肩关节镜下肩关节盂修复术后社会经济地位与物理治疗依从性的关系

IF 2.9 2区 医学 Q1 ORTHOPEDICS
Misty Suri, Sage Duddleston, Srikanth Mudiganty, Nathan Boes, John Moor
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引用次数: 0

摘要

假设/背景:社会经济状况已被证明会影响患者获得骨科治疗的机会,但物理治疗的依从性和恢复全面活动的时间等结果尚未确定。本研究旨在调查社会经济状况对物理治疗依从性和恢复运动时间的影响,特别是对肩关节不稳定患者的影响。地区贫困指数(ADI)是一种经过验证的工具,它使用了美国人口普查中的一些因素来衡量社区的社会经济贫困程度。我们的假设是,社会经济贫困程度较高的患者更有可能错过更多预定的理疗时间,并且在肩关节镜下肩关节盂修复术治疗肩关节不稳定后恢复比赛的时间更长:本研究纳入了2019年至2023年期间在一家骨科医院接受关节镜肩关节盂唇修复术的患者,手术由一名外科医生完成。记录了人口统计学信息(种族、年龄和性别)、保险类型、ADI、理疗无显示就诊率和恢复比赛时间:结果:该组群包括 73 名患者,其中 14 名患者没有恢复比赛时间。82.2%的患者为男性,63.0%为白人,平均年龄为24岁。ADI 越高的患者越有可能不参加预定的理疗疗程(p = 0.035)。ADI与恢复比赛时间之间没有关联(p = 0.165)。保险类型(私人保险与医疗补助)与错过预定的理疗时间(p = 0.139)和恢复游戏时间(p = 0.741)之间没有发现明显的关联:结论:社会经济贫困程度的增加与肩关节不稳手术后错过预定理疗时间的可能性增加有关。这些发现揭示了骨科护理中存在的差距,因为术后理疗是肩关节不稳定综合护理中的关键部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association of socioeconomic status and physical therapy compliance after arthroscopic shoulder labrum repair.

Background: Socioeconomic status has been shown to impact a patient's access to orthopedic care, but outcomes such as compliance with physical therapy and time to return to full activities has not been established. The aim of this study is to investigate the impact of socioeconomic status on physical therapy compliance and return to play time specifically in patients with shoulder instability. The area deprivation index (ADI) is a validated tool using factors from the US Census that measures socioeconomic deprivation in neighborhoods. Our hypothesis is that patients with higher socioeconomic deprivation are more likely to have more missed scheduled physical therapy appointments and a longer return to play after arthroscopic shoulder labrum repair for instability.

Methods: This study included patients who underwent arthroscopic shoulder labrum repair between 2019 and 2023 at a single orthopedic hospital by a single surgeon. Demographic information (race, age, and sex), insurance type, ADI, physical therapy no-show visit rates, and return to play times were recorded.

Results: The cohort included 73 patients, 14 of whom did not have return to play times. A total of 82.2% of the patients were male, 63.0% were White, and the mean age was 24 years. Patients with increasing ADI were significantly more likely not to attend a scheduled physical therapy session (P = .035). No association between ADI and return to play time was found (P = .165). No significant association between insurance type (private vs. Medicaid) and missed scheduled physical therapy appointments (P = .139) and return to play times was found (P = .741).

Conclusion: Increasing socioeconomic deprivation is associated with increased likelihood to miss scheduled physical therapy visits after shoulder instability surgery. These findings elucidate gaps in orthopedic care as postoperative physical therapy is a crucial part in the comprehensive care of shoulder instability.

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来源期刊
CiteScore
6.50
自引率
23.30%
发文量
604
审稿时长
11.2 weeks
期刊介绍: The official publication for eight leading specialty organizations, this authoritative journal is the only publication to focus exclusively on medical, surgical, and physical techniques for treating injury/disease of the upper extremity, including the shoulder girdle, arm, and elbow. Clinically oriented and peer-reviewed, the Journal provides an international forum for the exchange of information on new techniques, instruments, and materials. Journal of Shoulder and Elbow Surgery features vivid photos, professional illustrations, and explicit diagrams that demonstrate surgical approaches and depict implant devices. Topics covered include fractures, dislocations, diseases and injuries of the rotator cuff, imaging techniques, arthritis, arthroscopy, arthroplasty, and rehabilitation.
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