Document Detail


Limited physical therapy utilization protocol does not affect impairment and disability in Workers' Compensation patients after rotator cuff repair: a short-term follow-up study.
MedLine Citation:
PMID:  22939405     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Treatment of rotator cuff tears in injured workers is associated with poorer outcomes and abnormally high utilization of clinical services. This study evaluates the effect on impairment and disability rates after the implementation of an accelerated independent rehabilitation protocol on injured workers undergoing mini-open rotator cuff repair. MATERIALS AND METHODS: Seventy-one primary rotator cuff repairs in injured workers were reviewed at least 1 year after claim closure. Outcomes based on permanent partial disability and impairment were compared among 28 patients using traditional outpatient physical therapy (group A) and 43 patients using an accelerated protocol-driven independent exercise program (group B). The number of physical therapy visits attended, disability, and impairment rates were compared between the 2 groups. RESULTS: Group B used a median of 16 physical therapy visits, which were 9 fewer visits per patient than group A (P < .001). This constituted a 36% reduction in the median number of physical therapy visits without negatively affecting disability and impairment rates. The difference between the 2 groups in time to release to work or time to claim closure was not significant. CONCLUSIONS: The implementation of an accelerated, independent, exercise protocol reduced physical therapy utilization to levels below national best-practices benchmarks without negatively affecting impairment or disability rates in Workers' Compensation patients undergoing mini-open rotator cuff repair.
Authors:
John Di Paola
Related Documents :
6702995 - Classification criterion for success in the treatment of convergence insufficiency.
11030815 - Postoperative application of mitomycin for trabeculectomies.
15097125 - Photodynamic therapy of pterygium with verteporfin: a preliminary report.
8154245 - Postoperative prognostic indicators following trabeculectomy.
22099725 - A multidisciplinary team approach to hydroxyurea-associated chronic wound with squamous...
472835 - Histoplasmosis: clinical manifestations and surgical management.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-30
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  -     ISSN:  1532-6500     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-9-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.
Affiliation:
Occupational Orthopedics, LLC, Tualatin, OR, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  An association between the inferior humeral head osteophyte and teres minor fatty infiltration: evid...
Next Document:  Experimental pain inhibits infraspinatus activation during isometric external rotation.