ObjectiveTo investigate the effectiveness, risk of recurrence and return to activity (RTA) of surgery combined with exercise-based interventions (EBI) versus EBI alone after traumatic anterior shoulder dislocation (ASD).DesignSystematic review and meta-analysis.Data sourcesSystematic literature search (MEDLINE, Web of Science, Scopus, Google Scholar).EligibilityStudies focused on EBI or EBI as a part of postoperative care for adults with an ASD, written in English, and published after 1990. We excluded diagnostic, assessment-based studies on individuals experiencing recurrent shoulder dislocations, concomitant shoulder injury, animal or cadaveric studies. Primary outcomes were dislocation RTA. Secondary outcomes were self-reported outcome measures, strength and range of motion. Random-effects meta-analysis was used to estimate the effect of EBI (SMD; Hedges’ g, RR). The Grading of Recommendations Assessment, Development and Evaluation approach was used to assess the certainty of evidence.ResultsSixty studies were included (n=3598); seven were meta-analysed (n=345). The mean age of participants in the included studies was 26.71±9.19 and 56% of those included were male. Of the 60 studies included in the systematic review, 29 were fair quality (48.3%), 15 studies were good quality (25%) and 16 studies were poor quality (26.7%), (k=0.66). Individuals who underwent EBI alone were 2.03 times more likely to experience recurrent instability than individuals who underwent EBI in conjunction with surgery (RR 2.03, 95% CI 1.03 to 3.97). Individuals who underwent EBI with surgery appeared 1.81 times more likely to RTA than those who underwent EBI alone, although results were not statistically significant (RR 1.81, 95% CI 0.96 to 3.43).ConclusionsSurgery combined with EBI is more effective in reducing the risk of recurrence and possibly increasing RTA than EBI alone after traumatic ASD.

Racquet sports have gained increasing popularity in Asia. In the current study performed on 25 district level male badminton players aging between 18-25 years assessment of GIRD/GERG ratio, strength of internal, external rotators and of upper extremity stability was done on the dominant and non-dominant side. On statistical analysis using paired t-test.The internal and external rotators were stronger on dominant side when compared to the non-dominant side. The internal rotators were stronger than the external rotators on both dominant and non-dominant side. The external rotation range of motion was more than the internal range of motion on the dominant and non-dominant side. GIRD/GERG ratio was significant in badminton players (p>0.0001). Correlational statistics using Spearman's test showed that the strength of the dominant side external rotators correlated with the CKCUEST.The strength of the non-dominant side external rotators, both side internal rotators and GIRD/GERG ratio did not have any significant correlation with the CKCUEST.

Aim: To find theeffect of music on vital parameters, Rate of Perceived Exertion and six-minute walk distance in normal healthy individuals. Method: The study was performed on 60 normal healthy individuals (18-25 years). 30 individuals performed six minute walk test with music on the first day and without music on the second day while, 30 individuals performed without music on the first day and with music on the second day. The vital parameters, Rate of Perceived Exertion were recorded pre and post the test (with and without music), six-minute walk distance was recorded. Results: On statistical analysis with unpaired t-test for parametric data and Mann Whitney U test for non-parametric data, there was no significant effect on the blood pressure (p=0.91systolic blood pressure, p=0.93 diastolic blood pressure), heart rate (p=0.87), RPE (p=0.85), respiratory rate (p=0.43) or the six minute walk distance (p=0.12).Conclusion: Music had no significant effect on the walking performance of the studied population. .

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