BACKGROUND: Rehabilitation following shoulder surgery involves the use of resistive exercise but dosing of these -exercises historically employs multiple sets of pre-determined repetitions and few reports document the perceived effort encountered by patients during these exercises for both elastic resistance and free-weights. The OMNI-Resistance Exercise Scale (OMNI-RES) has been tested and applied as a measure of perceived exertion (RPE) for resistive exercise but has not gained widespread acceptance as an optimal method for physical therapists to document RPE during rehabilitation of shoulder surgery. PURPOSE: To generate descriptive values of RPE encountered during common shoulder exercises of varying resistance in patients following shoulder surgery as well as provide a comparative analysis between perceived exertion ratings of similar exercise movement patterns using elastic and traditional isotonic resistance. STUDY DESIGN: Descriptive Cross-sectional Cohort. METHODS: Sixty-six subjects (mean age 53.3 + 12.8 years) were included in this study following shoulder surgery (RC repair n=22, labral repair n=10, SA n=34). Perceived exertion using the OMNI-RES was recorded during performance of seven rotator cuff and scapular rehabilitation exercises at 6- and 12-weeks following surgery. RESULTS: Mean RPE using OMNI-RES in combined surgical groups ranged between 3.6 and 5.7 (mean = 4.50 + 2.1) across all seven exercises (scale 0 = very easy to 10 = extremely hard). From the external rotation (ER) exercise pair, paired t-tests revealed standing ER w/ Thera-band® (ERB) had a significantly higher OMNI-RES score versus sidelying ER w/ cuff weight (SLERW) (mean: 5.13 vs 4.41, p = 0.001) while the extension exercise pair consisting of standing shoulder extension w/ band (EXTB) and prone extension w/ cuff weight (PEXTW) showed no significant difference in OMNI-RES score (mean: 3.54, 3.67, p = 0.626). CONCLUSION: Commonly prescribed resistance exercise in the rehabilitation following shoulder surgery show light-moderate ratings of perceived exertion at both 6 & 12 week post-operative timepoints across three surgical procedures. LEVEL OF EVIDENCE: 3b.
BACKGROUND: Rehabilitation following shoulder surgery involves the use of resistive exercise but dosing of these -exercises historically employs multiple sets of pre-determined repetitions and few reports document the perceived effort encountered by patients during these exercises for both elastic resistance and free-weights. The OMNI-Resistance Exercise Scale (OMNI-RES) has been tested and applied as a measure of perceived exertion (RPE) for resistive exercise but has not gained widespread acceptance as an optimal method for physical therapists to document RPE during rehabilitation of shoulder surgery. PURPOSE: To generate descriptive values of RPE encountered during common shoulder exercises of varying resistance in patients following shoulder surgery as well as provide a comparative analysis between perceived exertion ratings of similar exercise movement patterns using elastic and traditional isotonic resistance. STUDY DESIGN: Descriptive Cross-sectional Cohort. METHODS: Sixty-six subjects (mean age 53.3 + 12.8 years) were included in this study following shoulder surgery (RC repair n=22, labral repair n=10, SA n=34). Perceived exertion using the OMNI-RES was recorded during performance of seven rotator cuff and scapular rehabilitation exercises at 6- and 12-weeks following surgery. RESULTS: Mean RPE using OMNI-RES in combined surgical groups ranged between 3.6 and 5.7 (mean = 4.50 + 2.1) across all seven exercises (scale 0 = very easy to 10 = extremely hard). From the external rotation (ER) exercise pair, paired t-tests revealed standing ER w/ Thera-band® (ERB) had a significantly higher OMNI-RES score versus sidelying ER w/ cuff weight (SLERW) (mean: 5.13 vs 4.41, p = 0.001) while the extension exercise pair consisting of standing shoulder extension w/ band (EXTB) and prone extension w/ cuff weight (PEXTW) showed no significant difference in OMNI-RES score (mean: 3.54, 3.67, p = 0.626). CONCLUSION: Commonly prescribed resistance exercise in the rehabilitation following shoulder surgery show light-moderate ratings of perceived exertion at both 6 & 12 week post-operative timepoints across three surgical procedures. LEVEL OF EVIDENCE: 3b.
Authors: Lars L Andersen; Christoffer H Andersen; Ole S Mortensen; Otto M Poulsen; Inger Birthe T Bjørnlund; Mette K Zebis Journal: Phys Ther Date: 2010-02-04
Authors: Matthew J Kraeutler; Eric C McCarty; John W Belk; Brian R Wolf; Carolyn M Hettrich; Shannon F Ortiz; Jonathan T Bravman; Keith M Baumgarten; Julie Y Bishop; Matthew J Bollier; Robert H Brophy; James L Carey; James E Carpenter; Charlie L Cox; Brian T Feeley; John A Grant; Grant L Jones; John E Kuhn; John D Kelly; C Benjamin Ma; Robert G Marx; Bruce S Miller; Brian J Sennett; Matthew V Smith; Rick W Wright; Alan L Zhang Journal: Am J Sports Med Date: 2018-03-05 Impact factor: 6.202
Authors: Jason L Zaremski; Juan Galloza; Fernando Sepulveda; Terrie Vasilopoulos; William Micheo; Daniel C Herman Journal: Br J Sports Med Date: 2016-11-10 Impact factor: 13.800