Changes in Driving Performance Following Shoulder Arthroplasty. (7th September 2016)
- Record Type:
- Journal Article
- Title:
- Changes in Driving Performance Following Shoulder Arthroplasty. (7th September 2016)
- Main Title:
- Changes in Driving Performance Following Shoulder Arthroplasty
- Authors:
- Hasan, Saqib
McGee, Alan
Garofolo, Garret
Hamula, Mathew
Oh, Cheongeun
Kwon, Young
Zuckerman, Joseph - Abstract:
- Abstract : Background: With this study, we sought to quantify perioperative changes in driving performance among patients who underwent anatomic or reverse shoulder arthroplasty. Methods: Using a driving simulator, 30 patients (20 anatomic and 10 reverse total shoulder arthroplasties) were tested preoperatively and at 2 weeks (PO2), 6 weeks (PO6), and 12 weeks (PO12) postoperatively. The total number of collisions, centerline crossings, and off-road excursions (when the vehicle traversed the lateral road edge), and scores on a visual analog scale (VAS) for pain and the Shoulder Pain and Disability Index (SPADI) were recorded at each driving trial. Results: The mean number of collisions increased from 5.9 preoperatively to 7.4 at PO2 and subsequently decreased to 5.6 at PO6 and 4.0 at PO12 (p = 0.0149). In addition, the number of centerline crossings decreased from 21.4 preoperatively to 16.3 at PO12 (p < 0.05). Multivariate analysis of the data demonstrated that increased VAS for pain scores, older age, and less driving experience had a negative impact on driving performance. Conclusions: Driving performance returned to preoperative levels at 6 weeks after shoulder arthroplasty. By 12 weeks postoperatively, patients demonstrated improved driving performance compared with preoperative performance. On the basis of our findings, clinicians can suggest a window of 6 to 12 weeks postoperatively for the gradual return to driving. However, for patients of older age, with lessAbstract : Background: With this study, we sought to quantify perioperative changes in driving performance among patients who underwent anatomic or reverse shoulder arthroplasty. Methods: Using a driving simulator, 30 patients (20 anatomic and 10 reverse total shoulder arthroplasties) were tested preoperatively and at 2 weeks (PO2), 6 weeks (PO6), and 12 weeks (PO12) postoperatively. The total number of collisions, centerline crossings, and off-road excursions (when the vehicle traversed the lateral road edge), and scores on a visual analog scale (VAS) for pain and the Shoulder Pain and Disability Index (SPADI) were recorded at each driving trial. Results: The mean number of collisions increased from 5.9 preoperatively to 7.4 at PO2 and subsequently decreased to 5.6 at PO6 and 4.0 at PO12 (p = 0.0149). In addition, the number of centerline crossings decreased from 21.4 preoperatively to 16.3 at PO12 (p < 0.05). Multivariate analysis of the data demonstrated that increased VAS for pain scores, older age, and less driving experience had a negative impact on driving performance. Conclusions: Driving performance returned to preoperative levels at 6 weeks after shoulder arthroplasty. By 12 weeks postoperatively, patients demonstrated improved driving performance compared with preoperative performance. On the basis of our findings, clinicians can suggest a window of 6 to 12 weeks postoperatively for the gradual return to driving. However, for patients of older age, with less driving experience, or with greater pain, a return to driving at closer to 12 weeks postoperatively should be recommended. Level of Evidence: TherapeuticLevel IV . See Instructions for Authors for a complete description of levels of evidence. … (more)
- Is Part Of:
- Journal of bone and joint surgery. Volume 98:Number 17(2016)
- Journal:
- Journal of bone and joint surgery
- Issue:
- Volume 98:Number 17(2016)
- Issue Display:
- Volume 98, Issue 17 (2016)
- Year:
- 2016
- Volume:
- 98
- Issue:
- 17
- Issue Sort Value:
- 2016-0098-0017-0000
- Page Start:
- Page End:
- Publication Date:
- 2016-09-07
- Subjects:
- Bones -- Surgery -- Periodicals
Joints -- Surgery -- Periodicals
Orthopedics -- Periodicals
Orthopedics
General Surgery
Bone Diseases
Joint Diseases
Bones -- Surgery
Joints -- Surgery
Orthopedics
Bot (anatomie)
Gewrichten
Chirurgie (geneeskunde)
Periodicals
Electronic journals
Periodicals
617.47005 - Journal URLs:
- http://www.clinicalkey.com/dura/browse/journalIssue/00219355 ↗
http://www.clinicalkey.com.au/dura/browse/journalIssue/00219355 ↗
http://www.ejbjs.org/contents-by-date.0.dtl ↗
http://gateway.ovid.com/ovidweb.cgi?T=JS&PAGE=toc&D=ovft&MODE=ovid&NEWS=N&AN=00002060-000000000-00000 ↗
http://journals.lww.com/pages/default.aspx ↗ - DOI:
- 10.2106/JBJS.15.00162 ↗
- Languages:
- English
- ISSNs:
- 0021-9355
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 4954.250000
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