Document Detail


Supervised versus uncontrolled rehabilitation of patients after rotator cuff repair-clinical and neurophysiological comparative study.
MedLine Citation:
PMID:  22287203     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Purpose: The purpose of this study was the evaluation of the effectiveness of supervised rehabilitation in comparison to uncontrolled exercise therapy after surgical reconstruction of rotator cuff interrupted tendons. Methods: Twenty two patients with comparable level of disability after the same type of surgery were randomly divided into two equal groups. The first group took part in a supervised therapy and the second one performed simple exercises without supervision. Clinical and neurophysiological examinations were performed prior to rehabilitation and after 20 and 40 days of treatment. The evaluation included the assessment of the pain level with visual analog scale, active range of motion with gonio-meter, activity of muscle's motor units at rest and during maximal effort with electromyography and transmission of motor fibers in brachial plexus with electroneurography (M-wave stimulation studies). Results: In the group of supervised patients the active range of movement changed significantly from 26.4º to 101.5º on average for flexion with adduction while flexion with abduction improved from 21º to 95.5º. Pain sensation changed from 6.4 to 3.2. The mean resting electromyogram amplitude decreased to the greatest degree from 80.9µV to 36.8µV in trapezius muscle while maximal effort electromyogram amplitude increased in this muscle from 381.8µV to 790.9µV. The mean values of amplitudes in electroneurographical suprascapular nerve examinations increased from 536.4µV to 1691µV. No significant differences at P=0.05 were found in these parameters recorded in the patients performing uncontrolled exercises. Conclusion: The supervised exercise therapy is more effective than uncontrolled one after the rotator cuff surgical reconstruction.
Authors:
Przemyslaw Lisinski; Juliusz Huber; Piotr Wilkosz; Alicja Witkowska; Marcin Wytrazek; Wlodzimierz Samborski; Aleksandra Zagloba
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-27
Journal Detail:
Title:  The International journal of artificial organs     Volume:  -     ISSN:  1724-6040     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802649     Medline TA:  Int J Artif Organs     Country:  -    
Other Details:
Languages:  ENG     Pagination:  0     Citation Subset:  -    
Affiliation:
Department and Clinic for Physiotherapy, Rheumatology and Rehabilitation, Karol Marcinkowski University of Medical Sciences, Poznan - Poland.
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