Does Functional Bracing of the Unstable Shoulder Improve Return to Play in Scholastic Athletes? Returning the Unstable Shoulder to Play
Background: Functional bracing is often used as an adjunct to nonoperative treatment of anterior shoulder instability, but no study has evaluated the effectiveness of in-season bracing. The purpose of this study was to examine successful return to play in a nonoperative cohort of adolescent athletes...
Gespeichert in:
| Veröffentlicht in: | Sports health 2021-01, Vol.13 (1), p.45-48 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 48 |
|---|---|
| container_issue | 1 |
| container_start_page | 45 |
| container_title | Sports health |
| container_volume | 13 |
| creator | Kwapisz, Adam Shanley, Ellen Momaya, Amit M. Young, Chris Kissenberth, Michael J. Tolan, Stefan J. Lonergan, Keith T. Wyland, Douglas J. Hawkins, Richard J. Pill, Stephan G. Tokish, John M. |
| description | Background:
Functional bracing is often used as an adjunct to nonoperative treatment of anterior shoulder instability, but no study has evaluated the effectiveness of in-season bracing. The purpose of this study was to examine successful return to play in a nonoperative cohort of adolescent athletes with in-season shoulder instability and compare those athletes treated with bracing to those who were not.
Hypothesis:
The use of functional bracing will improve success rates in a cohort of athletes treated nonoperatively for in-season shoulder instability.
Study Design:
Cohort study.
Level of Evidence:
Level 3.
Methods:
A total of 97 athletes with anterior shoulder instability were followed for a minimum of 1 year. The mean age was 15.8 ± 1.4 years (range, 12.0-18.0 years). All athletes were treated with initial nonoperative management. Twenty athletes (21%) were also treated with bracing while 77 (79%) were not. The athlete completing the current season and 1 subsequent season without surgery or time lost from shoulder injury was defined as a successful outcome.
Results:
There was no statistical difference in nonoperative success rates between the braced and nonbraced athletes (P = 0.33). Braced athletes (n = 20) returned to play 80% of the time, while nonbraced athletes (n = 77) returned at a rate of 88%. Of the braced athletes, 85% were football players (n = 17). A football-only comparison demonstrated no difference between braced failures (26%) and nonbraced failures (16%) (P = 0.47).
Conclusion:
This is the first study to evaluate the utility of functional bracing in returning an athlete to sport and completing a full subsequent season without surgery or time loss due to injury of the shoulder. In adolescent athletes with shoulder instability treated nonoperatively, functional bracing did not result in increased success rates when compared with no bracing.
Clinical Relevance:
The data from this study indicate that functional bracing may not improve success rates for athletes with shoulder instability. |
| doi_str_mv | 10.1177/1941738120942239 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7734369</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_1941738120942239</sage_id><sourcerecordid>2439974801</sourcerecordid><originalsourceid>FETCH-LOGICAL-c434t-e677609e932987a2af3ffcd4fcc502e02ad44d8f0dd8baa7de7cf8a9c67d1aaa3</originalsourceid><addsrcrecordid>eNp1kU9v1DAQxSMEoqVw54R85BLwv43jC6gUCpUqgSg9W7P2eJPKay-2U6mfgK9NVhsqQHAaa-a931jzmuY5o68YU-o105Ip0TNOteRc6AfN8b7VUs3Zw-W9nx81T0q5obSTHVOPmyPB-56u-Oq4-fE-YSHnU7R1TBECeZfBjnFDkid1QHIdS4V1QHI1pCk4zORiu8vpFslXrFOOpCbyJcAdGSO5skMKUOpoyWkdAlYsbxfZnvhv3OJ_2jzyEAo-W-pJc33-4dvZp_by88eLs9PL1koha4udUh3VqAXXvQIOXnhvnfTWrihHysFJ6XpPnevXAMqhsr4HbTvlGACIk-bNgbub1lt0FmPNEMwuj1vIdybBaP6cxHEwm3RrlBJSdHoGvFwAOX2fsFSzHYvFECBimorhUmitZE_ZLKUHqc2plIz-fg2jZp-f-Tu_2fLi9-_dG34FNgvag6DABs1Nmm87n-v_wJ9wVqaj</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2439974801</pqid></control><display><type>article</type><title>Does Functional Bracing of the Unstable Shoulder Improve Return to Play in Scholastic Athletes? Returning the Unstable Shoulder to Play</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>SAGE Complete A-Z List</source><source>PubMed Central</source><creator>Kwapisz, Adam ; Shanley, Ellen ; Momaya, Amit M. ; Young, Chris ; Kissenberth, Michael J. ; Tolan, Stefan J. ; Lonergan, Keith T. ; Wyland, Douglas J. ; Hawkins, Richard J. ; Pill, Stephan G. ; Tokish, John M.</creator><creatorcontrib>Kwapisz, Adam ; Shanley, Ellen ; Momaya, Amit M. ; Young, Chris ; Kissenberth, Michael J. ; Tolan, Stefan J. ; Lonergan, Keith T. ; Wyland, Douglas J. ; Hawkins, Richard J. ; Pill, Stephan G. ; Tokish, John M.</creatorcontrib><description>Background:
Functional bracing is often used as an adjunct to nonoperative treatment of anterior shoulder instability, but no study has evaluated the effectiveness of in-season bracing. The purpose of this study was to examine successful return to play in a nonoperative cohort of adolescent athletes with in-season shoulder instability and compare those athletes treated with bracing to those who were not.
