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シバハシ ヒロトモ
柴橋 広智 所属 医療保健学部 リハビリテーション学科 作業療法学専攻 職種 助教 |
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| 言語種別 | 英語 |
| 発行・発表の年月 | 2024/02 |
| 形態種別 | 学術論文 |
| 査読 | 査読あり |
| 標題 | Patient Sex Is a Significant Factor in Arm Function Recovery After Arthroscopic Rotator Cuff Repair |
| 執筆形態 | 共著 |
| 掲載誌名 | Arthroscopy, Sports Medicine, and Rehabilitation |
| 掲載区分 | 国外 |
| 巻・号・頁 | 6(1) |
| 総ページ数 | 7 |
| 担当区分 | 筆頭著者 |
| 著者・共著者 | Hirotomo Shibahashi, Miyuki Murakawa, Issei Yuki, Tomohiro Uno, Yuya Takakubo, Michiaki Takagi |
| 概要 | Purpose: This study aimed to investigate the impact of patient sex on arm function recovery after arthroscopic rotator cuff repair (ARCR) and identify the factors affecting patient-reported outcomes to promote more effective rehabilitation.
Methods: We retrospectively reviewed the clinical records of 124 patients who underwent rehabilitation after ARCR at our hospital between January 2014 and December 2019. Patient characteristics included age, sex, type of muscle tear, tear location, muscle strength, Japanese Orthopedic Association (JOA) score, and patient responses to the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire. We used mixed-effects regression models with random intercepts to evaluate the QuickDASH scores, JOA scores, and muscle strength relative to the non-operated side. Results: Of the 124 patients, 82 (66.1%) were 65-year-old men and 42 (33.9%) were 67-year-old women. The preoperative JOA scores (p = .03) and those at 6 (p < .001) and 12 months (p = .04) after ARCR were significantly greater for men than for women. QuickDASH scores of men were significantly lower at 24 months (p = .02) and all other time points (p < .001) than those of women. The improvement in QuickDASH scores was significantly higher for women than for men (p < .01). The results of the multiple regression analysis showed that patient sex (95% confidence interval, 0.01–0.45; p < .05) had an impact on QuickDASH scores at 24 months after ARCR. Conclusion: The recovery course of patients who underwent ARCR differed significantly based on sex. Hence, our data emphasize the need to re-evaluate rehabilitation programs for patients with rotator cuff tears based on sex. |
| 外部リンクURL | https://www.sciencedirect.com/science/article/pii/S2666061X23001852 |