Hannu Tiusanen1, Pjotor Sarantsin2, Miika Stenholm2, Ryan Mattie3, Mikhail Saltychev4. 1. Department of Rheumaorthopaedic Surgery, Turku University Hospital and University of Turku, PO Box 52, 20521, Turku, Finland. hannu.tiusanen@tyks.fi. 2. Department of Rheumaorthopaedic Surgery, Turku University Hospital and University of Turku, PO Box 52, 20521, Turku, Finland. 3. Department of Orthopedic Surgery, Physical Medicine and Rehabilitation, Stanford University Hospital and Clinics, Stanford, CA, USA. 4. Department of Physical and Rehabilitation Medicine, Turku University Hospital and University of Turku, Turku, Finland.
Abstract
OBJECTIVES: To evaluate the trajectory of the change in range of motion after reverse shoulder joint replacement during 3-year follow-up among patients with rheumatoid arthritis. METHODS: Retrospective cohort longitudinal study of 76 shoulder replacements performed in a university clinic. The range of shoulder motion was assessed by a physiotherapist using a manual goniometer with 5-degree precision before the surgery and 1, 3, 6, 12, and 36 months postoperatively. RESULTS: The shapes of the regression curves suggest that the improvement or decline observed in joint motion was happening mostly during the first year after surgery. After 1 year, the trajectories become flat and they remained unchanged until the end of follow-up. CONCLUSIONS: After shoulder joint replacement, the range of shoulder motion showed substantial changes during the first year only. This should be taken into account when scheduling control visits, planning rehabilitation, and predicting the use of community services after the surgery.
OBJECTIVES: To evaluate the trajectory of the change in range of motion after reverse shoulder joint replacement during 3-year follow-up among patients with rheumatoid arthritis. METHODS: Retrospective cohort longitudinal study of 76 shoulder replacements performed in a university clinic. The range of shoulder motion was assessed by a physiotherapist using a manual goniometer with 5-degree precision before the surgery and 1, 3, 6, 12, and 36 months postoperatively. RESULTS: The shapes of the regression curves suggest that the improvement or decline observed in joint motion was happening mostly during the first year after surgery. After 1 year, the trajectories become flat and they remained unchanged until the end of follow-up. CONCLUSIONS: After shoulder joint replacement, the range of shoulder motion showed substantial changes during the first year only. This should be taken into account when scheduling control visits, planning rehabilitation, and predicting the use of community services after the surgery.
Entities:
Keywords:
Articular; Range of motion; Reverse shoulder; Rheumatoid arthritis; Shoulder arthroplasty
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