Rate of return to work and driving following arthroscopic subacromial decompression

McClelland, Damian; Paxinos, Anastasios; Dodenhoff, Ron

doi:10.1111/j.1445-2197.2005.03529.x

Cited by 26 publications

(25 citation statements)

References 17 publications

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“…In Australia, non-manual workers take on average 6 weeks to return to work following an acromioplasty and 85% of manual workers take 3 months to return to employment, with driving commencing at 29 days post-surgery. 104 Comparable findings from the UK suggest that non-manual workers return to work after 9 days, manual workers after 3 weeks and driving recommences after 13 days. 105 These data clearly demonstrate that there is a prolonged period of substantial relative rest following the procedure and to date no study has compared surgery and the ensuing relative rest with comparable relative rest alone.…”

Section: The Subacromial Bursamentioning

confidence: 99%

Subacromial impingement syndrome: a musculoskeletal condition or a clinical illusion?

Lewis

2011

Physical Therapy Reviews

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Background: Subacromial impingement syndrome is considered by many to be the most common of the musculoskeletal conditions affecting the shoulder. It is based on a hypothesis that acromial irritation leads to external abrasion of the bursa and rotator cuff. Objectives: The aim of this paper is to review the evidence for the acromial irritation theory and in doing so challenge the rationale for subacromial decompression. Major findings: There is a body of evidence that suggests there is a lack of concordance regarding (i) the area of tendon pathology and acromial irritation, (ii) the shape of the acromion and symptoms, (iii) the proposal that irritation leads to the development of tendinitis and bursitis, and (iv) imaging changes and symptoms and the development of the condition. In addition, there is no certainty that the benefit derived from the surgery is due to the removal of the acromion as research suggests that a bursectomy in isolation may confer equivalent benefit. It is also possible that the benefit of surgery is due to placebo or simply enforces a sustained period of relative rest which may allow the involved tissues to achieve relative homeostasis. It is possible that pathology originates in the tendon and as such surgery does not address the primary pathoaetiology. This view is strengthened by the findings of studies that have demonstrated no increased clinical benefit from surgery when compared with exercise. Additionally, exercise therapy is associated with a substantially reduced economic burden and less sick leave. Conclusion: As there is little evidence for an acromial impingement model, a more appropriate name may be 'subacromial pain syndrome'. Moreover, surgery should only be considered after an appropriate period of appropriately structured rehabilitation.

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Section: The Subacromial Bursamentioning

confidence: 99%

Subacromial impingement syndrome: a musculoskeletal condition or a clinical illusion?

Lewis

2011

Physical Therapy Reviews

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“…Two of these articles discussed procedures that were not on our original list, one was not indexed in either database, one did not have driving as a primary focus, and the remaining six articles discussed driving with limb immobilization. Thirty-four articles had data relevant to our study Question 1 [1, 4, 5, 9, 10, 12, 13, 15, 19, 22, 23, 26-30, 34, 36, 37, 39, 41, 42, 45-50, 53, 55, 57, 60, 63, 64], eight had data relevant to Question 2 [2,6,7,17,20,21,43,46], and seven had data relevant to Question 3 [3,31,32,35,54,58,59] (Table 1). The range of MINORS scores for comparative studies was 17 to 24, and the range for noncomparative studies was 11 to 15.…”

Section: Study Selectionmentioning

confidence: 99%

“…One article included a different type of step test that involved maintaining balance on the involved limb while using the contralateral limb to step on and off a 15-cm step as quickly as possible [9]. Survey data of when patients reported return to driving were published in 14 articles [1,2,4,5,17,27,29,31,34,43,45,46,49,55]. …”

Section: Study Design and Populationsmentioning

confidence: 99%

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When Can I Drive After Orthopaedic Surgery? A Systematic Review

DiSilvestro

Santoro

Tjoumakaris

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Patients often ask their doctors when they can safely return to driving after orthopaedic injuries and procedures, but the data regarding this topic are diverse and sometimes conflicting. Some studies provide observer-reported outcome measures, such as brake response time or simulators, to estimate when patients can safely resume driving after surgery, and patient survey data describing when patients report a return to driving, but they do not all agree. We performed a systematic review and quality appraisal for available data regarding when patients are safe to resume driving after common orthopaedic surgeries and injuries affecting the ability to drive.

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“…Post-operative protocols typically dictate very slow and gentle movements in the early stages of rehabilitation, with the avoidance of active shoulder movement if the RC has been repaired. Following SAD, studies from Australia and the United Kingdom, have reported that non-manual workers take up to an average of 6 weeks and manual workers up to an average of 3 months to return to work with an avoidance of driving for up to 4 weeks (Charalambous et al , 2010, McClelland et al , 2005. A relative reduction in tissue loading (relative rest) is frequently recommended in the early stages of treating a tendinopathy (Cook, Rio, 2015, Lewis, 2010, Lewis, 2014.…”

Section: Additional Uncertainties Associated With Surgerymentioning

confidence: 99%

Rotator cuff related shoulder pain: Assessment, management and uncertainties

2016

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Introduction:Rotator cuff related shoulder pain (RCRSP) is an over-arching term that encompasses a spectrum of shoulder conditions, including; subacromial pain (impingement) syndrome, rotator cuff tendinopathy, and symptomatic partial and full thickness rotator cuff tears. For those diagnosed with RCRSP one aim of treatment is to achieve symptom free shoulder movement and function. Findings from published high quality research investigations suggest that a graduated and wellconstructed exercise approach confers at least equivalent benefit as that derived from surgery for; subacromial pain (impingement) syndrome, rotator cuff tendinopathy, partial thickness RC tears and atraumatic full thickness rotator cuff tears. However considerable deficits in our understanding of RCRSP persist. These include; (i) cause and source of symptoms, (ii) establishing a definitive diagnosis, (iii) establishing the epidemiology of symptomatic RCRSP, (iv) knowing which tissues or systems to target intervention, and (v) which interventions are most effective. Purpose:The aim of this masterclass is to address a number of these areas of uncertainty and it will focus on; (i) RC function, (ii) symptoms, (iii) aetiology, (iv) assessment and management, (v) imaging, and (vi) uncertainties associated with surgery. Implications:Although people experiencing RCRSP should derive considerable confidence that exercise therapy is associated with successful outcomes that are comparable to surgery, outcomes may be incomplete and associated with persisting and recurring symptoms. This underpins the need for ongoing research to; better understand the aetiology, improve methods of assessment and management, eventually prevent these conditions. 2

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Rate of return to work and driving following arthroscopic subacromial decompression

Cited by 26 publications

References 17 publications

Subacromial impingement syndrome: a musculoskeletal condition or a clinical illusion?

Subacromial impingement syndrome: a musculoskeletal condition or a clinical illusion?

When Can I Drive After Orthopaedic Surgery? A Systematic Review

Rotator cuff related shoulder pain: Assessment, management and uncertainties

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