The effect of an exercise rehabilitation program on pain, strength and function in circus arts performers with atraumatic instability of the shoulder: a longitudinal prospective cohort study with quasi experimental design.
试验速览
- 阶段
- 未知
- 状态
- 已完成
- 入组人数
- 24
研究概览
简要总结
Shoulder injuries in circus performers are common. The aim of this study was to evaluate the effectiveness of the Watson Instability Program delivered via telehealth on patient reported outcome measures, scapula position, shoulder strength and handstand stability in student circus performers with atraumatic shoulder instability. Twenty-four student circus arts performers participated in the study. Significant improvements were found for patient reported outcome measures (Western Ontario Shoulder Index, Melbourne Instability Shoulder Score and Orebro Musculoskeletal Pain Questionnaire) at all follow up timepoints. The Tampa Scale for Kinesiophobia scores reached significance at 6-weeks and 3-months. Following rehabilitation, statistically significant increases in shoulder strength in all positions tested and increased scapula upward rotation measured at end of range abduction, and during loaded external rotation were found. Affected arm showed greater instability compared to unaffected arm with significant intervention effect on the affected arm showing greater consistent anterior-posterior movement pattern. This study was unable to determine if results of a telehealth intervention would be equivalent to results of a face to face intervention, as no comparator intervention was used in this study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non-randomised trial
- 主要目的
- Treatment
- 盲法
- Open (masking not used)
入排标准
- 年龄范围
- 15 Years 至 35 Years（—）
- 性别
- All
入选标准
- •Report of shoulder region discomfort, pain or apprehension/guarding with movement
- •Willing to participate in 12-week exercise program
- •Clinically diagnosed symptomatic atraumatic shoulder instability in one or more directions.
- •Amenable to correction (symptomatically improve a participant’s abduction or flexion range of motion by a minimum of 20°, or, significantly reduce a participant’s pain or guarding in any objective measure, or, improve a participant’s strength on an isometric test).
排除标准
- •History of significant trauma defined as contact with an external object (such as a fall, impact with another body or surface) with lock out of the glenohumeral joint and conscious awareness by the patient of a sudden onset of pain.
- •History of glenohumeral dislocation that requires relocation
- •Prior surgical history of the affected shoulder(s)
- •Non-correctable volitional instability
- •Inability to complete 5 repetitions of a 5 second duration shoulder shrug with no weight
- •Non-compliance
- •Neurological motor deficit
- •Instability due to UMN or LMN lesion
- •Ehlers-Danlos syndrome/Marfan’s syndrome
- •Shoulder pain that is predominantly due to cervical dysfunction including:
- •- Cervical spine somatic referred pain
- •- Cervical spine radicular pain
- •- Cervical spine radiculopathy
- •- Thoracic outlet syndrome