肩袖修复后的高尔夫参与:功能结果、恢复率和与恢复比赛相关的因素。

IF 1.8 Q2 ORTHOPEDICS
Thomas R Williamson, Patrick G Robinson, Iain R Murray, Andrew D Murray, Julie M McBirnie, C Michael Robinson, Deborah J MacDonald, Nicholas D Clement
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引用次数: 0

摘要

背景:高尔夫是一项流行的运动,涉及头顶活动和肩袖(RC)的参与。本研究旨在确定高尔夫球手在RC修复后能够重返高尔夫的水平,他们重返高尔夫的障碍以及与他们重返高尔夫失败相关的因素。方法:对2012年至2020年在研究中心接受RC修复的术前高尔夫球手进行回顾性随访,评估他们的高尔夫运动状态、表现和频率以及功能和生活质量(QoL)结果。结果:47例高尔夫球手符合纳入标准,其中男性40例(85.1%),女性7例(14.9%),平均年龄56.8岁,80.1%的患者术后平均随访27.1个月。29例患者(76.3%)恢复高尔夫,平均差点变化+1.0 (P=0.291)。高尔夫球频率从伤前平均每周1.8轮下降到术后平均每周1.5轮(P=0.052)。回归高尔夫球者的EuroQol 5维5水平(EQ-5D-5L)指数和视觉模拟量表(EQ-VAS)评分显著高于对照组(P=0.024和P=0.002),但功能结局指标无显著差异。复发的主要障碍是同侧肩功能障碍(78%)和游戏习惯的丧失(22%)。结论:高尔夫球手有可能(76%)在RC修复后重返高尔夫球场,其中大部分恢复到发病前的表现水平,几乎没有残留症状。重返高尔夫球场与更高的生活质量相关。持续的主观肩部功能障碍(78%)是重返高尔夫球场最常见的障碍。证据等级:四级。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Golf participation after rotator cuff repair: functional outcomes, rate of return and factors associated with return to play.

Background: Golf is a popular sport involving overhead activity and engagement of the rotator cuff (RC). This study aimed to determine to what level golfers were able to return to golf following RC repair, the barriers to them returning to golf and factors associated with their failure to return to golf.

Methods: Patients preoperatively identifying as golfers undergoing RC repair at the study centre from 2012 to 2020 were retrospectively followed up with to assess their golf-playing status, performance and frequency of play and functional and quality of life (QoL) outcomes.

Results: Forty-seven golfers (40 men [85.1%] and 7 women [14.9%]) with a mean age of 56.8 years met the inclusion criteria, and 80.1% were followed up with at a mean of 27.1 months postoperatively. Twenty-nine patients (76.3%) had returned to golf with a mean handicap change of +1.0 (P=0.291). Golf frequency decreased from a mean of 1.8 rounds per week preinjury to 1.5 rounds per week postoperatively (P=0.052). The EuroQol 5-dimension 5-level (EQ-5D-5L) index and visual analog scale (EQ-VAS) score were significantly greater in those returning to golf (P=0.024 and P=0.002), although functional outcome measures were not significantly different. The primary barriers to return were ipsilateral shoulder dysfunction (78%) and loss of the habit of play (22%).

Conclusions: Golfers were likely (76%) to return to golf following RC repair, including mostly to their premorbid performance level with little residual symptomatology. Return to golf was associated with a greater QoL. Persistent subjective shoulder dysfunction (78%) was the most common barrier to returning to golf. Level of evidence: Level IV.

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来源期刊
CiteScore
0.30
自引率
0.00%
发文量
55
审稿时长
15 weeks
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