首页> 外文期刊>Arthroscopy: the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association >The Effect of Early Range of Motion on Quality of Life, Clinical Outcome, and Repair Integrity After Arthroscopic Rotator Cuff Repair
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The Effect of Early Range of Motion on Quality of Life, Clinical Outcome, and Repair Integrity After Arthroscopic Rotator Cuff Repair

机译:早期的活动范围的影响质量生活,临床结果,和修复完整关节镜后肩袖修复

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Purpose To compare the effect of early versus delayed motion protocols on quality of life, clinical outcomes, and repair integrity in patients who have undergone arthroscopic single-tendon rotator cuff repair. Methods This was a prospective, randomized, investigator-blinded clinical trial. Seventy-three patients from a single surgeon's practice who underwent arthroscopic repair of a single-tendon rotator cuff tear were randomized to either an early motion protocol (starting 2 to 3?days after surgery) or a delayed motion protocol (starting 28?days after surgery). The primary outcome measure was the Western Ontario Rotator Cuff index (WORC). Secondary outcome measures included clinical outcome scores, integrity of the repair on 6-month magnetic resonance imaging scans, pain scores, physical examination data, and ultrasonography. Study participants were followed up at 3, 6, and 12?weeks; 6?months; and 1?year postoperatively. Results There was no statistically significant difference in WORC scores at 6?months (529 ± 472 in delayed group vs 325 ± 400 in early group, P ?= .08). Mixed-effects analysis indicated the early group maintained lower WORC scores throughout the postoperative period (estimated difference of 191, P ?= .04). The proportions of patients with tears on the 6-month postoperative magnetic resonance imaging scan were comparable (31% in delayed group vs 34% in early group, P ?= .78). Conclusions There was no difference between the delayed and early motion groups in WORC scores at 6?months after surgery. Early motion was associated with lower WORC scores throughout the postoperative period; however, both groups had a similar trajectory of improvement, suggesting both protocols have the same effect on patient-reported improvement. Although failure rates were similar between the groups, the sample size was not sufficient to?support a statement regarding the relation between tear morphology and the rehabilitation protocol. Level of Evidence Level II, lesser-quality randomized controlled trial.
机译:目的比较早期和的影响延迟运动生活质量协议,临床结果,和修复完整病人在接受关节镜腱肩袖修复。是一个前瞻性,随机,investigator-blinded临床试验。从一个外科医生的七十三名患者实践的人接受关节镜修理的腱肩袖撕裂是随机的要么一个早期运动协议(23?协议(28日开始吗?主要结果测量指标是西安大略肌腱套指数(WORC)。措施包括临床结果分数,在6个月磁的完整性维修磁共振成像扫描,疼痛评分,物理检查数据和超声。受试者随访3、6和12周;结果没有统计学意义在6差异WORC分数吗?在延迟组vs 325±400年初集团,P? =。08)。早期组维护WORC的得分越低在术后时期(估计差191,P ? = .04点)。眼泪患者在术后6个月磁共振成像扫描是可比的月初延迟组(31% vs 34%组,P ? =尾数就)。在WORC延迟和早期运动组织分数在6 ?降低WORC分数在吗术后时期;有着相似的人生轨迹的改进,表明这两个协议有相同的影响patient-reported改进。率两组相似,示例尺寸是不够的?关于撕裂形态学之间的关系和康复协议。证据II级,低品质的随机对照试验。

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