Hypothesis:
The use of functional bracing will improve success rates in a cohort of athletes treated nonoperatively for in-season shoulder instability.
Study Design:
Cohort study.
Level of Evidence:
Level 3.
Methods:
A total of 97 athletes with anterior shoulder instability were followed for a minimum of 1 year. The mean age was 15.8 ± 1.4 years (range, 12.0-18.0 years). All athletes were treated with initial nonoperative management. Twenty athletes (21%) were also treated with bracing while 77 (79%) were not. The athlete completing the current season and 1 subsequent season without surgery or time lost from shoulder injury was defined as a successful outcome.
Results:
There was no statistical difference in nonoperative success rates between the braced and nonbraced athletes (P = 0.33). Braced athletes (n = 20) returned to play 80% of the time, while nonbraced athletes (n = 77) returned at a rate of 88%. Of the braced athletes, 85% were football players (n = 17). A football-only comparison demonstrated no difference between braced failures (26%) and nonbraced failures (16%) (P = 0.47).
Conclusion:
This is the first study to evaluate the utility of functional bracing in returning an athlete to sport and completing a full subsequent season without surgery or time loss due to injury of the shoulder. In adolescent athletes with shoulder instability treated nonoperatively, functional bracing did not result in increased success rates when compared with no bracing.
Clinical Relevance:
The data from this study indicate that functional bracing may not improve success rates for athletes with shoulder instability.</description><identifier>ISSN: 1941-7381</identifier><identifier>EISSN: 1941-0921</identifier><identifier>DOI: 10.1177/1941738120942239</identifier><identifier>PMID: 32880525</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adolescent ; Braces ; Child ; Conservative Treatment ; Focus Topic: Young Athletes ; Humans ; Joint Instability - therapy ; Reinjuries ; Return to Sport ; Shoulder Injuries - therapy ; Time Factors ; Treatment Outcome ; Youth Sports - injuries</subject><ispartof>Sports health, 2021-01, Vol.13 (1), p.45-48</ispartof><rights>2020 The Author(s)</rights><rights>2020 The Author(s) 2020 American Orthopaedic Society for Sports Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c434t-e677609e932987a2af3ffcd4fcc502e02ad44d8f0dd8baa7de7cf8a9c67d1aaa3</citedby><cites>FETCH-LOGICAL-c434t-e677609e932987a2af3ffcd4fcc502e02ad44d8f0dd8baa7de7cf8a9c67d1aaa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7734369/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7734369/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,725,778,782,883,21808,27913,27914,43610,43611,53780,53782</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32880525$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kwapisz, Adam</creatorcontrib><creatorcontrib>Shanley, Ellen</creatorcontrib><creatorcontrib>Momaya, Amit M.</creatorcontrib><creatorcontrib>Young, Chris</creatorcontrib><creatorcontrib>Kissenberth, Michael J.</creatorcontrib><creatorcontrib>Tolan, Stefan J.</creatorcontrib><creatorcontrib>Lonergan, Keith T.</creatorcontrib><creatorcontrib>Wyland, Douglas J.</creatorcontrib><creatorcontrib>Hawkins, Richard J.</creatorcontrib><creatorcontrib>Pill, Stephan G.</creatorcontrib><creatorcontrib>Tokish, John M.</creatorcontrib><title>Does Functional Bracing of the Unstable Shoulder Improve Return to Play in Scholastic Athletes? Returning the Unstable Shoulder to Play</title><title>Sports health</title><addtitle>Sports Health</addtitle><description>Background:
Functional bracing is often used as an adjunct to nonoperative treatment of anterior shoulder instability, but no study has evaluated the effectiveness of in-season bracing. The purpose of this study was to examine successful return to play in a nonoperative cohort of adolescent athletes with in-season shoulder instability and compare those athletes treated with bracing to those who were not.
