Alterations in Spinal Alignment and Mobility in Individuals With Arthroscopic Rotator Cuff Repair

Alterations in Spinal Alignment and Mobility in Individuals With Arthroscopic Rotator Cuff Repair: Which Factors Differ From Healthy Individuals?

The aim of this observational study was to the alterations in spinal alignment in individuals who have undergone RC surgery and revealed the differences compared to healthy individuals.

Study Overview

• Status: Completed
• Conditions: Spinal Curvatures; Rotator Cuff Tears; Posture; Arthroscopic Surgery
• Intervention / Treatment: Other: Assessment

Detailed Description

Shoulder dysfunctions are thought to be predisposed by poor posture and muscle imbalances. The shoulder functionality could be limited or worsened by a restricted range of motion (ROM) of the spine. Evidence from studies evaluating both people with shoulder pain and asymptomatic participants indicates a relationship between a decreased thoracic kyphosis and an increased shoulder ROM. Therefore, a higher thoracic kyphosis may be linked to a lower ROM in the shoulder. Shoulder dysfunction becomes more common after the age of 40, and the relationship between spinal posture and shoulder dysfunction is crucially needed to be assessed.

The aim of this observational study was to the alterations in spinal alignment and mobility in individuals who have undergone RC surgery and revealed the differences compared to healthy individuals.

This cross-sectional observational study was conducted with patients who underwent arthroscopic RM surgery and healthy volunteers.

• Study Type: Observational
• Enrollment (Actual): 50

Contacts and Locations

Study Locations

• Turkey
  • Central
    • Bolu, Central, Turkey, 14000
      • Bolu abant Izzet Baysal University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 40 years to 65 years (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: N/A
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Patients who underwent arthroscopic RM surgery who had undergone the same arthroscopic RM surgical procedure and technique

Description

Inclusion Criteria:

• those who had undergone the same arthroscopic RM surgical procedure and technique
• had undergone acromioplasty and/or tenodesis with RM repair
• had undergone arthroscopic RM surgery from the upper extremity of the dominant side;
• had completed six months following surgery; were able to perform active shoulder elevation movements of 90° or more
• were between the ages of 40 and 75
• were volunteers to participate in the study.

Exclusion Criteria:

• who had undergone previous shoulder surgery or revision surgery, subscapularis tendon repair in addition to RM repair, scoliosis surgery, or any surgeries to limit spine motion, as well as those with a history of upper extremity fractures, diabetes mellitus, hypertension, cardiovascular disease, or chronic respiratory diseases that could limit the test's ability to be accomplished

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
RC Repair Group; Participants who had undergone the same arthroscopic RM surgical procedure and technique; had undergone acromioplasty and/or tenodesis with RM repair; had undergone arthroscopic RM surgery from the upper extremity of the dominant side; had completed six months following surgery	Other: Assessment; Assessment
Healthy Group; Participants who had not undergone any shoulder surgery, had no history of shoulder-related pain, discomfort, or trauma in the last year	Other: Assessment; Assessment

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Spinal alignment and mobility assessment	The Spinal Mouse (IDIAG M360), novel, a computer-aided electronic measuring tool that noninvasively evaluates spinal range of motion and intersegmental angles, was used to examine spinal posture. The Spinal Mouse device is reliable and valid for the assessment of spine mobility and posture	8 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Scapular dyskinesia	Performed using the observational scapular dyskinesia test	8 months
Range of Motion	Performed using with Goniometer	8 months
Postural stability	Performed using with functional reach test	8 months

Collaborators and Investigators

• Sponsor: Abant Izzet Baysal University

Study record dates

Study Major Dates

• Study Start (ACTUAL): June 20, 2018
• Primary Completion (ACTUAL): May 25, 2019
• Study Completion (ACTUAL): January 15, 2020

Study Registration Dates

• First Submitted: February 1, 2023
• First Submitted That Met QC Criteria: February 1, 2023
• First Posted (ACTUAL): February 10, 2023

Study Record Updates

• Last Update Posted (ACTUAL): February 10, 2023
• Last Update Submitted That Met QC Criteria: February 1, 2023
• Last Verified: February 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Wounds and Injuries; Musculoskeletal Diseases; Rupture; Shoulder Injuries; Tendon Injuries; Spinal Diseases; Bone Diseases; Rotator Cuff Injuries; Spinal Curvatures
• Other Study ID Numbers: AIBU-FTR-BYD-02

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No