الفهرس Only 14 pages are availabe for public view
 |  | from | 150 |  |  |
| | | from | 150 | | |
Abstract
Background: Anterior shoulder dislocation is common injury and may lead to joint instability. Open repair is the choice to prevent re-dislocation when there were bony loss or tissue deficiencies. Latarjet procedure is one of non-anatomical repair techniques. The reference was preserving glenoid labrum as long as it can be repaired. If not, it was removed. Purpose: This study investigated the effectiveness of standard rehabilitation protocol on shoulder function and proprioception acuity in patients with anterior shoulder instability. Furthermore, whether rehabilitation outcome varies with and without labrum removal. Subjects & Methods: 29 patients aged from 25 to 52 years old were enrolled in this study. All patients underwent Latarjet procedure. Based on labrum presence, patients were divided into two groups: (A) had the labrum preserved (n=15), and (B): labrums were removed (n=14). Patients received a standardized protocol designed by Brigham and Women’s Hospital. Program consists of four consecutive phases; {Phase I} Immediate Post-Surgical (Weeks 1- 2); {Phase II} Intermediate/ROM (Week 3-8); {Phase III} Strengthening (Week 9-12); and {Phase IV} Overhead Activities/Return to activity (Week 13-16). ANALYSIS: Pain severity, shoulder range of motion and muscle strength was quantified using the shoulder pain score, a digital inclinometer and a manual muscle tester, respectively. Proprioception acuity was measured using the closed kinetic chain upper extremity stability test. All measurements were done at baseline before rehabilitation begins and at end of the 16th weeks of rehabilitation. Within group comparisons showed significant differences between baseline measures and after 16th weeks of rehabilitation in patients of both groups (P<0.05). Between groups comparison showed significant differences in labrum preservation patients regarding selected shoulder muscles strength and proprioception acuity (P<0.05). Labrum removal showed significant difference in pain severity (P<0.05) and external rotation range of motion (P<0.05)