Effect of home exercise on pain,function and quality of life after operation for rotator cuff injury
Objective To explore the effect of home exercise on pain,function and quality of life after operation for rotator cuff inju-ry.Methods From June,2023 to June,2024,45 patients after operation for rotator cuff injury were selected from Xuzhou Rehabilitation Hospital Affiliated to Xuzhou Medical University and Xuzhou Central Hospital,and randomly di-vided into conventional group(n=15),home-based group(n=15)and combined group(n=15).The conven-tional group received an eight-week routine rehabilitation program in hospital,the home-based group received an eight-week home exercise prescription training,and the combined group first received four weeks of routine reha-bilitation in hospital,and followed by four weeks of home exercise prescription training.They were assessed with Visual Analogue Scale for pain(VAS),University of California at Los Angeles shoulder rating scale(UCLA),Constant-Murley Score(CMS),range of motion(ROM)of shoulder,and the Short-form of Health Sur-vey-36(SF-36)before treatment,and four and eight weeks after treatment.Results VAS scores decreased in all the three groups four and eight weeks after treatment(Z>2.964,P<0.001),which was the most in the home-based group four weeks after treatment(|Z|>2.531,P<0.05).The main effect of time was significant in scores of UCLA,CMS,and physical health and mental health of SF-36(F>498.102,P<0.001),which improved after treatment(P<0.001).The main effect of group was significant in score of mental health of SF-36(F=7.408,P=0.002),which was the most in the home-based group four and eight weeks after treatment(P<0.01).The interaction was significant in score of physical health of SF-36(F=10.138,P<0.001),which was the least in the home-based group four weeks after treatment(P<0.05).The main effect of time was significant in every direction of ROM,which improved after treatment(P<0.001).The interaction was signifi-cant in ROM of abduction and external rotation(F>4.059,P<0.01),and almost significant in ROM of flexion(F=2.412,P=0.055).However,ROM of flexion was less in the home-based group than in the combined group four weeks after treatment(P=0.047),which was less in the home-based group than in the conventional group eight weeks after treatment(P=0.042);ROM of abduction was the least in the home-based group four weeks af-ter treatment(P<0.01),which was less in the home-based group than in the combined group eight weeks after treatment(P=0.046);ROM of external rotation was less in the home-based group than in the combined group four weeks after treatment(P=0.022).Conclusion Home exercise is effective on pain,function and quality of life in patients after operation for rotator cuff in-jury.There are benefits with both home exercise and institution-based rehabilitation,and almost the same in a whole eight weeks after treatment.
rotator cuff injuryhome rehabilitationpainquality of life
万方数据
维普
