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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

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

Conditions
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Posture, Rotator Cuff Tears, Spinal Curvatures, Arthroscopic Surgery

Intervention / Treatment
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* Other: Assessment


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| RC Repair Group<br>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<br>* Assessment<br>|
| Healthy Group<br>Participants who had not undergone any shoulder surgery, had no history of shoulder-related pain, discomfort, or trauma in the last year | Other: Assessment<br>* Assessment<br>|

What is the study measuring?
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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 |