Effects of Preoperative Evaluation of Rotator Cuff Injuries on the Prediction of the Convalescence Period

[Purpose] The Shoulder36 (V 1. 3) is a regional questionnaire in Japan that has not been validated as a functional evaluation of the shoulder via a thorough comparison with other questionnaires (e.g., QuickDASH). The purpose of this study was to test the reliability, validity, and responsiveness of the Shoulder36 (V 1. 3). [Subjects and Methods] A series of 46 patients with upper extremity disorders completed the Shoulder36 (V 1. 3) and the QuickDASH Japanese version (QuickDASH-JSSH). The reliability of the Shoulder36 was assessed for consistency and validity. The correlation coefficients between the Shoulder36 (V 1. 3) and the QuickDASH-JSSH were obtained. [Results] The total of the Cronbach’s alpha coefficients for the Shoulder36 (V 1. 3) was 0.98. The intraclass correlation coefficients for the six domains of the Shoulder36 (V 1. 3) were similarly high, ranging from 0.81 to 0.94. The correlations between the six domains of the Shoulder36 (V 1. 3) and the three domains of the QuickDASH subscales ranged from −0.43 to −0.78. [Conclusion] The Shoulder36 (V 1. 3) was able to evaluate the relationship between activities of daily living and shoulder joint function with the same degree of accuracy but in more detail than QuickDASH-JSSH. Therefore, it should prove to be a valuable asset in physiotherapy plans and have multiple research applications.

Section: Discussionmentioning

confidence: 99%

Validation of the shoulder36 for the activities of daily living with shoulder disorders

Shimo¹,

Sakamoto²,

Amari³

et al. 2017

“…Patients with rotator cuff tears are initially treated conservatively; however, surgical intervention is employed when the initial treatment fails. Postoperative physical therapy is also administered to allow the patients to regain their range of shoulder motion 1 , 2 , 3 ) . In the study by Koo et al 4 ) , it was suggested that early passive motion after arthroscopic rotator cuff repair (ARCR) had beneficial effects on the range of motion and pain relief; similarly, in the report by Düzgün et al 6 ) , it was demonstrated that an accelerated post-ARCR rehabilitation protocol prevented the negative effects of immobilization and supported rapid reintegration into activities of daily living.…”

Section: Introductionmentioning

confidence: 99%

Analysis of scapular kinematics during active and passive arm elevation

Kai

Gotoh

Takei³

et al. 2016

[Purpose] Early postoperative passive motion exercise after arthroscopic rotator cuff repair remains controversial. To better understand this issue, this study was aimed at evaluating scapular kinematics and muscle activities during passive arm elevation in healthy subjects. [Subjects and Methods] The dominant shoulders of 27 healthy subjects were examined. Electromagnetic sensors attached to the scapula, thorax, and humerus were used to determine three-dimensional scapular kinematics during active arm elevation with or without external loads and passive arm elevation. Simultaneously, the activities of seven shoulder muscles were recorded with surface and intramuscular fine-wire electrodes. [Results] Compared with active arm elevation, passive elevation between 30° and 100° significantly decreased the scapular upward rotation and increased the glenohumeral elevation angle. However, no significant differences in scapular posterior tilt and external rotation were observed between active and passive arm elevation, and scapular plane kinematics were not affected by muscle activity. [Conclusion] Unlike active motion with or without an external load, passive arm elevation significantly decreased the scapular upward rotation and significantly increased the mid-range glenohumeral elevation. These data, which suggest that passive arm elevation should be avoided during the early postoperative period, may expand the understanding of rehabilitation after arthroscopic rotator cuff repair.

“…Recent retrospective studies have shown that patients who received no formal physical therapy or limited physical therapy regained their range of motion and demonstrated no significant restrictions at 1 year after surgery. However, no studies have yet evaluated functional outcomes and daily-living activities within the first six months following surgery 5 , 6 , 7 , 8 , 9 ) . This study evaluated short-term patient outcomes after arthroscopic rotator cuff repair multiple times at 1 week intervals using a postoperative rehabilitation protocol with early passive motion.…”

Section: Introductionmentioning

confidence: 99%

Early rehabilitation affects functional outcomes and activities of daily living after arthroscopic rotator cuff repair: a case report

Shimo¹,

Sakamoto²,

Tokiyoshi³

et al. 2016

[Purpose] The effect of early rehabilitation protocols after arthroscopic rotator cuff repair is currently unknown. We examined short-term effects of early rehabilitation on functional outcomes and activities of daily living after arthroscopic rotator cuff repair. [Subject and Methods] An 82-year-old male fell during a walk, resulting in a supraspinatus tear. Arthroscopic rotator cuff repair was performed using a single-row technique. He wore an abduction brace for 6 weeks after surgery. [Results] From day 1 after surgery, passive range of motion exercises, including forward flexion and internal and external rotation were performed twice per day. Starting at 6 weeks after surgery, active range of motion exercises and muscle strengthening exercises were introduced gradually. At 6 weeks after surgery, his active forward flexion was 150°, UCLA shoulder rating scale score was 34 points, and Quick Disabilities of the Arm, Shoulder, and Hand questionnaire disability/symptom score was 36 points. At 20 weeks after surgery, his active forward flexion was 120°, UCLA shoulder rating scale score was 34 points, and Quick Disabilities of the Arm, Shoulder, and Hand questionnaire disability/symptom score was 0 points. [Conclusion] These protocols are recommended to physical therapists during rehabilitation for arthroscopic rotator cuff repair to support rapid reintegration into activities of daily living.