Manuel Ávila Camacho. Instituto Mexicano del Seguro Social, Puebla de Zaragoza, Pue., México; 3 Dirección de Educación e Investigación en Salud, Unidad Médica de Alta Especialidad Hospital de Especialidades de Puebla, Centro Médico Nacional Gral. de Div. Manuel Ávila Camacho, Instituto Mexicano del Seguro Social, Puebla de Zaragoza, México
*Correspondence: Álvaro J. Montiel-Jarquín. Email: dralmoja@hotmail.com
Abstract
Background: Patients with clavicle fractures require rehabilitation to improve their functionality, reintegrating as much as possible into their daily activities. Objective: To compare functionality before and after a rehabilitation program. Material and methods: A comparative, cause-and-effect, observational, longitudinal, homogeneous, prospective study was conducted at the Hospital General de Zona No. 20 La Margarita of the Instituto Mexicano del Seguro Social in Puebla, Mexico. The study population consisted of adult patients of both sexes who attended the Rehabilitation Service with a healed clavicle fracture. Participants were given the DASH questionnaire to measure upper limb function after providing free and voluntary consent and signing an informed consent form. The questionnaire was completed at two points in time: the first time during the initial consultation and the second time at the end of their first physical therapy cycle. The Wilcoxon signed-rank test was used for statistical analysis. Results: One hundred twelve patients were studied. Significant differences were observed in the initial DASH scale, with a minimum score of 29.16 and a maximum of 97.5 (x̄ : 62.47, DE: 14.47), compared to the final score with a minimum of 6 and a maximum of 39 (x̄ : 20.82, DE: 7.71). The comparison of initial vs. final functional results showed a p < 0.001 by Wilcoxon signed-rank test. Conclusions: A significant improvement in functionality was observed after rehabilitation, making it fundamental to the treatment.
Keywords: Rehabilitation. Physiotherapy. Functionality. Fracture. Clavicle.
