Effect of a multicomponent exercise program focused on multivariable fatigue improvement versus standard care for...

Area of Science:

• Orthopedics
• Sports Medicine
• Rehabilitation Science

Background:

• Glenohumeral instability is a common condition with evolving definitions, increasingly recognizing the role of motor control beyond structural issues.
• Current treatment protocols for glenohumeral instability vary due to definitional challenges, presenting a significant clinical challenge.

Purpose of the Study:

• To assess the effectiveness of a supervised, multicomponent therapeutic exercise program in mitigating multivariable fatigue among patients with glenohumeral joint instability.
• To evaluate the impact of the intervention on quality of life, motor control, and recurrence rates.

Main Methods:

• A single-blind randomized controlled trial involving 108 adult patients with recent glenohumeral instability.
• Intervention group received the supervised MoveUS Program; control group received usual care.
• Comprehensive assessments included range of motion, isometric force, fatigue measures (kinematic, physiological, psychometric), motor control, recurrences, and quality of life (Western Ontario Shoulder Instability Index).

Main Results:

• The study is designed to determine if the supervised therapeutic exercise program reduces multivariable fatigue.
• It will also assess the program's impact on reducing the number of glenohumeral instability recurrences.
• Improvements in quality of life, measured by the Western Ontario Shoulder Instability Index, are a primary outcome.

Conclusions:

• Therapeutic exercise supervised by physiotherapists may effectively reduce multivariable fatigue and recurrence in glenohumeral instability.
• The program has the potential to enhance patient quality of life.
• Findings could support the implementation of this exercise program in clinical practice.