Academic Journal
The effect of postoperative sling immobilization and early mobilization on clinical and functional outcomes after arthroscopic rotator cuff repair: A propensity score-matched analysis.
| Τίτλος: | The effect of postoperative sling immobilization and early mobilization on clinical and functional outcomes after arthroscopic rotator cuff repair: A propensity score-matched analysis. |
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| Συγγραφείς: | Misir, Abdulhamit1, Oguzkaya, Sinan2 sinanoguzkaya@hotmail.com, Kizkapan, Turan Bilge3, Eken, Gokay4, Sayer, Gokhan5 |
| Πηγή: | Journal of Back & Musculoskeletal Rehabilitation. 2022, Vol. 35 Issue 6, p1391-1398. 8p. |
| Θεματικοί όροι: | *Rotator cuff surgery, *Rotator cuff injuries, *Research, *Statistical significance, *Range of motion of joints, *Arthroscopy, *Retrospective studies, *Case-control method, *Quantitative research, *Fisher exact test, *Therapeutic immobilization, *Early ambulation (Rehabilitation), *Functional assessment, *Treatment effectiveness, *Qualitative research, *Postoperative period, *Quality of life, *Descriptive statistics, *Analysis of covariance, *Chi-squared test, *Body mass index, *Data analysis software, *Medical slings, *Probability theory, *Evaluation |
| Περίληψη: | BACKROUND: Optimal postoperative management is controversial after arthroscopic rotator cuff repair (ARCR). OBJECTIVE: The aim of the study was to evaluate outcomes of patients with and without postoperative sling immobilization after undergoing arthroscopic RCR rotator cuff repair. METHOD: 369 arthroscopic full thickness superior rotator cuff tears (RCT) with a minimum follow-up of 6 months were included in this study. Propensity score matching was performed for age, sex, BMI, and tear size. Pain (VAS score), shoulder range of motion (ROM), functional outcome (ASES, Constant-Murley [CM] and Oxford shoulder score [OSS]), and health related quality of life (SF-36) scores were compared between patients with and without sling immobilization. RESULTS: According to the propensity match score, 92 patients (50 sling immobilization and 42 no sling immobilization) were matched to be almost identical in age (62.5 ± 8.0 vs. 61.8 ± 5.9), sex (female 78% vs. 76.2%), BMI (28.1 ± 2.8 vs. 27.8 ± 2.6), and tear size (2.7 ± 1.1 vs. 2.9 ± 0.8). The postoperative physical functioning domain of SF-36 scores was found to be significantly higher in the no sling group (p= 0.034). CONCLUSION: Early mobilization after arthroscopic small and medium sized full thickness superior rotator cuff repair is associated with improved ROM and quality of life scores. [ABSTRACT FROM AUTHOR] |
| Βάση Δεδομένων: | Academic Search Index |
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