Enhanced rehabilitation guidance after arthroscopic capsulolabral repair of the shoulder: a randomized controlled trial

To compare the effects of a 12-month home-based exercise program to usual care in patients after arthroscopic capsulolabral repair of the shoulder. Randomized controlled trial. Outpatient physical and rehabilitation medicine clinic. Forty-five patients (mean age: 35 years; standard deviation (SD): 1...

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Veröffentlicht in:Clinical rehabilitation Jg. 34; H. 7; S. 890
Hauptverfasser: Multanen, Juhani, Kiuru, Pauli, Piitulainen, Kirsi, Ylinen, Jari, Paloneva, Juha, Häkkinen, Arja
Format: Journal Article
Sprache:Englisch
Veröffentlicht: England 01.07.2020
Schlagworte:
Adult
Arthroscopy - rehabilitation
Exercise Therapy - methods
Female
Humans
Joint Instability - rehabilitation
Joint Instability - surgery
Male
Middle Aged
Quality of Life
Range of Motion, Articular
Shoulder Joint - surgery
Treatment Outcome
Young Adult
shoulder exercise
American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form
shoulder instability
Shoulder operation
long-term follow-up
ISSN:1477-0873, 1477-0873
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Zusammenfassung:To compare the effects of a 12-month home-based exercise program to usual care in patients after arthroscopic capsulolabral repair of the shoulder. Randomized controlled trial. Outpatient physical and rehabilitation medicine clinic. Forty-five patients (mean age: 35 years; standard deviation (SD): 10 years) who underwent arthroscopic capsulolabral repair due to labral lesion were randomized into an exercise group (EG) or a control group (CG). The EG received a 12-month home-based additional exercise program with four physiotherapy follow-up visits, while the CG received standard postoperative exercise instructions. Self-reported shoulder disability was assessed with the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) and quality of life with the Short-Form (SF)-36 Health Survey. The function of the operated shoulder was evaluated with strength and range of motion measurements. No between-group differences were observed in any of the outcomes at the follow-up. Mean ASES score improved by 16 (95% confidence interval (CI): 10-23) points from the baseline 78 (SD: 17) in the EG and 13 (95% CI: 7-19) points from the baseline 79 (SD: 17) in the CG. Both groups achieved a significant improvement in the dimensions of Physical Functioning, Role-Physical, and Bodily Pain of the SF-36 and in every aspect of strength and range of motion measures. In EG, exercise adherence was moderate (52%) during the first six months and poor (22%) during the last six months. Home-based additional exercises with four outpatient follow-up visits did not improve outcome after arthroscopic capsular repair of the shoulder.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:1477-0873
1477-0873
DOI:10.1177/0269215520919472