Accelerated Rehabilitation After Arthroscopic Bankart Repair Surgery

Hacettepe University

Status: Completed

Conditions: Bankart Lesion

Treatments: Other: Accelerated rehabilitation; Other: Delayed rehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT03347019

GO 16/471-14

Details and patient eligibility

About

The aim of this study was to prospectively evaluate the efficacy of an accelerated rehabilitation regime for patients undergoing early arthroscopic stabilization for first-time anterior dislocation in terms of clinical outcome, return to play data and recurrence rates.

Full description

Traditional rehabilitation regimes post arthroscopic stabilization commonly stipulate a period of immobilization of between 2 weeks and 6 weeks.This is apparently embedded in practice and is reportedly based on tissue healing times. However early mobilisation would allow good clinical results in terms of clinical outcome, return to play data and recurrence rates.

Enrollment: 40 patients

Sex: All

Ages: 18 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient were included based on their history of a clear mechanism of injury resulting in traumatic anterior dislocation, with clear evidence of labral injury confirmed on magnetic resonance imaging.

Exclusion criteria

• patients with inflammatory, autoimmune, endocrine or kidney diseases
• Recurrence
• Bony Bankart Lesion

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

accelerated rehabilitation after surgery

Experimental group

Description:

patients were included progressive rehabilitation programme first week after arthroscopic bankart repair consisting of passive shoulder range of motion exercises, scapular retraction exercises. The exercise programme progressed from active range of motion exercises to resistive and plyometric shoulder exercises. Patients were followed for six months.

Treatment:

Other: Accelerated rehabilitation

delayed rehabilitation after surgery

Experimental group

Description:

Patients were not allowed to start passive shoulder exercises first three weeks after surgery. Patients were included progressive rehabilitation programme third week after arthroscopic bankart repair consisting of passive shoulder range of motion exercises, scapular retraction exercises. The exercise programme progressed from active range of motion exercises to resistive and plyometric shoulder exercises. Patients were followed for six months.

Treatment:

Other: Delayed rehabilitation