Monitoring daily shoulder activity before and after reverse total shoulder arthroplasty using inertial measurement units
The purpose of this study was to use at-home, portable, continuous monitoring technologies to record arm motion and activity preoperatively and postoperatively after reverse total shoulder arthroplasty (RTSA). Thirty-three patients indicated for RTSA were monitored preoperatively and 3 and 12 months...
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| Vydané v: | Journal of shoulder and elbow surgery Ročník 30; číslo 5; s. 1078 - 1087 |
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| Hlavní autori: | , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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United States
Elsevier Inc
01.05.2021
Mosby |
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| ISSN: | 1058-2746, 1532-6500, 1532-6500 |
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| Abstract | The purpose of this study was to use at-home, portable, continuous monitoring technologies to record arm motion and activity preoperatively and postoperatively after reverse total shoulder arthroplasty (RTSA).
Thirty-three patients indicated for RTSA were monitored preoperatively and 3 and 12 months postoperatively. Inertial measurement units were placed on the sternum and upper arm of the operative limb, recording humeral motion relative to the torso for the duration of a waking day. Elevation events per hour (EE/h) > 90°, time spent at >90°, and activity intensity were calculated and compared between time points. Patient-reported outcome measures were also collected at all time points.
At 3 (P = .040) and 12 (P = .010) months after RTSA, patients demonstrated a significantly greater number of EE/h > 90° compared with preoperatively. There were no significant differences (P ≥ .242) in the amount of time spent at different elevation angles at any time point or in arm activity intensity. Overall, 95% of the day was spent at elevation angles < 60°, and 90% of the day was spent in a low- or moderate-intensity state. Pearson correlations demonstrated relationships between forward elevation and the number of EE/h (r = 0.395, P = .001) and the number of EE/h > 90° (r = 0.493, P < .001).
After RTSA, patients significantly increase the frequency of arm elevation to higher angles. However, we found no differences in the amount of time spent at different elevation angles. Overall, after RTSA, >95% of the day was spent at elevation angles < 60° and <1% of the day was spent at >90° of elevation. |
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| AbstractList | The purpose of this study was to use at-home, portable, continuous monitoring technologies to record arm motion and activity preoperatively and postoperatively after reverse total shoulder arthroplasty (RTSA).BACKGROUNDThe purpose of this study was to use at-home, portable, continuous monitoring technologies to record arm motion and activity preoperatively and postoperatively after reverse total shoulder arthroplasty (RTSA).Thirty-three patients indicated for RTSA were monitored preoperatively and 3 and 12 months postoperatively. Inertial measurement units were placed on the sternum and upper arm of the operative limb, recording humeral motion relative to the torso for the duration of a waking day. Elevation events per hour (EE/h) > 90°, time spent at >90°, and activity intensity were calculated and compared between time points. Patient-reported outcome measures were also collected at all time points.METHODSThirty-three patients indicated for RTSA were monitored preoperatively and 3 and 12 months postoperatively. Inertial measurement units were placed on the sternum and upper arm of the operative limb, recording humeral motion relative to the torso for the duration of a waking day. Elevation events per hour (EE/h) > 90°, time spent at >90°, and activity intensity were calculated and compared between time points. Patient-reported outcome measures were also collected at all time points.At 3 (P = .040) and 12 (P = .010) months after RTSA, patients demonstrated a significantly greater number of EE/h > 90° compared with preoperatively. There were no significant differences (P ≥ .242) in the amount of time spent at different elevation angles at any time point or in arm activity intensity. Overall, 95% of the day was spent at elevation angles < 60°, and 90% of the day was spent in a low- or moderate-intensity state. Pearson correlations demonstrated relationships between forward elevation and the number of EE/h (r = 0.395, P = .001) and the number of EE/h > 90° (r = 0.493, P < .001).RESULTSAt 3 (P = .040) and 12 (P = .010) months after RTSA, patients