Hypothesis:
The use of functional bracing will improve success rates in a cohort of athletes treated nonoperatively for in-season shoulder instability.
Study Design:
Cohort study.
Level of Evidence:
Level 3.
Methods:
A total of 97 athletes with anterior shoulder instability were followed for a minimum of 1 year. The mean age was 15.8 ± 1.4 years (range, 12.0-18.0 years). All athletes were treated with initial nonoperative management. Twenty athletes (21%) were also treated with bracing while 77 (79%) were not. The athlete completing the current season and 1 subsequent season without surgery or time lost from shoulder injury was defined as a successful outcome.
Results:
There was no statistical difference in nonoperative success rates between the braced and nonbraced athletes (P = 0.33). Braced athletes (n = 20) returned to play 80% of the time, while nonbraced athletes (n = 77) returned at a rate of 88%. Of the braced athletes, 85% were football players (n = 17). A football-only comparison demonstrated no difference between braced failures (26%) and nonbraced failures (16%) (P = 0.47).
Conclusion:
This is the first study to evaluate the utility of functional bracing in returning an athlete to sport and completing a full subsequent season without surgery or time loss due to injury of the shoulder. In adolescent athletes with shoulder instability treated nonoperatively, functional bracing did not result in increased success rates when compared with no bracing.
Clinical Relevance:
The data from this study indicate that functional bracing may not improve success rates for athletes with shoulder instability.</description><subject>Adolescent</subject><subject>Braces</subject><subject>Child</subject><subject>Conservative Treatment</subject><subject>Focus Topic: Young Athletes</subject><subject>Humans</subject><subject>Joint Instability - therapy</subject><subject>Reinjuries</subject><subject>Return to Sport</subject><subject>Shoulder Injuries - therapy</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Youth Sports - injuries</subject><issn>1941-7381</issn><issn>1941-0921</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU9v1DAQxSMEoqVw54R85BLwv43jC6gUCpUqgSg9W7P2eJPKay-2U6mfgK9NVhsqQHAaa-a931jzmuY5o68YU-o105Ip0TNOteRc6AfN8b7VUs3Zw-W9nx81T0q5obSTHVOPmyPB-56u-Oq4-fE-YSHnU7R1TBECeZfBjnFDkid1QHIdS4V1QHI1pCk4zORiu8vpFslXrFOOpCbyJcAdGSO5skMKUOpoyWkdAlYsbxfZnvhv3OJ_2jzyEAo-W-pJc33-4dvZp_by88eLs9PL1koha4udUh3VqAXXvQIOXnhvnfTWrihHysFJ6XpPnevXAMqhsr4HbTvlGACIk-bNgbub1lt0FmPNEMwuj1vIdybBaP6cxHEwm3RrlBJSdHoGvFwAOX2fsFSzHYvFECBimorhUmitZE_ZLKUHqc2plIz-fg2jZp-f-Tu_2fLi9-_dG34FNgvag6DABs1Nmm87n-v_wJ9wVqaj</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Kwapisz, Adam</creator><creator>Shanley, Ellen</creator><creator>Momaya, Amit M.</creator><creator>Young, Chris</creator><creator>Kissenberth, Michael J.</creator><creator>Tolan, Stefan J.</creator><creator>Lonergan, Keith T.</creator><creator>Wyland, Douglas J.</creator><creator>Hawkins, Richard J.</creator><creator>Pill, Stephan G.</creator><creator>Tokish, John M.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210101</creationdate><title>Does Functional Bracing of the Unstable Shoulder Improve Return to Play in Scholastic Athletes? Returning the Unstable Shoulder to Play</title><author>Kwapisz, Adam ; Shanley, Ellen ; Momaya, Amit M. ; Young, Chris ; Kissenberth, Michael J. ; Tolan, Stefan J. ; Lonergan, Keith T. ; Wyland, Douglas J. ; Hawkins, Richard J. ; Pill, Stephan G. ; Tokish, John M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c434t-e677609e932987a2af3ffcd4fcc502e02ad44d8f0dd8baa7de7cf8a9c67d1aaa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Braces</topic><topic>Child</topic><topic>Conservative Treatment</topic><topic>Focus Topic: Young Athletes</topic><topic>Humans</topic><topic>Joint Instability - therapy</topic><topic>Reinjuries</topic><topic>Return to Sport</topic><topic>Shoulder Injuries - therapy</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Youth Sports - injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kwapisz, Adam</creatorcontrib><creatorcontrib>Shanley, Ellen</creatorcontrib><creatorcontrib>Momaya, Amit M.</creatorcontrib><creatorcontrib>Young, Chris</creatorcontrib><creatorcontrib>Kissenberth, Michael J.</creatorcontrib><creatorcontrib>Tolan, Stefan J.</creatorcontrib><creatorcontrib>Lonergan, Keith T.</creatorcontrib><creatorcontrib>Wyland, Douglas J.</creatorcontrib><creatorcontrib>Hawkins, Richard J.