Functional outcomes after physiotherapy program in patients with massive and irreparable rotator cuff tear
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Fecha
2021
Profesor/a Guía
Facultad/escuela
Idioma
en
Título de la revista
ISSN de la revista
Título del volumen
Editor
Spanish Society of Orthopaedic Surgery and Traumatology
Nombre de Curso
Licencia CC
Attribution-NonCommercial-NoDerivatives 4.0 International
Licencia CC
Resumen
Objective
To evaluate the short term and 1-year follow-up functional effects of a physiotherapy programme in patients over 60 years of age with massive and irreparable Rotator Cuff (RC) tear.
Methods
A total of 96 patients with massive and irreparable RC tear were prospectively recruited. All patients were treated with a 12-week physiotherapy programme. Three evaluations were performed, at the beginning, at the end of the treatment and at one year of follow-up. The Constant–Murley questionnaire was used to assess shoulder function, the DASH questionnaire for upper limb function, and the Visual Analogue Scale (VAS) for pain intensity.
Results
At the end of the treatment, all the variables showed a clinically and statistically significant difference (p < .05). At one year of follow-up, the Constant–Murley showed an increase of 26.5 points (Cohen's d = 1.7; 95% CI: 23.5–29.5; p < .001), DASH showed a decrease of 31.4 points (Cohen's d = 2.2; 95% CI: 28.5–34.3; p < .001), and the VAS showed a decrease of 3.9 cm (Cohen's d = 3.6; 95% CI: 3.6–4.1; p < .001).
Conclusion
In the short term and 1-year follow-up, a physiotherapy programme showed clinically and statistically significant results in all functional variables in patients older than 60 years with massive and irreparable RC tear.
Notas
TEXTO COMPLETO EN INGLÉS
Palabras clave
Rotator cuff, Massive rotator cuff tear, Physiotherapy, Exercise therapy, Functional outcomes, Elderly
Citación
Revista Española de Cirugía Ortopédica y Traumatología (English Edition), Volume 65, Issue 4 , July–August 2021, Pages 248-254
DOI
https://doi.org/10.1016/j.recote.2021.04.004