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Effects of shoulder arthroplasty and exercise in patients with rheumatoid arthritis

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Abstract

The aim of this study was to examine pain and shoulder function in patients with rheumatoid arthritis (RA) before and after shoulder arthroplasty and postoperative exercise. Twenty-four patients (26 shoulders) were consecutively included in a multicentre study. Before surgery, at discharge from hospital and after 3 and 6 months, perceived shoulder function and shoulder pain were assessed by visual analogue scales, activities of daily living by the Modified Health Assessment Questionnaire (M-HAQ) and shoulder range of motion (ROM) by a goniometer. All patients showed considerable pain reduction at discharge from hospital (p<0.001). In those with intact rotator cuff and biceps tendon (n=13) improvements were found after 6 months in active and passive abduction and flexion ROMs (p<0.01) and in M-HAQ (p<0.001). Such improvements were not found in those with torn soft tissue (n=12). Preoperatively, abduction and flexion motor deficits (passive ROM >active ROM) were found for the total group (p=0.001). Less flexion motor deficit was found in the intact soft tissue than in the torn soft tissue group after 3 (p=0.002) and 6 months (p<0.001). No group difference was found with respect to abduction motor deficit. In conclusion, pain relief was obtained by all patients. Improvements in ROMs and activities of daily living were influenced by the state of the soft tissue.

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Acknowledgements

We would like to express our gratitude to the hospital physiotherapists who participated in planning and collecting data for the study.

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Authors and Affiliations

  1. Institute of Nursing and Health Sciences, Medical Faculty, University of Oslo, Box 1153, Blindern, 0316, Oslo, Norway

    Anne Marit Mengshoel

  2. Martina Hansen Hospital, County of Bærum, Norway

    Bente Slungaard

Authors
  1. Anne Marit Mengshoel
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  2. Bente Slungaard
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Correspondence to Anne Marit Mengshoel.

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Sources of support: From EXTRA-funds from the Norwegian Foundation for Health and Rehabilitation

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Mengshoel, A.M., Slungaard, B. Effects of shoulder arthroplasty and exercise in patients with rheumatoid arthritis. Clin Rheumatol 24, 258–265 (2005). https://doi.org/10.1007/s10067-004-1026-0

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  • DOI: https://doi.org/10.1007/s10067-004-1026-0

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