Recovery of Shoulder Rotational Muscle Strength After Arthroscopic Bankart Repair

Amako, Masatoshi; Arino, Hiroshi; Tsuda, Yoshifumi; Tsuchihara, Toyokazu; Nemoto, Koichi

doi:10.1177/2325967117728684

Cited by 19 publications

(36 citation statements)

References 28 publications

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“…Literature states that that women are more muscle fatigue resistant than men [30,31]; however, this assumption requires further research. Comparable relation was stated by Amako et al In their research agon/antagon ratio was lower than reference values as well [2]. Tahta et al found opposite relationship-internal rotation strength was lower than external rotation strength which results in a several hundred percent values of ratio [8].…”

Section: Discussionmentioning

confidence: 71%

“…They suggested that return of full muscle strength was possible after 9-12 months. Amako et al assessed results of arthroscopic stabilization as well indicating faster recovery of internal rotation (IR) compared to external rotation (ER) [2]. Tatha et al described persistent loss of ER strength 12 months after arthroscopic stabilization [8].…”

Section: Introductionmentioning

confidence: 99%

“…Based on our clinical observation of rehabilitation progress-usually our patients return to sport after 9 months. After literature review [2][3][4][5][6][7][8][9][10][11] we have hypothesized that the muscle parameters after 6 months after surgery should reach physiologic values. Therefore, the aim of this study was to perform isokinetic evaluation of the RC following arthroscopic capsulolabral repair of unilateral anterior traumatic instability.…”

Section: Introductionmentioning

confidence: 99%

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Isokinetic and functional shoulder outcomes after arthroscopic capsulolabral stabilization

Lubiatowski

Jokiel

Bręborowicz

et al. 2021

Arch Orthop Trauma Surg

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Introduction Shoulder stability is secured by dynamic and static stabilizers. Rotator cuff is responsible for dynamic stabilization. In cases of shoulder instability their activity is disturbed. Capsulolabral repair restores mainly static stabilization. This surgery treatment technique of shoulder instability was first described by Bankart in 1923. His idea, with further modifications, is commonly used up to this day. Evaluation of muscle shoulder recovery after stabilization should be one of the important criteria to allow patient to return to sport and work. However, not much isokinetic assessment after capsulolabral repair was described. The aim of this study were the following: the comparative assessment of the shoulder rotatory strength in patients following arthroscopic capsulolabral repair of unilateral anterior traumatic instability and clinical assessment with comparison of pre and post-operative results. Material and methods Forty-five patients, 14 women and 31 men, with an average follow-up of 4.4 years were tested bilaterally for internal and external rotation strength at four angular velocities. ASES and UCLA tests were collected before and after surgery. Results The values of peak moment and muscle power parameters were slightly lower for an operated shoulder in comparison to a healthy shoulder for the external rotation. Total work parameter in external rotation was significantly lower for the operated shoulder in comparison to the non-operated side. The internal/external muscle group balance was lower for the operated shoulder in comparison to reference values in the women group. Furthermore, both ASES and UCLA scores were significantly higher after operation. Conclusions After arthroscopic capsulolabral shoulder stabilization, slight differences in isokinetic evaluation, especially in external shoulder rotation, occur. It affects rotators muscle balance. In functional evaluation significant improvement in shoulder function occurs.

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Section: Discussionmentioning

confidence: 71%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Isokinetic and functional shoulder outcomes after arthroscopic capsulolabral stabilization

Lubiatowski

Jokiel

Bręborowicz

et al. 2021

Arch Orthop Trauma Surg

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“…Shoulder and glenohumeral instability are a serious problem for athletes and military personnel [1][2][3][4][5][6]. These younger, more active populations are at high risk for glenohumeral instability with military personnel sustaining shoulder dislocations at a greater rate compared to the overall United States (U.S.) population (3.13 per 1,000 person years) [2,7,8].…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Battlefield Acupuncture in Addition to Standard Physical Therapy Treatment after Shoulder Surgery: A Protocol for a Randomized Clinical Trial

