2016, Number 2
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Rev Med MD 2016; 7.8 (2)
Rotator cuff: Does it really matter where rehabilitation takes place ?
De León Ochoa-Lara G, Tafoya-Arreguín GA, Martínez-Ruíz JJ
Language: Spanish
References: 16
Page: 63-66
PDF size: 525.89 Kb.
ABSTRACT
Objetive:
To compare rehabilitation in a specialized center vs ambulatory rehabilitation in patients older than 60 years old which were summited to
arthroscopic plasty of the rotator cuff.
Material and Methods:
68 patients were included. They were divided into two groups in an aleatory, simple blinded way (34/34). They were periodically evaluated
at 4, 8 and 12 weeks after surgery using the CONSTANT and UCLA scales at 12 weeks. Group A consisted of patients who followed an
ambulatory rehabilitation program and group B consisted of patients who were treated at a specialized rehabilitation center. Descriptive and
inferential statistics were used to obtain the results, considering a valu of P‹ 0.05 as significative.
Results:
When both groups were compared there was no significative difference in mean age ( 65/65.09 years), gender (A=H/M 14:20 and B =
17/17) and extremity dominance ( 52/50%) . In the CONSTANT evaluation there was no significative difference p=0.090 ( IC 95% 437-5),
but at the 8th and 12th week evaluation there was a significant difference favoring group A with a mean of 80.15 to 92.06 vs 55.53 to 74.35 ( 8th
and 12th week group A –B). P‹0.001 ( IC 95% 21.27) and P‹ 0.001 ( IC 95% 15 -20). The UCLA evaluation was P‹0.001 IC 95% in favor of
group A.
Discussion:
An ambulatory rehabilitation program and office follow up has better outcomes than a rehabilitation program in a specialized center in
patients older than 60 years.
REFERENCES
1.Sahni V, Narang AM. Review article: Risk factors for poor outcome following surgical treatment for rotator cuff tear. J Orthop Surg 2016 Aug;24(2):265-8.
2.Deprés-Tremblay G, Chevrier A, Snow M, et al. Rotator cuff repair: a review of surgical techniques, animal models, and new technologies under development. J Shoulder Elbow Surg. 2016 Aug 20.
3.O'Holleran JD, Kocher MS, Horan MP, et al. Determinants of patient satisfaction with outcome after rotator cuff surgery. J Bone Joint Surg Am. 2005 Jan;87(1):121-6.
4.Baysal D, Balyk R, Otto D, Luciak-Corea C, Beaupre L. Functional outcome and health-related quality of life after surgical repair of full-thickness rotator cuff tear using a mini-open technique. Am J Sports Med. 2005 Sep;33(9):1346-55.
5.Gombera MM, Sekiya JK. Rotator cuff tear and glenohumeral instability : a systematic review. Clin Orthop Relat Res. 2014 Aug;472(8):2448-56.
6.Kukkonen J, Kauko T, Virolainen P, Äärimaa V. The effect of tear size on the treatment outcome of operatively treated rotator cuff tears. Knee Surg Sports Traumatol Arthrosc. 2015 Feb;23(2):567-72.
7.Kim HM, Caldwell JM, Buza JA, Fink LA, Ahmad CS, Bigliani LU, Levine WN.Factors affecting satisfaction and shoulder function in patients with a recurrent rotator cuff tear. J Bone Joint Surg Am. 2014 Jan 15;96(2):106-12.
8.Bollier M, Shea K. Systematic review: what surgical technique provides the bestout comefor symptomatic partial articular-sided rotator cuff tears? Iowa Orthop J. 2012;32:164-72.
9.Feng S, Guo S, Nobuhara K, Hashimoto J, Mimori K. Prognostic indicators for outcome following rotator cuff tear repair. J Orthop Surg. 2003 Dec;11(2):110-6.
10.Le BT, Wu XL, Lam PH, Murrell GA. Factors predicting rotator cuff retears: an analysis of 1000 consecutive rotator cuff repairs. Am J Sports Med. 2014 May;42(5):1134-42.
11.Gumina S, Izzo R, Pintabona G, Candela V, Savastano R, Santilli V. Mobility recovery after arthroscopic rotator cuff repair.i Eur J Phys Rehabil Med. 2016 Jun 22.
12.Vieira FA, Olawa PJ, Belangero PS, Arliani GG, Figueiredo EA, Ejnisman B. Rotator cuff injuries: current perspectives and trends for treatment and rehabilitation. Rev Bras Ortop. 2015 Oct 31;50(6):647- 51.
13.Baumgarten KM, Osborn R, Schweinle WE Jr, Zens MJ, Helsper EA. Are Pulley Exercises Initiated 6 Weeks After Rotator Cuff Repair a Safe and Effective Rehabilitative Treatment? A Randomized Controlled Trial. Am J Sports Med. 2 0 1 6 Jul;44(7):1844-51
14.Lin YL, Karduna A. A four-week exercise program does not change rotator cuff muscle activation and scapular kinematics in healthy subjects. J Orthop Res. 2016 Mar 21.
15.Osborne JD, Gowda AL, Wiater B, Wiater JM. Rotator cuff rehabilitation: current theories and practice. Phys Sportsmed. 2016;44(1):85-92.
16.Thomson S, Jukes C, Lewis J. Rehabilitation following surgical repair of the rotator cuff: asystematicreview. Physio therapy. 2016 Mar;102(1):20-8.
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