Show simple item record

dc.contributor.authorPiitulainen, Kirsi
dc.date.accessioned2017-03-14T09:48:59Z
dc.date.available2017-03-14T09:48:59Z
dc.date.issued2017
dc.identifier.isbn978-951-39-6994-3
dc.identifier.otheroai:jykdok.linneanet.fi:1675602
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/53252
dc.description.abstractThis study examined the effectiveness of intensive shoulder strength training on disability, health-related quality of life (HRQoL) and shoulder function in patients who had undergone rotator cuff repair (RCR). In addition, the self- report section of the American Shoulder and Elbow Surgeons Standardized Assessment Form (ASES) was cross-culturally adapted to the Finnish language and the psychometric properties of the Finnish version were assessed. Patients with a rotator cuff tear (aged 41-62 years) were randomized into an exercise group (EG, n=35) or a usual care group (UCG, n=32) after RCR. Disability was assessed with ASES questionnaire and quality of life with Short- Form 36 Health Survey (SF-36) preoperatively and at two months, 12 months and three years after surgery. Shoulder function was evaluated by measuring range of motion (ROM) and muscle strength at two and 12 months after surgery. The strength training intervention began two months after surgery and lasted 12 months. The EG were given instructions on a home-based shoulder muscle strengthening programme, while the UCG received ordinary postoperative instructions. The reliability of the ASES questionnaire was assessed. Preoperatively, the RCR patients with high functional disability of the shoulder demonstrated low HRQoL. After the 12-month intervention, no between-group differences were observed in any of the outcomes. The mean (SD) ASES score improved from 74 (14) by 21 points (95% CI, 16 to 26, p < 0.001) in the EG and from 70 (18) by 25 points (95% CI, 20 to 31, p < 0.001) in the UCG. Both groups maintained their post-intervention ASES score levels throughout the three-year follow-up. The Finnish version of the ASES proved to be a reliable and valid shoulder-specific measurement tool. These results suggest that the majority of the patients achieved good re- covery during one year. The additional exercise intervention did not benefit patients with a rotator cuff tear.
dc.format.extent1 verkkoaineisto (159 sivua) : kuvitettu
dc.language.isoeng
dc.publisherUniversity of Jyväskylä
dc.relation.ispartofseriesStudies in sport, physical education and health
dc.relation.isversionofJulkaistu myös painettuna.
dc.subject.otherShoulder
dc.subject.otherRotator Cuff
dc.subject.otherResistance Training
dc.subject.otherQuality of Life
dc.subject.otherMuscle Strength
dc.subject.otherrotator cuff repair
dc.subject.otherrange of motion
dc.subject.othermuscle strength
dc.subject.otherhealth-related quality of life
dc.subject.otherexercise
dc.subject.otherdisability
dc.titleThe effectiveness of 12 months' intensive shoulder strength training on disability, health-related quality of life and shoulder function after rotator cuff repair
dc.title.alternativeEffectiveness of 12 months' intensive training after rotator cuff repair
dc.identifier.urnURN:ISBN:978-951-39-6994-3
dc.type.dcmitypeTexten
dc.type.ontasotVäitöskirjafi
dc.type.ontasotDoctoral dissertationen
dc.contributor.tiedekuntaLiikuntatieteellinen tiedekuntafi
dc.contributor.tiedekuntaFaculty of Sport and Health Sciencesen
dc.contributor.yliopistoUniversity of Jyväskyläen
dc.contributor.yliopistoJyväskylän yliopistofi
dc.contributor.oppiaineFysioterapiafi
dc.subject.methodSatunnaistettu kontrolloitu tutkimus
dc.relation.issn0356-1070
dc.relation.numberinseries256
dc.rights.accesslevelopenAccessfi
dc.subject.ysoolkapäät
dc.subject.ysojänteet
dc.subject.ysoleikkaushoito
dc.subject.ysovoimaharjoittelu
dc.subject.ysolihasvoima
dc.subject.ysoliikkuvuus
dc.subject.ysonivelet
dc.subject.ysoelämänlaatu
dc.subject.ysotyöikäiset
dc.subject.ysokuntoutus
dc.subject.ysofysioterapia


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record