Relation between preoperative electromyographic activity of the deltoid and trapezius and clinical results after reverse shoulder arthroplasty

DC Field Value Language
dc.contributor.advisor이두형-
dc.contributor.authorLI HONGRI-
dc.date.accessioned2022-11-29T03:01:14Z-
dc.date.available2022-11-29T03:01:14Z-
dc.date.issued2020-02-
dc.identifier.other29598-
dc.identifier.urihttps://dspace.ajou.ac.kr/handle/2018.oak/20922-
dc.description학위논문(박사)--아주대학교 일반대학원 :의학과,2020. 2-
dc.description.tableofcontentsABSTRACT i LIST OF CONTENTS ii LIST OF FIGURES iii LIST OF TABLES iv I. INTRODUCTION 1 II. MATERIALS AND METHODS 4 III. RESULTS 12 IV. DISCUSSIONS 18 V. CONCLUSIONS 22 REFERENCES 24-
dc.language.isoeng-
dc.publisherThe Graduate School, Ajou University-
dc.rights아주대학교 논문은 저작권에 의해 보호받습니다.-
dc.titleRelation between preoperative electromyographic activity of the deltoid and trapezius and clinical results after reverse shoulder arthroplasty-
dc.typeThesis-
dc.contributor.affiliation아주대학교 일반대학원-
dc.contributor.department일반대학원 의학과-
dc.date.awarded2020. 2-
dc.description.degreeDoctoral-
dc.identifier.localId1133983-
dc.identifier.uciI804:41038-000000029598-
dc.identifier.urlhttp://dcoll.ajou.ac.kr:9080/dcollection/common/orgView/000000029598-
dc.description.alternativeAbstractBackground: If patients susceptible to poor clinical outcomes could be predicted before reverse shoulder arthroplasty (RSA), it would help to set reasonable post-surgical patient expectations in the preoperative setting. Our hypothesis is that the preoperative electromyographic (EMG) activity of the deltoid and upper trapezius muscles is correlated with clinical outcomes of patients undergoing RSA. Methods: EMG activity in the deltoid and upper trapezius muscles was measured in 25 patients scheduled to undergo RSA during three motions: shrugging, forward flexion, and abduction. Their postoperative clinical results were assessed prospectively during regular outpatient visits, including strength, active range of motion, pain, and functional scores. The correlations between the preoperative EMG activities and clinical results were analyzed. Results: Postoperative shoulder strength after RSA was increased in patients with greater preoperative EMG activity in the middle deltoid and upper trapezius. Preoperative EMG activity of the anterior or middle deltoid muscle was associated with active ROM of flexion or abduction, while EMG activity of the posterior deltoid was associated with the active ROM of external rotation. Conclusions: Shoulder strength after RSA was positively correlated with preoperative EMG activity in the deltoid and upper trapezius. Active ROM after RSA was positively correlated with preoperative EMG activity in the deltoid. Therefore, preoperative EMG measurements of the deltoid and upper trapezius may predict clinical outcomes after RSA. Level of evidence: Level II, prognosis study-
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Graduate School of Ajou University > Department of Medicine > 4. Theses(Ph.D)
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