Alteration and recovery of arm usage in daily activities after rotator cuff surgery.

Détails

Ressource 1Télécharger: BIB_2E74C35F51DA.P001.pdf (444.85 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_2E74C35F51DA
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Alteration and recovery of arm usage in daily activities after rotator cuff surgery.
Périodique
Journal of Shoulder and Elbow Surgery
Auteur(s)
Pichonnaz C., Duc C., Jolles B.M., Aminian K., Bassin J.P., Farron A.
ISSN
1532-6500 (Electronic)
ISSN-L
1058-2746
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
24
Numéro
9
Pages
1346-1352
Langue
anglais
Notes
Publication types: Journal Article Publication Status: ppublish
Résumé
BACKGROUND: The objective measurement of dominant/nondominant arm use proportion in daily life may provide relevant information on healthy and pathologic arm behavior. This prospective case-control study explored the potential of such measurements as indicators of upper limb functional recovery after rotator cuff surgery.
METHODS: Data on dominant/nondominant arm usage were acquired with body-worn sensors for 7 hours. The postsurgical arm usage of 21 patients was collected at 3, 6, and 12 months after rotator cuff surgery in the sitting, walking, and standing postures and compared with a reference established with 41 healthy subjects. The results were calculated for the dominant and nondominant surgical side subgroups at all stages. The correlations with clinical scores were calculated.
RESULTS: Healthy right-handed and left-handed dominant arm usage was 60.2% (±6.3%) and 53.4% (±6.6%), respectively. Differences in use of the dominant side were significant between the right- and left-handed subgroups for sitting (P = .014) and standing (P = .009) but not for walking (P = .328). The patient group showed a significant underuse of 10.7% (±8.9%) at 3 months after surgery (P < .001). The patients recovered normal arm usage within 12 months, regardless of surgical side. The arm underuse measurement was weakly related to function and pain scores.
CONCLUSION: This study provided new information on arm recovery after rotator cuff surgery using an innovative measurement method. It highlighted that objective arm underuse measurement is a valuable indicator of upper limb postsurgical outcome that captures a complementary feature to clinical scores.
Pubmed
Web of science
Open Access
Oui
Création de la notice
25/08/2015 12:30
Dernière modification de la notice
20/08/2019 13:13
Données d'usage