지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.6
- 수록면
- 57 - 63 (7page)
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초록· 키워드
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Background: To compare the effect of different starting periods of rehabilitative exercise (early or delayed passive exercise) on the rate of retear and other clinical outcomes after the arthroscopic repair of the rotator cuff.
Methods: In total, 103 patients who underwent arthroscopic repair of the rotator cuff were included in the study. Determined at 2 weeks post-operation, patients who were incapable of passive forward elevation greater than 90˚ were allotted to the early exercise group (group I: 79 patients; 42 males, 37 females), whilst those capable were allotted to the delayed exercise group (group II: 24 patients; 14 males, 10 females). The group I started passive exercise, i.e. stretching, within 2 weeks of operation, whilst group II started within 6 weeks. The results were compared on average 15.8 months (11-49 months) post-operation using the passive range of motion, the Visual Analog Scale (VAS) pain score, and the University of California at Los Angeles (UCLA) and Constant scores. Stiffness was defined as passive forward elevation or external rotation of less than 30˚ compared to the contralateral side. Follow-up magnetic resonance imaging (MRI) was carried out on average 1 year post-operation and the rate of retear was compared with Sugaya’s criteria.
Results: There were no differences between the two groups in gender, age, smoking, presence of diabetes, arm dominance, period of tear unattended, pre-operative range of motion, shape and size of tear, degree of tendon retraction, and tendon quality. There were no significant differences in clinical outcomes. Whilst stiffness was more frequent in group II (p-value 0.03), retear was more frequent in group I (p-value 0.028) according to the MRI follow-up.
Conclusions: During rehabilitation after the arthroscopic repair of the rotator cuff, the delay of passive exercise seems to decrease the rate of retear but increase the risk of stiffness.
Methods: In total, 103 patients who underwent arthroscopic repair of the rotator cuff were included in the study. Determined at 2 weeks post-operation, patients who were incapable of passive forward elevation greater than 90˚ were allotted to the early exercise group (group I: 79 patients; 42 males, 37 females), whilst those capable were allotted to the delayed exercise group (group II: 24 patients; 14 males, 10 females). The group I started passive exercise, i.e. stretching, within 2 weeks of operation, whilst group II started within 6 weeks. The results were compared on average 15.8 months (11-49 months) post-operation using the passive range of motion, the Visual Analog Scale (VAS) pain score, and the University of California at Los Angeles (UCLA) and Constant scores. Stiffness was defined as passive forward elevation or external rotation of less than 30˚ compared to the contralateral side. Follow-up magnetic resonance imaging (MRI) was carried out on average 1 year post-operation and the rate of retear was compared with Sugaya’s criteria.
Results: There were no differences between the two groups in gender, age, smoking, presence of diabetes, arm dominance, period of tear unattended, pre-operative range of motion, shape and size of tear, degree of tendon retraction, and tendon quality. There were no significant differences in clinical outcomes. Whilst stiffness was more frequent in group II (p-value 0.03), retear was more frequent in group I (p-value 0.028) according to the MRI follow-up.
Conclusions: During rehabilitation after the arthroscopic repair of the rotator cuff, the delay of passive exercise seems to decrease the rate of retear but increase the risk of stiffness.
목차
Introduction
Methods
Results
Discussion
References
참고문헌 (30)
참고문헌 신청
1. [학술지(정기간행물)] - Bennett WF / 2003 / Arthroscopic repair of massive rotator cuff tears:a prospective cohort with 2- to 4-year follow-up / Arthroscopy 19 (4) : 380 ~ 390
2. [학술지(정기간행물)] - Brox JI / 1999 / Arthroscopic surgery versus supervised exercises in patients with rotator cuff disease(stage II impingement syndrome) : a prospective, randomized, controlled study in 125 patients with a 2 1/2-year follow-up / J Shoulder Elbow Surg 8 (2) : 102 ~ 111
3. [학술지(정기간행물)] - Snyder SJ / 1991 / Partial thickness rotator cuff tears : results of arthroscopic treatment / Arthroscopy 7 (1) : 1 ~ 7
4. [학술지(정기간행물)] - Boileau P / 2005 / Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal? / J Bone Joint Surg Am 87 (6) : 1229 ~ 1240
5. [학술지(정기간행물)] - Galatz LM / 2004 / The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears / J Bone Joint Surg Am 86-A (2) : 219 ~ 224
2. [학술지(정기간행물)] - Brox JI / 1999 / Arthroscopic surgery versus supervised exercises in patients with rotator cuff disease(stage II impingement syndrome) : a prospective, randomized, controlled study in 125 patients with a 2 1/2-year follow-up / J Shoulder Elbow Surg 8 (2) : 102 ~ 111
3. [학술지(정기간행물)] - Snyder SJ / 1991 / Partial thickness rotator cuff tears : results of arthroscopic treatment / Arthroscopy 7 (1) : 1 ~ 7
4. [학술지(정기간행물)] - Boileau P / 2005 / Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal? / J Bone Joint Surg Am 87 (6) : 1229 ~ 1240
5. [학술지(정기간행물)] - Galatz LM / 2004 / The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears / J Bone Joint Surg Am 86-A (2) : 219 ~ 224
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UCI(KEPA) : I410-ECN-0101-2015-510-002538507