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Knee Surgery Sports Traumatology Arthroscopy
Article . 2021 . Peer-reviewed
License: CC BY
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Center of pressure (COP) measurement in patients with confirmed successful outcomes following shoulder surgery show significant sensorimotor deficits

Authors: Yannick J. Ehmann; Daniel P. Berthold; Sven Reuter; Knut Beitzel; Robin Köhler; Fabian Stöcker; Lukas N. Muench; +5 Authors

Center of pressure (COP) measurement in patients with confirmed successful outcomes following shoulder surgery show significant sensorimotor deficits

Abstract

AbstractPurposeTo determine the sensorimotor and clinical function of patients with confirmed successful outcome after either undergoing acromioclavicular joint (ACJ) stabilization, Bankart repair (BR), or rotator cuff repair (RC), and to compare these measures to the contralateral, healthy side without history of previous injuries or surgeries of the upper extremity. It was hypothesized that patients of each interventional group would have inferior sensorimotor function of the shoulder joint compared to the contralateral, healthy side, while presenting with successful clinical and functional outcomes.MethodsThree intervention groups including ten patients who had confirmed successful clinical and functional outcomes after either undergoing ACJ stabilization, BR, or RC were evaluated postoperatively at an average follow‐up of 31.7 ± 11.6 months. Additionally, a healthy control group (CG) of ten patients was included. Clinical outcomes were assessed using the Constant–Murley (CM) and American Shoulder and Elbow Surgeons (ASES) Score. Pain was evaluated using the visual analogue scale (VAS). Sensorimotor function was assessed by determining the center of pressure (COP) of the shoulder joint in a one‐handed support task in supine position on a validated pressure plate.ResultsEach interventional group demonstrated excellent clinical outcome scores including the CM Score (ACJ 83.3 ± 11.8; BR 89.0 ± 10.3; RC 81.4 ± 8.8), ASES Score (ACJ 95.5 ± 7.0; BR 92.5 ± 9.6; RC 96.5 ± 5.2), and VAS (ACJ 0.5 ± 0.9; BR 0.5 ± 0.8; RC 0.5 ± 0.8). Overall, the CG showed no significant side‐to‐side difference in COP, whereas the ACJ‐group and the BR‐group demonstrated significantly increased COP compared to the healthy side (ACJ 103 cm vs. 98 cm, p = 0.049; BR: 116 cm vs. 102 cm, p = 0.006). The RC‐group revealed no significant side‐to‐side difference (120 cm vs. 108 cm, n.s.).ConclusionCentre of pressure measurement detected sensorimotor functional deficits following surgical treatment of the shoulder joint in patients with confirmed successful clinical and functional outcomes. This may indicate that specific postoperative training and rehabilitation protocols should be established for patients who underwent surgery of the upper extremity. These results underline that sensorimotor training should be an important component of postoperative rehabilitation and physiotherapeutic activities to improve postoperative function and joint control.Level of evidenceIV.

Country
Germany
Keywords

Arthroscopy, Shoulder, Treatment Outcome, Acromioclavicular Joint, Rotator Cuff Injuries/surgery [MeSH] ; Arthroscopy/methods [MeSH] ; Shoulder ; Humans [MeSH] ; Shoulder injury ; Treatment Outcome [MeSH] ; COP ; Acromioclavicular Joint/surgery [MeSH] ; Rehabilitation ; Centre of pressure ; Shoulder [MeSH] ; Rehabilitation of shoulder ; Sensorimotor function ; Shoulder Joint/surgery [MeSH], Shoulder Joint, Shoulder ; Centre of pressure ; COP ; Shoulder injury ; Rehabilitation of shoulder ; Sensorimotor function ; Rehabilitation, Humans, Rotator Cuff Injuries, ddc: ddc:

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
4
Average
Average
Average
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