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The use of actigraphy to objectively define motion and function before and after shoulder arthroplasty.
Morgan, Christopher; Hargreaves, Mathew; Williams, Marshall; Hoyt, Robert E; Snider, Dallas H; Callanan, Mark; Nelson, Andrea; Brabston, Eugene W; Momaya, Amit M; Ponce, Brent A; O'Grady, Christopher.
Afiliação
  • Morgan C; Universtiy of Alabama at Birmingham, Birmingham, AL, USA.
  • Hargreaves M; University of Alabama at Birmingham, Department of Orthopaedic Surgery, Birmingham, AL, USA.
  • Williams M; Hughston Clinic, Columbus, GA, USA.
  • Hoyt RE; University of West Florida, Department of Health Sciences, Pensacola, FL, USA.
  • Snider DH; University of West Florida, Department of Health Sciences, Pensacola, FL, USA.
  • Callanan M; Andrews Institute, Gulf Breeze, FL, USA.
  • Nelson A; University of West Florida, Department of Health Sciences, Pensacola, FL, USA.
  • Brabston EW; University of Alabama at Birmingham, Department of Orthopaedic Surgery, Birmingham, AL, USA.
  • Momaya AM; University of Alabama at Birmingham, Department of Orthopaedic Surgery, Birmingham, AL, USA.
  • Ponce BA; Hughston Clinic, Columbus, GA, USA.
  • O'Grady C; Andrews Institute, Gulf Breeze, FL, USA.
J Orthop ; 56: 6-11, 2024 Oct.
Article em En | MEDLINE | ID: mdl-38715987
ABSTRACT

Introduction:

Actigraphy is a quantitative means of measuring activity data that has proven viable in post-surgery recovery analysis for arthroplasties in lower extremities, but scant literature has been published on the utilization actigraphy to evaluate shoulder motion and function before and after shoulder arthroplasty. The purpose of this prospective cohort study is to identify if actigraphy can serve as a valid means for objective evaluation of shoulder function and motion before and after shoulder arthroplasty. Secondarily, the data collected by the actigraphy can be analyzed with standard patient-reported outcomes to report correlations between the subjective and objective methods used in this study. Materials and

methods:

Sixty-four subjects wore an actigraphy device for one day at pre-op, six, twelve and twenty-four weeks. In addition, subjects completed three patient-reported outcome surveys at each time-point. Student t-tests were used to compare percent activity preoperatively with 24-weeks and to compare PROs preoperatively with 24-week results; categorical variables were compared with one-way ANOVAs.

Results:

All Patient reported outcome scores significantly improved following arthroplasty (p-value<0.001). The percent of physical activity was highly correlated with vector magnitude (p-value<0.001), but neither percent activity or the vector magnitude were correlated with any of the PROs UCLA Pain p-value = 0.656, SANE p-value = 0.328, UCLA Function p-value = 0.532.

Conclusions:

Actigraphy results from this study mirror findings in previous literature utilizing the technology in similar manners and demonstrate its potential for motion and function analysis before and after total shoulder arthroplasties. Despite both being suitable methods independently for the evaluation of shoulder function, there was no significant correlation between standard actigraphy measurements and PROs at 24-weeks. Future research to determine clinical utility and an overall broader scope for actigraphy monitoring could benefit from improved technology, such as increased battery life for prolonged durations of data collection during observation periods.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Orthop Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Orthop Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos