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Observational Study
. 2023 Jul-Aug;15(4):599-605.
doi: 10.1177/19417381221116319. Epub 2022 Aug 5.

Self-Reported Outcomes in Early Postoperative Management After Shoulder Surgery Using a Home-Based Strengthening and Stabilization System With Telehealth

Justin J Greiner  1 , Nicholas P Drain  1 , Bryson P Lesniak  1 , Albert Lin  1 , Volker Musahl  1 , James J Irrgang  2 , Adam J Popchak  2
Affiliations
Observational Study

Self-Reported Outcomes in Early Postoperative Management After Shoulder Surgery Using a Home-Based Strengthening and Stabilization System With Telehealth

Justin J Greiner et al. Sports Health. 2023 Jul-Aug.

Abstract

Background: Multiple rehabilitation protocols after shoulder surgery have been proposed. The coronavirus pandemic adds an extra layer of complexity to postoperative rehabilitation after shoulder surgery.

Hypothesis: The combined use of a home-based rehabilitation system, the Shoulder Strengthening and Stabilization System (SSS), and telehealth visits will lead to acceptable patient self-reported outcomes and satisfaction after shoulder surgery.

Study design: Prospective observational cohort.

Level of evidence: Level 4.

Methods: A total of 132 patients were prescribed SSS after shoulder surgery. A virtual clinical specialist monitored patients through telehealth visits as prescribed by the treating physician. Data were collected prospectively during each telehealth visit. Patients completed an exit survey during their last telehealth visit.

Results: The use of SSS with telehealth revealed a positive impact on postoperative shoulder rehabilitation (96%), pain (71%), and stiffness (92%) as reported by patients. Both pain scores and pain medication use decreased from the 1st to 8th postoperative telehealth session (P < 0.01). Nearly all (93%) patients recommended SSS after shoulder surgery upon completing the SSS protocol.

Conclusion: Postoperative management of shoulder surgery with SSS combined with telehealth results in a reduction in patient pain levels in the early postoperative period. Patients reported high levels of improvement with SSS in shoulder rehabilitation, pain, and stiffness. The overwhelming majority (93%) of patients recommended SSS for postoperative shoulder rehabilitation and SSS yielded high patient satisfaction scores. Elucidating the impact of SSS on clinical outcomes and function in comparison with traditional rehabilitation protocols is warranted.

Clinical relevance: SSS in combination with telehealth was tolerated well by patients and may represent an alternative or adjunct to traditional rehabilitation protocols.

Keywords: Shoulder Strengthening and Stabilization System; rehabilitation protocol; rotator cuff repair; shoulder surgery; telehealth; telerehabilitation.

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Conflict of interest statement

The following authors declared potential conflicts of interest: B.P.L. has received royalty payments from Workers Kluwer Publishing. A.L. is a paid consultant of Arthrex and Stryker/Tornier. V.M. has received grants from Smith & Nephew and Arthrex; consultancy fee from Smith & Nephew; patents from University of Pittsburgh; and hospitality payments from ISAKOS. V.M., J.J.I., and A.J.P. have pending grants from NIH and Department of Defense; and have received royalty payments from ēlizur Corporation.

Figures

Figure 1.
Figure 1.
eSling shoulder immobilizer (Advanced Integrated Motion; ēlizur).
Figure 2.
Figure 2.
Motions allowed by SSS machine including (a) internal rotation, (b) external rotation, (c) forward flexion, and (d) extension. Note white wand held in contralateral hand to control motion of affected extremity. SSS, Shoulder Strengthening and Stabilization System.
Figure 3.
Figure 3.
Mean patient-reported postoperative pain ratings during use of SSS by session with the VCS. SSS, Shoulder Strengthening and Stabilization System; VCS, virtual clinical specialist.
See this image and copyright information in PMC

References

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