Factors Associated With Shoulder Activity Level at Time of Surgery and at 2-Year Follow-up in Patients Undergoing Shoulder Stabilization Surgery.

Autor:	Brophy, Robert H., Dunn, Warren R., Baumgarten, Keith M., Bishop, Julie Y., Bollier, Matthew J., Bravman, Jonathan T., Feeley, Brian T., Grant, John A., Jones, Grant L., Kuhn, John E., Benjamin Ma, C., Marx, Robert G., McCarty, Eric C., Ortiz, Shannon F., Smith, Matthew V., Wolf, Brian R., Wright, Rick W., Zhang, Alan L., Hettrich, Carolyn M.
Předmět:	SHOULDER joint surgery EVALUATION of medical care RESEARCH SHOULDER joint CONFIDENCE intervals CROSS-sectional method REGRESSION analysis PHYSICAL activity DESCRIPTIVE statistics EMPLOYMENT LOGISTIC regression analysis DATA analysis software ODDS ratio BODY mass index SMOKING MARITAL status SHOULDER dislocations LONGITUDINAL method
Zdroj:	American Journal of Sports Medicine; May2022, Vol. 50 Issue 6, p1503-1511, 9p
Abstrakt:	Background: Patients undergoing shoulder stabilization surgery have been shown to have elevated activity levels. Factors associated with shoulder activity in this patient population at baseline and after surgery are unknown. Hypothesis: Patient-specific variables are associated with shoulder activity level at baseline and at 2-year follow-up in a cohort of patients undergoing shoulder stabilization surgery. Study Design: Cohort study; Level of evidence, 2. Methods: Patients undergoing shoulder stabilization surgery were prospectively enrolled. As part of the data collection process, patients completed a previously validated Shoulder Activity Scale. A regression analysis was performed to assess the association of patient characteristics with baseline and 2-year follow-up shoulder activity levels. Results: A total of 764 (n = 612 men, n = 152 women) out of 957 patients (80%) undergoing shoulder stabilization surgery with a median age of 25 years had baseline and 2-year follow-up data and were included in the current analysis. The baseline shoulder activity level was associated with race (P <.0001) and preoperative duration of instability (P <.0001). At 2 years, 52% of the cohort had returned to the same or higher activity level after surgery. Predictors of higher shoulder activity level at 2-year follow-up included higher baseline activity level (P <.0001), male sex (P <.0001), younger age (P =.004), higher body mass index (BMI) (P =.03), more dislocations (P =.03), nonsmokers (P =.04), and race (P =.04). Conclusion: A longer duration of preoperative symptoms was associated with a lower baseline activity in this cohort. High baseline preoperative shoulder activity, younger age, male sex, higher BMI, number of dislocations, and nonsmoking status predicted higher shoulder activity 2 years after shoulder stabilization surgery. Registration: NCT02075775 (ClinicalTrials.gov identifier). [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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