鏡視下バンカート修復術々後自主リハビリテーションの効果

概要

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Background: Rehabilitation for shoulder surgery is important. However it is often difficult for patients to receive adequate ambulatory rehabilitation, therefore self home exercise is a major way of rehabilitation. The purpose of this study is to research the effect of home exercise on postoperative results of arthroscopic Bankart repair(ABR). Methods: 19 cases underwent ABR and were followed-up for more than one year. A questionnaire was made as to the frequency and duration of postoperative home exercise. Factors related to recovery in JSS shoulder instability score from postoperation to 1year and the increase in JSS SIS postoperation 6 months to 1year were analyzed. Statistical official approval set 5% as a level of significance using regression analysis. Results: Recovery in JSS shoulder instability score is 13.8 ∼ 122％(average58.6). It was related to the duration of home exercise until 3 weeks (p=0.04)and total time of exercise from 6 to 9 months post operation(p=0.03), and the duration of home exercise from 9 months to 1 year(p=0.03) .The increase of JSS-SIS after 6months was --21.3 ∼ 51.9％(average 27.6）and was related to the duration of home exercise from 6 to 9 months(p=0.02) and age(p=0.03). Discussion: Home exercise from 6months upward affects the outcome of ABR. It suggests that we should encourage patients to do home exercise especially after 6months.
日本肩関節学会の論文