Conservative treatment of rotator cuff tear in older patients: a role for the cycloergometer? A randomized study
| Autor: | Bernardo Gialanella, Laura Comini, Marta Gaiani, Adriana Olivares, Simonetta Scalvini |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_specialty Activities of daily living Ergometry medicine.medical_treatment Population Physical Therapy Sports Therapy and Rehabilitation Pilot Projects Motor Activity Conservative Treatment law.invention Rotator Cuff Injuries Upper Extremity 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law medicine Humans Rotator cuff Prospective Studies Range of Motion Articular Prospective cohort study education Aged education.field_of_study Rehabilitation business.industry Exercise Therapy medicine.anatomical_structure Cuff Physical therapy Female 0305 other medical science Range of motion business 030217 neurology & neurosurgery |
| Zdroj: | European journal of physical and rehabilitation medicine. 54(6) |
| ISSN: | 1973-9095 |
| Popis: | BACKGROUND To date, there are no published data on the use of devices in the management of rotator cuff tear (RCT). AIM The aim of this study was to evaluate the effect of supervised arm cycloergometer training on pain during activities and shoulder functionality in patients with symptomatic full-thickness RCT. DESIGN This is a prospective randomized controlled pilot study. SETTING Outpatients of our Rehabilitation Unit. POPULATION In this pilot study, 40 elderly outpatients (>70 years) with RCT were randomized to two groups: cycloergometer (CYC) vs. control patients. METHODS All patients underwent a common outpatient rehabilitation exercise program consisting of ten 30-min sessions (5 sessions/week). At discharge, CYC patients received 15-min training with an arm cycloergometer and were invited to use the cycloergometer at home 20 min/twice a day. Control patients were invited to continue the standard exercises. During the 6-month study period CYC patients, but not control patients, received educational reinforcement monthly from the nurse of the telemedicine service. Outcomes assessed, between admission (T0) and 6-month follow-up (T6), were: pre to postpain during activities, active and passive ROMsum, ROM-painsum, revised Constant Total Score, and Health Assessment Questionnaire (HAQ). RESULTS At T6, CYC patients showed a significant improvement in all outcome measures with respect to T0 (all: P |
| Databáze: | OpenAIRE |
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