Ayas İnci Hazal, Çıtaker Seyit, Kanatlı Ulunay
Department of Physiotherapy and Rehabilitation, Faculty of Health Science, Gazi University, Ankara, Turkey.
Department of Orthopaedics and Traumatology, School of Medicine, Gazi University, Ankara, Turkey.
BMC Sports Sci Med Rehabil. 2025 Jan 2;17(1):1. doi: 10.1186/s13102-024-01022-0.
For patients undergoing arthroscopic rotator cuff repair surgery (RCR), it is crucial to prevent falls to minimize the risk of re-tearing the repaired muscles. Shoulder immobilization during the postoperative period may lead to a decline in postural balance. This prospective cohort study aimed to investigate the postural balance of patients in the early postoperative period following arthroscopic RCR.
Thirty-five patients (17 female/18 male, aged 49.56 ± 13.41 years) were assessed preoperatively, on the postoperative day 2, and at the postoperative week 6. Postural balance was evaluated using the Overall Stability Index (OSI), Antero-Posterior Stability Index (API), Medio-Lateral Stability Index (MLI), and Limits of Stability (LOS) tests conducted with the Biodex Balance System. Additionally, the Visual Analog Scale (VAS) pain score and Constant-Murley Score were recorded.
The OSI and API values recorded on both postoperative day 2 and postoperative week 6 were statistically significantly worse than preoperative values. (p = 0.02, p = 0.03, respectively). Conversely, no statistically significant differences were observed across all three measurements for the MLI and LOS values (p > 0.05). The VAS score demonstrated a statistically significant decrease, while the Constant-Murley Score exhibited a statistically significant increase at the final measurement (both p < 0.001).
This study highlights that postural stability significantly declines during the early postoperative period following arthroscopic rotator cuff repair, with specific impairments in anterior-posterior stability, despite improvements in pain and shoulder function. These findings underscore the need for early, targeted rehabilitation interventions to address balance deficits and reduce the risk of falls, potentially improving overall recovery outcomes.
对于接受关节镜下肩袖修复手术（RCR）的患者，预防跌倒以尽量降低修复肌肉再次撕裂的风险至关重要。术后肩部固定可能会导致姿势平衡下降。这项前瞻性队列研究旨在调查关节镜下RCR术后早期患者的姿势平衡情况。
对35例患者（17例女性/18例男性，年龄49.56±13.41岁）在术前、术后第2天和术后第6周进行评估。使用Biodex平衡系统进行的总体稳定性指数（OSI）、前后稳定性指数（API）、内外侧稳定性指数（MLI）和稳定性极限（LOS）测试来评估姿势平衡。此外，记录视觉模拟量表（VAS）疼痛评分和Constant-Murley评分。
术后第2天和术后第6周记录的OSI和API值在统计学上显著低于术前值。（分别为p = 0.02，p = 0.03）。相反，MLI和LOS值的所有三项测量均未观察到统计学上的显著差异（p>0.05）。VAS评分在统计学上显著降低，而Constant-Murley评分在最终测量时在统计学上显著增加（均p<0.001）。
本研究强调，关节镜下肩袖修复术后早期姿势稳定性显著下降，尽管疼痛和肩部功能有所改善，但前后稳定性存在特定损害。这些发现强调了需要早期、有针对性的康复干预来解决平衡缺陷并降低跌倒风险，可能改善整体恢复结果。
