Early activation or a more protective regime after arthroscopic subacromial decompression — a description of clinical changes with two different physiotherapy treatment protocols — a prospective, randomized pilot study with a two-year follow-up

Klintberg, Ingrid Hultenheim; Gunnarsson, Ann-Christine; Styf, Jorma; Karlsson, Jón

doi:10.1177/0269215508090771

Cited by 22 publications

(6 citation statements)

References 38 publications

(47 reference statements)

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“…Noted pain reduction was similar for both groups. 12 A recent multi-centre trial concluded that a standardized physiotherapy exercise intervention results in statistically significant and clinically relevant improvement in shoulder pain and function at 12 months when compared with traditional care. 11 We have developed a telerehabilitation programme to provide outpatient rehabilitation for patients who have undergone ASD.…”

Section: Introductionmentioning

confidence: 99%

Telerehabilitation after arthroscopic subacromial decompression is effective and not inferior to standard practice: Preliminary results

et al. 2017

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Background Telerehabilitation promises to improve quality, increase patient access and reduce costs in health care. Physiotherapy with exercises is generally recommended to restore function after surgery in patients with chronic subacromial syndrome. Relatively few studies have investigated the feasibility of telerehabilitation interventions in musculoskeletal and orthopaedic disorders. The aim of this study was to evaluate the feasibility and effectiveness of a customizable telerehabilitation intervention and compare with traditional care. Methods This research includes 18 consecutive patients with subacromial impingement who underwent arthroscopic subacromial decompression in a controlled clinical prospective study. Patients were randomized to either a 12-week telerehabilitation programme or the usual face-to-face physical therapy for immediate postoperative rehabilitation. We have developed a telerehabilitation system to provide services to patients who have undergone shoulder arthroscopy. An independent blinded observer performed postoperative follow-up after 4, 8, and 12 weeks. Results The preliminary efficacy of this telerehabilitation programme in terms of both physical and functional objective outcome measures was assessed on eight patients. Using the Constant-Murley score to evaluate functional outcome, patients in the telerehabilitation group were shown to have improved from a mean 43.50 ± 3.21 points to a mean 68.50 ± 0.86 points after 12 weeks. The physical and functional improvements in the telerehabilitation group were similar to those in the control group ( p = 0.213). There was a non-significant trend for greater improvements in the telerehabilitation group for most outcome measurements. Conclusion The results of this study provide evidence for the efficacy of telerehabilitation after shoulder arthroscopy in shoulder impingement syndrome. A telerehabilitation programme with range of motion, strengthening of the rotator cuff and scapula stabilizers exercises seems to be similar and not inferior to traditional face-to-face physiotherapy after subacromial arthroscopic decompression. Through this study, we are developing our preliminary dataset to evaluate the efficacy of telerehabilitation programmes following surgical procedures in musculoskeletal injuries and for comparison with more traditional interventions.

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Section: Introductionmentioning

confidence: 99%

Telerehabilitation after arthroscopic subacromial decompression is effective and not inferior to standard practice: Preliminary results

et al. 2017

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“…One of the essential components of rehabilitation programmes for patients with shoulder impingement syndrome is therapeutic exercise, which is now considered to be an effective intervention for this condition [25][26][27][28][29][30][31][32][33][34][35]. Despite the limited evidence of the effectiveness of physical means, the results suggest that, rather than the physical means used, the most important factor in functional recovery in patients with shoulder impingement syndrome is exercise [28].…”

Section: Discussionmentioning

confidence: 99%

Use of a Portable Inertial Measurement Unit as an Evaluation Method for Supraspinatus Muscle: Proposed Normative Values

Cruz

2021

Sensors

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Treatment protocols do not specify an appropriate weight for rehabilitating the shoulder joint. The purpose of this study was to establish normative values for the shoulder abduction range of motion and recommended weights to be used in the rehabilitation process after injury to the supraspinatus muscle. Fifty-eight volunteers were assessed using the DyCare system. A test was conducted by lifting the arm to a 90° angle and having the participants lift different weights. The range of motion was similar for both sexes, suggesting that sex had no influence on this variable. Regarding the use of weights, men did not show as much stability in their movement execution, with a high dispersion seen in values between zero and three kilograms of weight, reaching a maximum weight of six kilograms. However, women showed good joint stability from the beginning of the test, with values that remained constant as weight increased up to a maximum of five kilograms. In conclusion, no major differences were observed in supraspinatus muscle injury recovery according to sex. However, differences were observed in the amount of weight that was necessary and appropriate to allow the participants to recover their muscular strength and avoid relapses.

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“…Compared to these heterogeneous animal studies, prospective studies of humans provide a good level of data. Early passive exercise does not appear to be disadvantageous [ 19 ]. Both Chan et al.…”

Section: Immobilization and Arm Positioningmentioning

confidence: 99%

Rehabilitation following rotator cuff repair

Jung

Tepohl

Tholen³

et al. 2018

Obere Extremität

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BackgroundTears and lesions of the rotator cuff are a frequent cause of shoulder pain and disability. Surgical repair of the rotator cuff is a valuable procedure to improve shoulder function and decrease pain. However, there is no consensus concerning the rehabilitation protocol following surgery.ObjectivesTo review and evaluate current rehabilitation contents and protocols after rotator cuff repair by reviewing the existing scientific literature and providing an overview of the clinical practice of selected German Society of Shoulder and Elbow Surgery e. V. (DVSE) shoulder experts.Materials and methodsA literature search for the years 2004–2014 was conducted in relevant databases and bibliographies including the Guidelines International Network, National Guidelines, PubMed, Cochrane CentralRegister of Controlled Trials, Cochrane Database of Systematic Reviews, and the Physiotherapy Evidence Database. In addition, 63 DVSE experts were contacted via online questionnaire.ResultsA total of 17 studies, four reviews and one guideline fulfilled the inclusion criteria. Based on these results and the obtained expert opinions, a four-phase rehabilitation protocol could be developed.

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Early activation or a more protective regime after arthroscopic subacromial decompression — a description of clinical changes with two different physiotherapy treatment protocols — a prospective, randomized pilot study with a two-year follow-up

Abstract: Early activation using a comprehensive, well-defined and controlled physiotherapy protocol can be used safely after arthroscopic subacromial decompression.

Cited by 22 publications

References 38 publications

Telerehabilitation after arthroscopic subacromial decompression is effective and not inferior to standard practice: Preliminary results

Telerehabilitation after arthroscopic subacromial decompression is effective and not inferior to standard practice: Preliminary results

Use of a Portable Inertial Measurement Unit as an Evaluation Method for Supraspinatus Muscle: Proposed Normative Values

Rehabilitation following rotator cuff repair

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