Are progressive shoulder exercises feasible in patients with glenohumeral osteoarthritis or rotator cuff tear arthropathy?
Abstract Background Little is known about the feasibility of progressive shoulder exercises (PSE) for patients with glenohumeral osteoarthritis (OA) or rotator cuff tear arthropathy (CTA). The aim of this study was to investigate whether 12 weeks of PSE is feasible in patients with glenohumeral OA o...
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | Pilot and Feasibility Studies |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40814-022-01127-8 |
| _version_ | 1811342689199718400 |
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| author | Josefine Beck Larsen Helle Kvistgaard Østergaard Theis Muncholm Thillemann Thomas Falstie-Jensen Lisa Cecilie Urup Reimer Sidsel Noe Steen Lund Jensen Inger Mechlenburg |
| author_facet | Josefine Beck Larsen Helle Kvistgaard Østergaard Theis Muncholm Thillemann Thomas Falstie-Jensen Lisa Cecilie Urup Reimer Sidsel Noe Steen Lund Jensen Inger Mechlenburg |
| author_sort | Josefine Beck Larsen |
| collection | DOAJ |
| description | Abstract Background Little is known about the feasibility of progressive shoulder exercises (PSE) for patients with glenohumeral osteoarthritis (OA) or rotator cuff tear arthropathy (CTA). The aim of this study was to investigate whether 12 weeks of PSE is feasible in patients with glenohumeral OA or CTA eligible for shoulder arthroplasty. Moreover, to report changes in shoulder function and range of motion (ROM) following the exercise program. Methods Twenty patients were included. Eighteen patients (11 women, 15 with OA), mean age 70 years (range 57–80), performed 12 weeks of PSE with one weekly physiotherapist-supervised and two weekly home-based sessions. Feasibility was measured by dropout rate, adverse events, pain, and adherence to PSE. At baseline and end of intervention, patients completed the Western Ontario Osteoarthritis of the Shoulder (WOOS) score and Disabilities of the Arm, Shoulder and Hand (DASH). Data to assess feasibility were analyzed using descriptive statistics. Results Two patients dropped out and no adverse events were observed. Sixteen of the eighteen patients (89%) had a high adherence (≥ 70%) to the physiotherapist-supervised sessions. Acceptable pain levels were reported; in 76% of all exercise sessions with no numeric rating scale (NRS) score over five for any exercise. WOOS improved with a mean of 23 points (95% CI 13;33), and DASH improved with a mean of 13 points (95% CI 6;19). Conclusion Adherence to PSE was high and dropout rates were low. PSE is feasible, safe and may relieve shoulder pain, improve function and ROM in patients with glenohumeral OA or CTA. The patient-experienced gains after PSE seem clinically relevant and should be compared to arthroplasty surgery in a RCT setting. Trial registration According to Danish law, this study did not need an approval by the Central Denmark Region Committee on Health Research Ethics. Approval from The Danish Data Protection Agency (journal number 1-16-02-15-20) was obtained. |
| first_indexed | 2024-04-13T19:16:21Z |
| format | Article |
| id | doaj.art-029cf3d568c74653afd69126f5a3f613 |
| institution | Directory Open Access Journal |
| issn | 2055-5784 |
| language | English |
| last_indexed | 2024-04-13T19:16:21Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Pilot and Feasibility Studies |
