Sandra Martinez-Rico1, Alejandro Lizaur-Utrilla, Emilio Sebastia-Forcada, Maria F Vizcaya-Moreno, Joaquin de Juan-Herrero. 1. Sandra Martinez-Rico, OrthPT, Shoulder Unit, Department of Orthopaedic Surgery, Elda University Hospital, Ctra Elda-Sax s/n, Elda, Alicante, Spain. Alejandro Lizaur-Utrilla, PhD, Shoulder Unit, Department of Orthopaedic Surgery, Elda University Hospital, Ctra Elda-Sax s/n, Elda, Alicante, Spain; and Nursing Department, Faculty of Health Sciences, University of Alicante, Ctra San Vicente Raspeig s/n, Alicante, Spain. Emilio Sebastia-Forcada, MD, Shoulder Unit, Department of Orthopaedic Surgery, Elda University Hospital, Ctra Elda-Sax s/n, Elda, Alicante, Spain. Maria F. Vizcaya-Moreno, PhD, Nursing Department, Faculty of Health Sciences, University of Alicante, Ctra San Vicente Raspeig s/n, Alicante, Spain. Joaquin de Juan-Herrero, PhD, Nursing Department, Faculty of Health Sciences, University of Alicante, Ctra San Vicente Raspeig s/n, Alicante, Spain.
Abstract
PURPOSE: The purpose of this study was to assess the impact of a phone assistance nursing program as an adjunct to conventional physiotherapy to increase adherence to a home exercise program on functional outcomes of patients who underwent shoulder instability surgery. METHODS: A randomized controlled study of 70 patients allocated to aphone assistance program (study group, n = 36 patients) or conventional postoperative management (control group, n = 34 patients) was conducted. All patients in both groups received conventional rehabilitation at the outpatient clinic after surgery. In addition, patients in the study group received phone calls from a nurse (who had access to a physiotherapist) 3 days per week. During the calls these patients received a coaching session about self-care and support with the home exercise program. Evaluations were performed during a follow-up of 12 months for range of motion (ROM), pain (visual analog scale [VAS] score), Disability of the Arm, Shoulder, and Hand (DASH) score, Oxford Shoulder Instability Score (OSIS), and Rowe score. RESULTS: All scores significantly improved from preoperative to the final follow-up in both groups (p = .001). At the final follow-up, there were no significant differences between groups in VAS, DASH, or Rowe scores. However, those in the study group had significantly better OSIS (p = .013) and ROM (p = .001), particularly for anterior forward motion (p = .001). Likewise, the study group achieved full motion and function significantly faster than the control group (p = .002). The amount of rehabilitation sessions at the outpatient clinic was 1.7 times higher in the control group (p = .004) than in the study group. CONCLUSION: The phone assistance nursing program was an effective procedure to significantly improve the outcomes of conventional physiotherapy in patients who have undergone an operation for shoulder instability.
RCT Entities:
PURPOSE: The purpose of this study was to assess the impact of a phone assistance nursing program as an adjunct to conventional physiotherapy to increase adherence to a home exercise program on functional outcomes of patients who underwent shoulder instability surgery. METHODS: A randomized controlled study of 70 patients allocated to a phone assistance program (study group, n = 36 patients) or conventional postoperative management (control group, n = 34 patients) was conducted. All patients in both groups received conventional rehabilitation at the outpatient clinic after surgery. In addition, patients in the study group received phone calls from a nurse (who had access to a physiotherapist) 3 days per week. During the calls these patients received a coaching session about self-care and support with the home exercise program. Evaluations were performed during a follow-up of 12 months for range of motion (ROM), pain (visual analog scale [VAS] score), Disability of the Arm, Shoulder, and Hand (DASH) score, Oxford Shoulder Instability Score (OSIS), and Rowe score. RESULTS: All scores significantly improved from preoperative to the final follow-up in both groups (p = .001). At the final follow-up, there were no significant differences between groups in VAS, DASH, or Rowe scores. However, those in the study group had significantly better OSIS (p = .013) and ROM (p = .001), particularly for anterior forward motion (p = .001). Likewise, the study group achieved full motion and function significantly faster than the control group (p = .002). The amount of rehabilitation sessions at the outpatient clinic was 1.7 times higher in the control group (p = .004) than in the study group. CONCLUSION: The phone assistance nursing program was an effective procedure to significantly improve the outcomes of conventional physiotherapy in patients who have undergone an operation for shoulder instability.
Authors: Ryan G Rogero; Meghan Bishop; Brandon J Erickson; Daniel Seigerman; Daniel Smith; Samir C Sodha; Howard Yeon; Justin Tsai Journal: Cureus Date: 2020-04-17
Authors: Pieter Coenen; Gerben Hulsegge; Joost G Daams; Rutger C van Geenen; Gino M Kerkhoffs; Maurits W van Tulder; Judith A Huirne; Johannes R Anema; P Paul Kuijer Journal: BMJ Open Sport Exerc Med Date: 2020-03-26