Wednesday, October 13, 2021

[RESEARCH] Rotator Cuff Tear - Surgery v. Conservative Rehab for 55+

[RESEARCH] Rotator Cuff Tear - Surgery v. Conservative Rehab for 55+ - themanualtherapist.com

Rotator Cuff Tear - Surgery v. Conservative Rehab for 55+


INTRO:
Non-traumatic rotator cuff tear is a common shoulder problem which can be treated either conservatively or operatively. Kukkonen et al. (2021) investigated the difference between clinical and radiological 5 year outcomes in patients aged over 55 years.


METHODS:
180 shoulders with symptomatic, non-traumatic supraspinatus tears were randomly assigned to:
  1. Physiotherapy (Group 1)
  2. Acromioplasty and physiotherapy (Group 2)
  3. Rotator cuff repair, acromioplasty and physiotherapy (Group 3).
Primary Outcome:
Constant score.

Secondary Outcomes:
Visual analog scale for pain and patient satisfaction.
Radiological analysis included evaluation of glenohumeral osteoarthritis and rotator cuff tear arthropathy.

RESULTS:
The average tear size of the supraspinatus was 10 mm in all groups.

There were no significant differences in the average change of Constant score:
  • 18.5 points in Group 1
  • 17.9 points in Group 2
  • 20.0 points in Group 3.
There were no statistically significant differences in the change of visual analog scale for pain and patient satisfaction. At follow-up there were no statistically significant differences in the mean progression of glenohumeral osteoarthritis or cuff tear arthropathy between the groups.

CONCLUSIONS:
  • Operative treatment was no better than conservative treatment with regard to small non-traumatic single tendon supraspinatus tears in patients over 55 years of age.
  • Operative treatment does not protect against degeneration of the glenohumeral joint or cuff tear arthropathy.
  • Conservative treatment is a reasonable option for the primary initial treatment of this condition.
WANT MORE RESEARCH? Click here!

🔻Rapid Review Members Get🔻
3 articles every week, you should be reading
Key Points & Main Takeaways
Read in less than 5 minutes
Sent direct to your inbox
Access to full-text
Only $1 per week.


SOURCE:
Kukkonen et al. 2021.
OPERATIVE VS. CONSERVATIVE TREATMENT OF SMALL NON-TRAUMATIC SUPRASPINATUS TEARS IN PATIENTS OVER 55 YEARS. Journal of Shoulder and Elbow Surgery

Dalton Urrutia, MSc PT

Dalton is a Physical Therapist from Oregon, currently living and running the performance physiotherapy clinic he founded in London for Grapplers and Strength & Conditioning athletes. Dalton runs the popular instagram account @physicaltherapyresearch, where he posts easy summaries of current and relevant research on health, fitness, and rehab topics. 
Want to learn more or contact him?
Reach out online:
@Grapplersperformance

Learn more online - new online discussion group included!


Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. 
  • NEW - Online Discussion Group
  • Live cases
  • webinars
  • lecture
  • Live Q&A
  • over 600 videos - hundreds of techniques and more! 
  • Check out MMT Insiders
Keeping it Eclectic...

Via Wellness http://www.rssmix.com/

No comments:

Post a Comment