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Randomized Controlled Trial
. 2020 Jul;34(7):890-900.
doi: 10.1177/0269215520919472. Epub 2020 May 7.

Enhanced rehabilitation guidance after arthroscopic capsulolabral repair of the shoulder: a randomized controlled trial

Juhani Multanen  1   2 , Pauli Kiuru  1 , Kirsi Piitulainen  2 , Jari Ylinen  2 , Juha Paloneva  3   4 , Arja Häkkinen  1   2
Affiliations
Randomized Controlled Trial

Enhanced rehabilitation guidance after arthroscopic capsulolabral repair of the shoulder: a randomized controlled trial

Juhani Multanen et al. Clin Rehabil. 2020 Jul.

Abstract

Objective: To compare the effects of a 12-month home-based exercise program to usual care in patients 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.

Keywords: American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form; Shoulder operation; long-term follow-up; shoulder exercise; shoulder instability.

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Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Enrollment, randomization, and retention of the ClinicalTrials.gov Identifier: NCT00624117 “Progressive Exercise After Operation of Rotator Cuff Rupture and Anterior Labrum Rupture.” Source: Published in Clin Rehabil. 2015 May; 29(5): 447–456.
Figure 2.
Figure 2.
CONSORT diagram summarizing patient flow.
See this image and copyright information in PMC

Comment in

References

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