demonstrated a significantly greater number of EE/h > 90° compared with preoperatively. There were no significant differences (P ≥ .242) in the amount of time spent at different elevation angles at any time point or in arm activity intensity. Overall, 95% of the day was spent at elevation angles < 60°, and 90% of the day was spent in a low- or moderate-intensity state. Pearson correlations demonstrated relationships between forward elevation and the number of EE/h (r = 0.395, P = .001) and the number of EE/h > 90° (r = 0.493, P < .001).After RTSA, patients significantly increase the frequency of arm elevation to higher angles. However, we found no differences in the amount of time spent at different elevation angles. Overall, after RTSA, >95% of the day was spent at elevation angles < 60° and <1% of the day was spent at >90° of elevation.CONCLUSIONAfter RTSA, patients significantly increase the frequency of arm elevation to higher angles. However, we found no differences in the amount of time spent at different elevation angles. Overall, after RTSA, >95% of the day was spent at elevation angles < 60° and <1% of the day was spent at >90° of elevation. The purpose of this study was to use at-home, portable, continuous monitoring technologies to record arm motion and activity preoperatively and postoperatively after reverse total shoulder arthroplasty (RTSA). Thirty-three patients indicated for RTSA were monitored preoperatively and 3 and 12 months postoperatively. Inertial measurement units were placed on the sternum and upper arm of the operative limb, recording humeral motion relative to the torso for the duration of a waking day. Elevation events per hour (EE/h) > 90°, time spent at >90°, and activity intensity were calculated and compared between time points. Patient-reported outcome measures were also collected at all time points. At 3 (P = .040) and 12 (P = .010) months after RTSA, patients demonstrated a significantly greater number of EE/h > 90° compared with preoperatively. There were no significant differences (P ≥ .242) in the amount of time spent at different elevation angles at any time point or in arm activity intensity. Overall, 95% of the day was spent at elevation angles < 60°, and 90% of the day was spent in a low- or moderate-intensity state. Pearson correlations demonstrated relationships between forward elevation and the number of EE/h (r = 0.395, P = .001) and the number of EE/h > 90° (r = 0.493, P < .001). After RTSA, patients significantly increase the frequency of arm elevation to higher angles. However, we found no differences in the amount of time spent at different elevation angles. Overall, after RTSA, >95% of the day was spent at elevation angles < 60° and <1% of the day was spent at >90° of elevation. |
| Author | Athwal, George S. Teeter, Matthew G. Bloomfield, Riley A. Van de Kleut, Madeleine L. |
| Author_xml | – sequence: 1 givenname: Madeleine L. surname: Van de Kleut fullname: Van de Kleut, Madeleine L. organization: Imaging Research Laboratories, Robarts Research Institute, London, ON, Canada – sequence: 2 givenname: Riley A. surname: Bloomfield fullname: Bloomfield, Riley A. organization: Imaging Research Laboratories, Robarts Research Institute, London, ON, Canada – sequence: 3 givenname: Matthew G. surname: Teeter fullname: Teeter, Matthew G. organization: Imaging Research Laboratories, Robarts Research Institute, London, ON, Canada – sequence: 4 givenname: George S. surname: Athwal fullname: Athwal, George S. email: gathwal@uwo.ca organization: Lawson Health Research Institute, London, ON, Canada |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32771607$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_jbiomech_2025_112589 crossref_primary_10_1016_j_rcot_2023_07_008 crossref_primary_10_1016_j_jse_2022_08_020 crossref_primary_10_3390_jcm13206038 crossref_primary_10_3390_jcm14186401 crossref_primary_10_3390_bioengineering10020128 crossref_primary_10_1186_s12984_023_01274_w |
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| Keywords | Treatment Study inertial measurement unit shoulder arthritis Level IV clinical outcomes motion tracking Case Series wearable sensors cuff tear arthropathy upper extremity Reverse shoulder arthroplasty |
| Language | English |
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| SubjectTerms | clinical outcomes cuff tear arthropathy inertial measurement unit motion tracking Reverse shoulder arthroplasty shoulder arthritis upper extremity wearable sensors |
| Title | Monitoring daily shoulder activity before and after reverse total shoulder arthroplasty using inertial measurement units |
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