Irem Duzgun, Gul Baltaci, Elif Turgut, O. Ahmet Atay

Artroskopik rotator manşet onarımı sonrasında uygulanan yavaş ve hızlı rehabilitasyon protokollerinin eklem hareket açıklığı üzerindeki etkileri

Amaç: Bu çalışmadaki amacımız artroskopik rotator manşet onarımı sonrası erken başlanan pasif ve aktif eklem hareketinin erken dönemdeki etkilerini araştırmaktı.Çalışma planı: Çalışmaya artroskopik rotator manşet onarımı geçirmiş 40 hasta katıldı. Hastalar yarı-rastgele yöntemle hızlandırılmış (HIZLI) protokol grubu (n=19) ve yavaş (YAVAŞ) protokol grubuna (n=21) ayrıldılar. Her iki gruptaki hastalara aynı tedavi protokolü uygulandı. HIZLI grubunda 3. haftada, YAVAŞ grubunda ise 6. haftada aktif eklem hareketine başlandı. Eklem hareketi cerrahi sonrası 3, 5, 8, 12 ve 24. haftalarda kaydedildi.Bulgular: Aktif eklem hareketinin haftalar içinde giderek arttığı izlenirken, protokoller arasında bir fark görülmedi. Sadece, HIZLI grubunda aktif total elevasyonun tüm değerlendirme noktalarındaki ölçümlerde daha fazla olduğu saptandı (p<0.05).Çıkarımlar: Artroskopik rotator manşet onarımı sonrası yapılan pasif ve nazik ve kontrollü aktif eklem hareketlerinin cerrahi sonrası 6. ayda eklem hareketi üzerine bir etkisinin olmadığı gözükmektedir.

Anahtar Kelimeler:

Egzersiz; manuel terapi; rehabilitasyon; rotator manşet.

Effects of slow and accelerated rehabilitation protocols on range of motion after arthroscopic rotator cuff repair

Objective: The aim of the study was to investigate the effects of the early initiation of passive and active range of motion exercises following arthroscopic rotator cuff repair.Methods: The study included 40 patients who underwent arthroscopic rotator cuff repair. Patients were quasi-randomly assigned into accelerated (ACCEL) protocol (n=19) and slow (SLOW) protocol (n=21) groups. Patients in both groups were treated with the same protocol. Active range of motion was begun at the 3rd week in the ACCEL group and the 6th week in the SLOW group. Range of motion was recorded at postoperative weeks 3, 5, 8, 12, and 24.Results: While active range of motion for all measurements improved across weeks, there were no differences between groups, with the exception of active total elevation which was greater at all time point measurements in the ACCEL group (p<0.05).Conclusion: The early initiation of passive and gentle controlled active motion exercise following rotator cuff repairs does not appear to affect range of motion in the first 6 postoperative months.

Keywords:

Exercise, manual therapy, rehabilitation rotator cuf,

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