Analysis of functional recovery and subjective well-being after arthroscopic rotator cuff repair
| Autor: | Raimondas Kubilius, Kristina Daunoravičienė, Aušra Adomavičienė, Rusnė Šidlauskaitė, Julius Griškevičius, Lina Varžaitytė, Juozas Raistenskis |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Joint Instability
medicine.medical_specialty Medicine (General) Visual analogue scale medicine.medical_treatment Context (language use) rotator cuff repair hand motor function rehabilitation subjective well-being long-term context Article Rotator Cuff Injuries 03 medical and health sciences Rotator Cuff 0302 clinical medicine R5-920 Dash medicine Humans Rotator cuff Subjective well-being Range of Motion Articular 030222 orthopedics Rehabilitation business.industry Shoulder Joint 030229 sport sciences General Medicine Recovery of Function medicine.anatomical_structure Treatment Outcome Physical therapy business Range of motion Psychosocial |
| Zdroj: | Medicina-Lithuania, Basel : MDPI, 2021, vol. 57, iss. 7, art. no. 715, p. 1-14 Medicina, Vol 57, Iss 715, p 715 (2021) Medicina Volume 57 Issue 7 |
| ISSN: | 1010-660X 1648-9144 |
| Popis: | Background: Rotator cuff tears are common causes of functional shoulder instability and often lead to arthroscopic rotator cuff repair. A well-programmed rehabilitation leads to successful tendon healing, positive functional recovery and subjective well-being (SWB). Objective: To evaluate the changes in shoulder functioning and SWB pre-, post-outpatient rehabilitation and after one-month follow-up. Materials and Methods: A total of 44 patients were assessed three times: at the beginning (six weeks’ post-surgery), at the end of outpatient rehabilitation (2–3 weeks) and one month after rehabilitation. The outcome measures were the Disabilities of the Arm, Shoulder and Hand score (DASH), active range of motion (ROM), manual muscle testing (MMT), hand dynamometry (HD) and pain level by a Visual Analogue Scale (VAS). SWB was assessed by Rosenberg self-esteem scale (RSES), Positive and Negative Affect Schedule (PANAS) and the Lithuanian Psychological Well-Being Scale (LPWBS). Results are presented as a difference between periods. Results: Affected shoulder motor function (MMT, HD and ROM) significantly improved in three periods (p < 0.05) however, major recovery was observed in the follow-up period. VAS scores meaningfully decreased over all stages and negatively correlated with motor function recovery (p < 0.05). DASH rates exhibited significant retrieval in all phases, especially in follow-up. SWB results demonstrated the larger effects of self-evaluation in follow-up, improved daily functions and psychological wellness, then negative emotions significantly decreased (p < 0.05). Conclusions: The experienced pain and psychosocial factors significantly influence functional recovery of the shoulder during rehabilitation. The improvement in motor function, ability and pain relief during rehabilitation increases level of SWB, psychological wellness and positive emotional affect in long-term context. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|