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. 2023 Jan-Apr;31(1):10225536231160308.
doi: 10.1177/10225536231160308.

Functional results and return to sports on recurrent anterior glenohumeral instability. Influence of the COVID-19 pandemic; Comparative retrospective study and short-term results

Affiliations

Functional results and return to sports on recurrent anterior glenohumeral instability. Influence of the COVID-19 pandemic; Comparative retrospective study and short-term results

Diego J Gómez et al. J Orthop Surg (Hong Kong). 2023 Jan-Apr.

Abstract

Aims: Our objective is to compare the functional results in patients that underwent surgery for recurrent anterior shoulder instability (RAGHI) during the COVID-19 pandemic with remotely-based rehabilitation, to those who had surgery before the pandemic and had in-person rehabilitation therapy.

Methods: A retrospective case series of 68 patients were included and divided into two groups: In person-group and Home-based group. Western Ontario Shoulder Instability Index (WOSI) and Subjective Shoulder Value (SSV) scores were used to evaluate objective and subjective clinical parameters. Time and level of return to sports was studied by the Subjective Patient Outcome for Return to Sports (SPORTS) score.

Results: The mean SSV score was 82% (40-100) on the In-Person group compared with 87% (65-100) for the Home-Based group. Results for WOSI score were similar, with an average of 210.42 (90%) for In-Person and 261.45 (88%) for the Home-Based group (p 0.12). Return to sports was carried out in an average of 6.6 (4-16) months for In-Person group, compared to 6.5 (5-8) months for Home-Based.

Conclusion: Follow-up and rehabilitation methods for patients who underwent surgery for RAGHI, during COVID-19 lockdown, were not significantly (p 0.12) affected on functional and athletic return in comparison to traditional methods according to WOSI scale.

Level of evidence: IV Retrospective series of cases.

Keywords: Shoulder; instability; return; sports; telerehabilitation.

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Conflict of interest statement

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

Figures

Graph 1.
Graph 1.
Surgeries divided by technique.

Comment in

References

    1. Gerber C, Nyffeler RW. Classification of glenohumeral joint instability. Clin Orthop Relat Res 2002; (400): 65–76. - PubMed
    1. Kunze KN, Fabricant PD, Marx RG, et al.Perspectives on the impact of the COVID-19 pandemic on the sports medicine surgeon: implications for current and future care. Clin Sports Med 2021; 40(1): 213–220. - PMC - PubMed
    1. Maugeri G, Castrogiovanni P, Battaglia G, et al.The impact of physical activity on psychological health during Covid-19 pandemic in Italy. Heliyon 2020; 6(6): e04315. - PMC - PubMed
    1. D Leochico CF. Adoption of telerehabilitation in a developing country before and during the COVID-19 pandemic. Ann Phys Rehabil Med 2020; 63(6): 563–564. - PMC - PubMed
    1. Wahezi SE, Duarte RA, Yerra S, et al.Telemedicine during COVID-19 and beyond: a practical guide and best practices multidisciplinary approach for the orthopedic and neurologic pain physical examination. Pain Physician 2020; 23(4S): S205–S238. - PubMed