Crowell

Brindle

Mason

et al. 2020

Preprint

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Introduction: There is a large incidence of shoulder instability among active young athletes and military personnel. Shoulder stabilization surgery is the commonly employed intervention for treating individuals with instability. Following surgery, a substantial proportion of individuals experience acute post-operative pain, which is usually managed with opioid pain medications. Unfortunately, the extended use of opioid medications can have adverse effects that impair function and reduce military operational readiness, but there are currently few alternatives. However, Battlefield Acupuncture (BFA) is a minimally invasive therapy demonstrating promise as a non-pharmaceutical intervention for managing acute post-operative pain.Methods: This is a single-blind randomized clinical trial featuring a 2x5 mixed-model factorial design. The two independent variables are intervention (2 levels; standard physical therapy and standard physical therapy plus Battlefield Acupuncture) and time (5 levels; 24-hours, 48-hours, 72-hours, 1-week, and 4-weeks post shoulder stabilization surgery). The primary dependent variable is worst and average pain as measured on the Visual Analog Scale. Secondary outcomes include medication usage, Profile of Mood States, and Global Rating of Change.Discussion: The magnitude of the effect of BFA is uncertain; current studies report confidence intervals of between group differences that include MCIDs between intervention and control groups. The results of this study may help determine if BFA is an effective adjunct to physical therapy in reducing pain and opioid usage in acute pain conditions. Trial registration: ClinicalTrials.gov, NCT04094246. Registered 16 September 2019, http://clinicaltrials.gov/NCT04094246.

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“…Shoulder and glenohumeral instability are serious problems for athletes and military personnel [1][2][3][4][5][6]. In general, younger and more active populations are at a high risk for glenohumeral instability [2].…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of battlefield acupuncture in addition to standard physical therapy treatment after shoulder surgery: a protocol for a randomized clinical trial

Crowell

Brindle

Mason

et al. 2020

Trials

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Introduction There is a large incidence of shoulder instability among active young athletes and military personnel. Shoulder stabilization surgery is the commonly employed intervention for treating individuals with instability. Following surgery, a substantial proportion of individuals experience acute post-operative pain, which is usually managed with opioid pain medications. Unfortunately, the extended use of opioid medications can have adverse effects that impair function and reduce military operational readiness, but there are currently few alternatives. However, battlefield acupuncture (BFA) is a minimally invasive therapy demonstrating promise as a non-pharmaceutical intervention for managing acute post-operative pain. Methods This is a parallel, two-arm, single-blind randomized clinical trial. The two independent variables are intervention (2 levels, standard physical therapy and standard physical therapy plus battlefield acupuncture) and time (5 levels, 24 h, 48 h, 72 h, 1 week, and 4 weeks post shoulder stabilization surgery). The primary dependent variables are worst and average pain as measured on the visual analog scale. Secondary outcomes include medication usage, Profile of Mood States, and Global Rating of Change. Discussion The magnitude of the effect of BFA is uncertain; current studies report confidence intervals of between-group differences that include minimal clinically important differences between intervention and control groups. The results of this study may help determine if BFA is an effective adjunct to physical therapy in reducing pain and opioid usage in acute pain conditions. Trial registration ClinicalTrials.gov NCT04094246. Registered on 16 September 2019.

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Recovery of Shoulder Rotational Muscle Strength After Arthroscopic Bankart Repair

Cited by 19 publications

References 28 publications

Isokinetic and functional shoulder outcomes after arthroscopic capsulolabral stabilization

Isokinetic and functional shoulder outcomes after arthroscopic capsulolabral stabilization

The Effectiveness of Battlefield Acupuncture in Addition to Standard Physical Therapy Treatment after Shoulder Surgery: A Protocol for a Randomized Clinical Trial

The effectiveness of battlefield acupuncture in addition to standard physical therapy treatment after shoulder surgery: a protocol for a randomized clinical trial

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