دورية أكاديمية
Accelerometry evaluation of shoulder movement and its association with patient-reported and clinical outcomes following reverse total shoulder arthroplasty.
| العنوان: | Accelerometry evaluation of shoulder movement and its association with patient-reported and clinical outcomes following reverse total shoulder arthroplasty. |
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| المؤلفون: | Edwards PK; School of Human Sciences, University of Western Australia, Perth, WA, Australia; School of Physiotherapy and Exercise Science, Curtin University, Perth, WA, Australia. Electronic address: peter.edwards1@curtin.edu.au., Ebert JR; School of Human Sciences, University of Western Australia, Perth, WA, Australia., Morrow MM; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Division of Health Care Policy and Research, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA., Goodwin BM; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Division of Health Care Policy and Research, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA., Ackland T; School of Human Sciences, University of Western Australia, Perth, WA, Australia., Wang A; Department of Orthopaedic Surgery, University of Western Australia, Perth, WA, Australia; Murdoch Centre of Orthopaedic Research, Murdoch, WA, Australia. |
| المصدر: | Journal of shoulder and elbow surgery [J Shoulder Elbow Surg] 2020 Nov; Vol. 29 (11), pp. 2308-2318. Date of Electronic Publication: 2020 Jun 09. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Mosby Country of Publication: United States NLM ID: 9206499 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-6500 (Electronic) Linking ISSN: 10582746 NLM ISO Abbreviation: J Shoulder Elbow Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: St. Louis, MO : Mosby Original Publication: St. Louis, MO : Mosby Yearbook, Inc., c1992- |
| مواضيع طبية MeSH: | Arthroplasty, Replacement, Shoulder*/methods, Shoulder/*physiopathology , Shoulder Joint/*physiopathology , Upper Extremity/*physiopathology, Accelerometry ; Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Movement ; Muscle Strength ; Muscle, Skeletal/physiopathology ; Pain Measurement ; Patient Reported Outcome Measures ; Postoperative Period ; Prospective Studies ; Range of Motion, Articular ; Recovery of Function ; Shoulder Joint/surgery ; Time Factors ; Treatment Outcome ; Upper Extremity/surgery |
| مستخلص: | Background: Accelerometers provide a new method to objectively measure recovery of movement and physical activity in patients following reverse total shoulder arthroplasty (RTSA) and may overcome common limitations associated with patient-reported outcome measures (PROMs). The aim of this study was to assess changes in upper limb movement using accelerometers following RTSA and investigate their association with other clinical outcome measures. Methods: Thirty-six patients who underwent RTSA wore accelerometers on both wrists and arms for 3 days at 3, 6, and 12 months postsurgery. PROMs (Constant score, American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form, visual analog scale for pain, Single Assessment Numerical Evaluation, Shoulder Activity Level) and isometric shoulder strength were also assessed. Accelerometer outcomes were calculated to quantify counts of forearm and arm activity and the contribution of both arms to activity (limb symmetry and magnitude ratio). Changes and differences in all clinical measures and objective movement measures were evaluated with within-subjects analysis of variance. Correlations between limb activity and other clinical measures were investigated using Spearman correlation coefficients. Results: Objective movement of the operated arm increased from 3-6 months postsurgery (P = .004), but not from 6-12 months (P = .240). Limb asymmetries were observed at 3 and 6 months and improved by 12 months postsurgery. No associations were demonstrated between PROMs and objective upper limb movement at 12 months postsurgery. Discussion: Despite early recovery of function and pain relief assessed by PROMs, objective movement using accelerometers showed delayed recovery of the operated arm postoperatively, before normalizing by 12 months postsurgery. Accelerometers provide a unique insight into functional recovery following RTSA. (Copyright © 2020 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Accelerometer; activities; patient-reported; reverse shoulder arthroplasty |
| تواريخ الأحداث: | Date Created: 20200717 Date Completed: 20210309 Latest Revision: 20210309 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.jse.2020.03.030 |
| PMID: | 32669199 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1532-6500 |
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| DOI: | 10.1016/j.jse.2020.03.030 |