</creatorcontrib><creatorcontrib>Pill, Stephan G.</creatorcontrib><creatorcontrib>Tokish, John M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Sports health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kwapisz, Adam</au><au>Shanley, Ellen</au><au>Momaya, Amit M.</au><au>Young, Chris</au><au>Kissenberth, Michael J.</au><au>Tolan, Stefan J.</au><au>Lonergan, Keith T.</au><au>Wyland, Douglas J.</au><au>Hawkins, Richard J.</au><au>Pill, Stephan G.</au><au>Tokish, John M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does Functional Bracing of the Unstable Shoulder Improve Return to Play in Scholastic Athletes? Returning the Unstable Shoulder to Play</atitle><jtitle>Sports health</jtitle><addtitle>Sports Health</addtitle><date>2021-01-01</date><risdate>2021</risdate><volume>13</volume><issue>1</issue><spage>45</spage><epage>48</epage><pages>45-48</pages><issn>1941-7381</issn><eissn>1941-0921</eissn><abstract>Background:
Functional bracing is often used as an adjunct to nonoperative treatment of anterior shoulder instability, but no study has evaluated the effectiveness of in-season bracing. The purpose of this study was to examine successful return to play in a nonoperative cohort of adolescent athletes with in-season shoulder instability and compare those athletes treated with bracing to those who were not.
Hypothesis:
The use of functional bracing will improve success rates in a cohort of athletes treated nonoperatively for in-season shoulder instability.
Study Design:
Cohort study.
Level of Evidence:
Level 3.
Methods:
A total of 97 athletes with anterior shoulder instability were followed for a minimum of 1 year. The mean age was 15.8 ± 1.4 years (range, 12.0-18.0 years). All athletes were treated with initial nonoperative management. Twenty athletes (21%) were also treated with bracing while 77 (79%) were not. The athlete completing the current season and 1 subsequent season without surgery or time lost from shoulder injury was defined as a successful outcome.
Results:
There was no statistical difference in nonoperative success rates between the braced and nonbraced athletes (P = 0.33). Braced athletes (n = 20) returned to play 80% of the time, while nonbraced athletes (n = 77) returned at a rate of 88%. Of the braced athletes, 85% were football players (n = 17). A football-only comparison demonstrated no difference between braced failures (26%) and nonbraced failures (16%) (P = 0.47).
Conclusion:
This is the first study to evaluate the utility of functional bracing in returning an athlete to sport and completing a full subsequent season without surgery or time loss due to injury of the shoulder. In adolescent athletes with shoulder instability treated nonoperatively, functional bracing did not result in increased success rates when compared with no bracing.
Clinical Relevance:
The data from this study indicate that functional bracing may not improve success rates for athletes with shoulder instability.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>32880525</pmid><doi>10.1177/1941738120942239</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1941-7381 |
| ispartof | Sports health, 2021-01, Vol.13 (1), p.45-48 |
| issn | 1941-7381 1941-0921 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7734369 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; SAGE Complete A-Z List; PubMed Central |
| subjects | Adolescent Braces Child Conservative Treatment Focus Topic: Young Athletes Humans Joint Instability - therapy Reinjuries Return to Sport Shoulder Injuries - therapy Time Factors Treatment Outcome Youth Sports - injuries |
| title | Does Functional Bracing of the Unstable Shoulder Improve Return to Play in Scholastic Athletes? Returning the Unstable Shoulder to Play |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-15T08%3A34%3A08IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Does%20Functional%20Bracing%20of%20the%20Unstable%20Shoulder%20Improve%20Return%20to%20Play%20in%20Scholastic%20Athletes?%20Returning%20the%20Unstable%20Shoulder%20to%20Play&rft.jtitle=Sports%20health&rft.au=Kwapisz,%20Adam&rft.date=2021-01-01&rft.volume=13&rft.issue=1&rft.spage=45&rft.epage=48&rft.pages=45-48&rft.issn=1941-7381&rft.eissn=1941-0921&rft_id=info:doi/10.1177/1941738120942239&rft_dat=%3Cproquest_pubme%3E2439974801%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2439974801&rft_id=info:pmid/32880525&rft_sage_id=10.1177_1941738120942239&rfr_iscdi=true |