| spelling | doaj.art-029cf3d568c74653afd69126f5a3f6132022-12-22T02:33:40ZengBMCPilot and Feasibility Studies2055-57842022-08-018111010.1186/s40814-022-01127-8Are progressive shoulder exercises feasible in patients with glenohumeral osteoarthritis or rotator cuff tear arthropathy?Josefine Beck Larsen0Helle Kvistgaard Østergaard1Theis Muncholm Thillemann2Thomas Falstie-Jensen3Lisa Cecilie Urup Reimer4Sidsel Noe5Steen Lund Jensen6Inger Mechlenburg7Department of Orthopaedic Surgery, Aarhus University HospitalDepartment of Clinical Medicine, Aarhus UniversityDepartment of Orthopaedic Surgery, Aarhus University HospitalDepartment of Orthopaedic Surgery, Aarhus University HospitalDepartment of Orthopaedic Surgery, Aarhus University HospitalDepartment of Orthopeadic Surgery, Viborg Regional HospitalInterdisciplinary Orthopaedics, Aalborg University HospitalDepartment of Orthopaedic Surgery, Aarhus University HospitalAbstract Background Little is known about the feasibility of progressive shoulder exercises (PSE) for patients with glenohumeral osteoarthritis (OA) or rotator cuff tear arthropathy (CTA). The aim of this study was to investigate whether 12 weeks of PSE is feasible in patients with glenohumeral OA or CTA eligible for shoulder arthroplasty. Moreover, to report changes in shoulder function and range of motion (ROM) following the exercise program. Methods Twenty patients were included. Eighteen patients (11 women, 15 with OA), mean age 70 years (range 57–80), performed 12 weeks of PSE with one weekly physiotherapist-supervised and two weekly home-based sessions. Feasibility was measured by dropout rate, adverse events, pain, and adherence to PSE. At baseline and end of intervention, patients completed the Western Ontario Osteoarthritis of the Shoulder (WOOS) score and Disabilities of the Arm, Shoulder and Hand (DASH). Data to assess feasibility were analyzed using descriptive statistics. Results Two patients dropped out and no adverse events were observed. Sixteen of the eighteen patients (89%) had a high adherence (≥ 70%) to the physiotherapist-supervised sessions. Acceptable pain levels were reported; in 76% of all exercise sessions with no numeric rating scale (NRS) score over five for any exercise. WOOS improved with a mean of 23 points (95% CI 13;33), and DASH improved with a mean of 13 points (95% CI 6;19). Conclusion Adherence to PSE was high and dropout rates were low. PSE is feasible, safe and may relieve shoulder pain, improve function and ROM in patients with glenohumeral OA or CTA. The patient-experienced gains after PSE seem clinically relevant and should be compared to arthroplasty surgery in a RCT setting. Trial registration According to Danish law, this study did not need an approval by the Central Denmark Region Committee on Health Research Ethics. Approval from The Danish Data Protection Agency (journal number 1-16-02-15-20) was obtained.https://doi.org/10.1186/s40814-022-01127-8Glenohumeral osteoarthritisRotator cuff tear arthropathyShoulderExerciseTotal shoulder replacement |
| spellingShingle | Josefine Beck Larsen Helle Kvistgaard Østergaard Theis Muncholm Thillemann Thomas Falstie-Jensen Lisa Cecilie Urup Reimer Sidsel Noe Steen Lund Jensen Inger Mechlenburg Are progressive shoulder exercises feasible in patients with glenohumeral osteoarthritis or rotator cuff tear arthropathy? Pilot and Feasibility Studies Glenohumeral osteoarthritis Rotator cuff tear arthropathy Shoulder Exercise Total shoulder replacement |
| title | Are progressive shoulder exercises feasible in patients with glenohumeral osteoarthritis or rotator cuff tear arthropathy? |
| title_full | Are progressive shoulder exercises feasible in patients with glenohumeral osteoarthritis or rotator cuff tear arthropathy? |
| title_fullStr | Are progressive shoulder exercises feasible in patients with glenohumeral osteoarthritis or rotator cuff tear arthropathy? |
| title_full_unstemmed | Are progressive shoulder exercises feasible in patients with glenohumeral osteoarthritis or rotator cuff tear arthropathy? |
| title_short | Are progressive shoulder exercises feasible in patients with glenohumeral osteoarthritis or rotator cuff tear arthropathy? |
| title_sort | are progressive shoulder exercises feasible in patients with glenohumeral osteoarthritis or rotator cuff tear arthropathy |
| topic | Glenohumeral osteoarthritis Rotator cuff tear arthropathy Shoulder Exercise Total shoulder replacement |
| url | https://doi.org/10.1186/s40814-022-01127-8 |
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