Document Type : Original Article
Authors
1
Professor of Medical Surgical Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
2
Lecturer of Medical Surgical Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
3
Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt
4
Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Modern University for technology &information, Alexandria, Egypt.
Abstract
Background: Shoulder dislocation occurs when the “ball” of your humerus (upper arm bone) is pulled out of its normal position in the shoulder “socket” (glenoid labrum). A dislocation is accompanied with extreme pain and an inability to move the arm until it is relocated back into the socket Aim: was to assess The effect of rehabilitation program for patient with shoulder dislocation post arthroscopy reconstruction. Setting: The study was conducted in orthopedic unit on Nasser Institute. Affiliated to the secretariat of specialized medical centers, Ministry of health, Cairo, Egypt. Subjects: The study comprised a purposive sample of 40 adult patients with shoulder dislocation scheduled for arthroscopic repair was included and assigned alternatively into two equal groups; The patients were divided randomly into two equally groups each of (control and study group) 20 patients.. Tools: four tools were used Tool I: Patient’s Assessment Structure Interview sheet: Tool II: Mobility Index of the shoulder, this tool was divided into two parts, part I: Muscle strength assessment scale, Part II: shoulder range of motion assessment sheet. Tool III Shoulder Pain and Disability Index, and tool IV: The disabilities of the arm, shoulder, and hand (DASH) outcome questionnaire. Results: the pain scale after three months of applying of exercise program; 60% of the intervention groups patients had no pain and control group (60%) suffer from moderate pain; was statistically significant as FEP=0.000., in relation to DASH, there were statistically significant difference between both groups second and third month postoperative for control and intervention groups (p=0.002) and (p=0.000) respectively. Conclusion: Applying rehabilitation program for patients with shoulder dislocation post arthroscopy reconstruction significantly improved the studied patients’ pain intensity, shoulder muscle strength, range of motion, disabilities during active activities postoperatively than their control.
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