The efficacy of stretching exercises to reduce posterior shoulder tightness acutely in the postoperative population: a single blinded randomized controlled trial

被引:9
作者
Salamh, Paul A. [1 ]
Kolber, Morey J. [2 ]
Hegedus, Eric J. [3 ]
Cook, Chad E. [1 ]
机构
[1] Duke Univ, Sch Med, Dept Orthoped Surg, Durham, NC 27710 USA
[2] Nova Southeastern Univ, Dept Phys Therapy, Ft Lauderdale, FL 33314 USA
[3] High Point Univ, Dept Phys Therapy, High Point, NC USA
关键词
Posterior shoulder tightness; postoperative; shoulder; surgery; rehabilitation; DISABLED THROWING SHOULDER; MINIMAL DETECTABLE CHANGE; MUSCLE CHARACTERISTICS; CLINICAL MEASUREMENT; RELIABILITY; MOBILITY; STIFFNESS; INJURIES; VALIDITY; MOTION;
D O I
10.1080/09593985.2017.1376020
中图分类号
R49 [康复医学];
学科分类号
100232 [康复医学];
摘要
Background: Posterior shoulder tightness (PST) is a postoperative complication leading to pain, impaired mobility, and reduced function. Despite the potential morbidity associated with PST, no studies have investigated the efficacy of shoulder-stretching methods in the postsurgical population. The purpose of this study was to determine the short-term efficacy of two stretches designed to reduce PST. Methods: The study enrolled 63 patients [mean age 51 (12)years, height 173.7 (3.6)cm, body mass 88.2 (17.9)kg]. The study was a single-blinded randomized control trial in which patients who had arthroscopic shoulder surgery were assigned to one of three groups: [(horizontal adduction stretch (n=21), supine sleeper (n=21), or control (n=21)]. Dependent variables included measurements of internal rotation mobility, sidelying PST, pain, and the QuickDASH. Following the physical therapy (PT) initial evaluation, subjects were instructed to perform the allocated intervention twice daily until their first follow-up appointment 48-72h following the initial PT visit. Results: Between group analyses of dependent variables revealed significant differences within PST measurements (p=0.005) (eta squared=0.14) taken at baseline and follow-up (48-72h) favoring horizontal adduction stretching. Post-hoc testing demonstrated superiority of horizontal adduction stretching over both the supine sleeper group (p=0.01) and control (p=0.002). Discussion and conclusion: The horizontal adduction stretch is more effective at reducing acute PST in the postoperative shoulder population when compared to the supine sleeper stretch and no stretch at all. Knowledge of efficacious stretching methods may serve to reduce the potential morbidity associated with postoperative stiffness.
引用
收藏
页码:111 / 120
页数:10
相关论文
共 45 条
[1]
Bach HG, 2006, J AM ACAD ORTHOP SUR, V14, P265
[2]
Reliability of the visual analog scale for measurement of acute pain [J].
Bijur, PE ;
Silver, W ;
Gallagher, EJ .
ACADEMIC EMERGENCY MEDICINE, 2001, 8 (12) :1153-1157
[3]
Clinical measurement of posterior shoulder flexibility [J].
Borstad, John D. ;
Mathlowetz, Krista M. ;
Minday, Laura E. ;
Prabhu, Bhakti ;
Christopherson, Daisy E. ;
Ludewig, Paula M. .
MANUAL THERAPY, 2007, 12 (04) :386-389
[4]
Complications after arthroscopic rotator cuff repair [J].
Brislin, Kenneth J. ;
Field, Larry D. ;
Savoie, Felix H., III .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2007, 23 (02) :124-128
[5]
Shoulder injuries in overhead athletes - The "dead arm" revisited [J].
Burkhart, SS ;
Morgan, CD ;
Kibler, WB .
CLINICS IN SPORTS MEDICINE, 2000, 19 (01) :125-+
[6]
The disabled throwing shoulder: Spectrum of pathology part 1: Pathoanatomy and biomechanics [J].
Burkhart, SS ;
Morgan, CD ;
Ben Kibler, W .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2003, 19 (04) :404-420
[7]
The disabled throwing shoulder: Spectrum of pathology - Part II: Evaluation and treatment of SLAP lesions in throwers [J].
Burkhart, SS ;
Morgan, CD ;
Kibler, WB .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2003, 19 (05) :531-539
[8]
Posterior internal impingement: an evidence-based review [J].
Castagna, Alessandro ;
Garofalo, Raffaele ;
Cesari, Eugenio ;
Marcopoulos, Nikolaos ;
Borroni, Mario ;
Conti, Marco .
BRITISH JOURNAL OF SPORTS MEDICINE, 2010, 44 (05) :382-388
[9]
Dashottar A, 2014, INT J SPORTS PHYS TH, V9, P498
[10]
Downar JM, 2005, J ATHL TRAINING, V40, P23