A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Enhanced rehabilitation guidance after arthroscopic capsulolabral repair of the shoulder : a randomized controlled trial (2020)
Multanen, J., Kiuru, P., Piitulainen, K., Ylinen, J., Paloneva, J., & Häkkinen, A. (2020). Enhanced rehabilitation guidance after arthroscopic capsulolabral repair of the shoulder : a randomized controlled trial. Clinical Rehabilitation, 34(7), 890-900. https://doi.org/10.1177/0269215520919472
JYU-tekijät tai -toimittajat
Julkaisun tiedot
Julkaisun kaikki tekijät tai toimittajat: Multanen, Juhani; Kiuru, Pauli; Piitulainen, Kirsi; Ylinen, Jari; Paloneva, Juha; Häkkinen, Arja
Lehti tai sarja: Clinical Rehabilitation
ISSN: 0269-2155
eISSN: 1477-0873
Julkaisuvuosi: 2020
Volyymi: 34
Lehden numero: 7
Artikkelin sivunumerot: 890-900
Kustantaja: Sage Publications
Julkaisumaa: Britannia
Julkaisun kieli: englanti
DOI: https://doi.org/10.1177/0269215520919472
Julkaisun avoin saatavuus: Avoimesti saatavilla
Julkaisukanavan avoin saatavuus: Osittain avoin julkaisukanava
Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/74573
Tiivistelmä
after arthroscopic capsulolabral repair of the shoulder.
Design: Randomized controlled trial.
Setting: Outpatient physical and rehabilitation medicine clinic.
Subjects: Forty-five patients (mean age: 35 years; standard deviation (SD): 10 years) who underwent
arthroscopic capsulolabral repair due to labral lesion were randomized into an exercise group (EG) or a
control group (CG).
Intervention: The EG received a 12-month home-based additional exercise program with four
physiotherapy follow-up visits, while the CG received standard postoperative exercise instructions.
Main measures: Self-reported shoulder disability was assessed with the American Shoulder and Elbow
Surgeons Standardized Shoulder Assessment Form (ASES) and quality of life with the Short-Form (SF)-36
Health Survey. The function of the operated shoulder was evaluated with strength and range of motion
measurements.
Results: No between-group differences were observed in any of the outcomes at the follow-up. Mean
ASES score improved by 16 (95% confidence interval (CI): 10–23) points from the baseline 78 (SD: 17)
in the EG and 13 (95% CI: 7–19) points from the baseline 79 (SD: 17) in the CG. Both groups achieved
a significant improvement in the dimensions of Physical Functioning, Role-Physical, and Bodily Pain of
the SF-36 and in every aspect of strength and range of motion measures. In EG, exercise adherence was
moderate (52%) during the first six months and poor (22%) during the last six months.
Conclusion: Home-based additional exercises with four outpatient follow-up visits did not improve
outcome after arthroscopic capsular repair of the shoulder.
YSO-asiasanat: fysioterapia; liikuntahoito; lääkinnällinen kuntoutus; leikkaushoito; olkapäät; seurantatutkimus
Vapaat asiasanat: shoulder operation; shoulder instability; shoulder exercise; long-term follow-up; American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form
Liittyvät organisaatiot
OKM-raportointi: Kyllä
Raportointivuosi: 2020
JUFO-taso: 2
