Ellenbecker Todd S, Dickenson Scott, Merriman Susan, Sueyoushi Ted, Pieczynski Tad E, Bailie David S
Rehab Plus Sports Therapy Scottsdale and ATP Tour, Scottsdale, AZ, USA.
University of Delaware Physical Therapy Clinic, STAR Campus, Newark, DE, USA.
Int J Sports Phys Ther. 2020 Oct;15(5):703-711. doi: 10.26603/ijspt20200703.
Rehabilitation following shoulder surgery involves the use of resistive exercise but dosing of these -exercises historically employs multiple sets of pre-determined repetitions and few reports document the perceived effort encountered by patients during these exercises for both elastic resistance and free-weights. The OMNI-Resistance Exercise Scale (OMNI-RES) has been tested and applied as a measure of perceived exertion (RPE) for resistive exercise but has not gained widespread acceptance as an optimal method for physical therapists to document RPE during rehabilitation of shoulder surgery.
To generate descriptive values of RPE encountered during common shoulder exercises of varying resistance in patients following shoulder surgery as well as provide a comparative analysis between perceived exertion ratings of similar exercise movement patterns using elastic and traditional isotonic resistance.
Descriptive Cross-sectional Cohort.
Sixty-six subjects (mean age 53.3 + 12.8 years) were included in this study following shoulder surgery (RC repair n=22, labral repair n=10, SA n=34). Perceived exertion using the OMNI-RES was recorded during performance of seven rotator cuff and scapular rehabilitation exercises at 6- and 12-weeks following surgery.
Mean RPE using OMNI-RES in combined surgical groups ranged between 3.6 and 5.7 (mean = 4.50 + 2.1) across all seven exercises (scale 0 = very easy to 10 = extremely hard). From the external rotation (ER) exercise pair, paired t-tests revealed standing ER w/ Thera-band® (ERB) had a significantly higher OMNI-RES score versus sidelying ER w/ cuff weight (SLERW) (mean: 5.13 vs 4.41, p = 0.001) while the extension exercise pair consisting of standing shoulder extension w/ band (EXTB) and prone extension w/ cuff weight (PEXTW) showed no significant difference in OMNI-RES score (mean: 3.54, 3.67, p = 0.626).
Commonly prescribed resistance exercise in the rehabilitation following shoulder surgery show light-moderate ratings of perceived exertion at both 6 & 12 week post-operative timepoints across three surgical procedures.
3b.
肩部手术后的康复需要进行抗阻训练，但这些训练的剂量在历史上采用多组预先确定的重复次数，而且很少有报告记录患者在这些弹性阻力和自由重量训练中所感受到的努力程度。OMNI抗阻训练量表（OMNI-RES）已被测试并应用于衡量抗阻训练中的主观用力程度（RPE），但尚未作为物理治疗师记录肩部手术康复期间RPE的最佳方法而得到广泛认可。
生成肩部手术后患者在不同阻力的常见肩部训练中所遇到的RPE描述值，并对使用弹性阻力和传统等张阻力的类似运动模式的主观用力程度评级进行比较分析。
描述性横断面队列研究。
本研究纳入了66名肩部手术后的受试者（平均年龄53.3±12.8岁）（肩袖修复n = 22，盂唇修复n = 10，肩胛下肌修复n = 34）。在术后6周和12周进行七项肩袖和肩胛康复训练时，使用OMNI-RES记录主观用力程度。
在所有七项训练中，联合手术组使用OMNI-RES的平均RPE在3.6至5.7之间（平均 = 4.50±2.1）（量表0 = 非常轻松至10 = 极其困难）。在外旋（ER）训练组中，配对t检验显示，站立位使用弹力带外旋（ERB）的OMNI-RES评分显著高于侧卧位使用袖套重量外旋（SLERW）（平均：5.13对4.41，p = 0.001），而由站立位使用弹力带肩伸展（EXTB）和俯卧位使用袖套重量伸展（PEXTW）组成的伸展训练组在OMNI-RES评分上无显著差异（平均：3.54，3.67，p = 0.626）。
肩部手术后康复中常用的抗阻训练在三种手术方式的术后6周和12周时间点均显示出轻至中度的主观用力程度评级。
3b。
