Functional outcomes after physiotherapy program in patients with massive and irreparable rotator cuff tear.

Autor: Gutiérrez-Espinoza HJ; Centro de Investigación de Rehabilitación en Salud (CIRES), Universidad de las Américas, Santiago, Chile; Escuela de Kinesiología, Universidad Gabriela Mistral, Santiago, Chile. Electronic address: kinehector@gmail.com., Lorenzo-García P; Centro de Estudios Sociosanitarios, Universidad de Castilla-La Mancha, Cuenca, Spain., Valenzuela-Fuenzalida J; Departamento de Morfología, Facultad de Medicina, Universidad Andrés Bello, Santiago, Chile., Araya-Quintanilla F; Facultad de Salud, Universidad SEK, Santiago, Chile.
Jazyk: English; Spanish; Castilian
Zdroj: Revista espanola de cirugia ortopedica y traumatologia [Rev Esp Cir Ortop Traumatol] 2021 Jul-Aug; Vol. 65 (4), pp. 248-254.
DOI: 10.1016/j.recote.2021.04.004
Abstrakt: Objective: To evaluate the short term and 1-year follow-up functional effects of a physiotherapy programme in patients over 60 years of age with massive and irreparable Rotator Cuff (RC) tear.
Methods: A total of 96 patients with massive and irreparable RC tear were prospectively recruited. All patients were treated with a 12-week physiotherapy programme. Three evaluations were performed, at the beginning, at the end of the treatment and at one year of follow-up. The Constant-Murley questionnaire was used to assess shoulder function, the DASH questionnaire for upper limb function, and the Visual Analogue Scale (VAS) for pain intensity.
Results: At the end of the treatment, all the variables showed a clinically and statistically significant difference (p<.05). At one year of follow-up, the Constant-Murley showed an increase of 26.5 points (Cohen's d=1.7; 95% CI: 23.5-29.5; p<.001), DASH showed a decrease of 31.4 points (Cohen's d=2.2; 95% CI: 28.5-34.3; p<.001), and the VAS showed a decrease of 3.9cm (Cohen's d=3.6; 95% CI: 3.6-4.1; p<.001).
Conclusion: In the short term and 1-year follow-up, a physiotherapy programme showed clinically and statistically significant results in all functional variables in patients older than 60 years with massive and irreparable RC tear.
(Copyright © 2021 The Author(s). Published by Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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