Evidence map›Paper›PMID 32093681›Full record

Trial reportBMC musculoskeletal disorders2020

How shoulder immobilization influences daily physical activity - an accelerometer based preliminary study.

Carolin Rickert, Monika Grabowski, Georg Gosheger, Dominik Schorn, Kristian Nikolaus Schneider, Sebastian Klingebiel, Dennis Liem

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Article
  3. Physiology of sedentary behavior.Physiological reviews · 2023
    Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Carolin RickertDepartment of Orthopaedics and Tumororthopaedics, Albert-Schweitzer-Campus 1 Gebäude A1, University Hospital Muenster, Münster, Germany. carolin.rickert@ukmuenster.de.
Monika GrabowskiInstitute of Sports Medicine, University Hospital Muenster, Münster, Germany.
Georg GoshegerDepartment of Orthopaedics and Tumororthopaedics, Albert-Schweitzer-Campus 1 Gebäude A1, University Hospital Muenster, Münster, Germany.
Dominik SchornDepartment of Orthopaedics and Tumororthopaedics, Albert-Schweitzer-Campus 1 Gebäude A1, University Hospital Muenster, Münster, Germany.
Kristian Nikolaus SchneiderDepartment of Orthopaedics and Tumororthopaedics, Albert-Schweitzer-Campus 1 Gebäude A1, University Hospital Muenster, Münster, Germany.
Sebastian KlingebielDepartment of Orthopaedics and Tumororthopaedics, Albert-Schweitzer-Campus 1 Gebäude A1, University Hospital Muenster, Münster, Germany.
Dennis LiemSportopaedicum Berlin, Berlin, Germany.
University Hospital Münster · DEGerman Society of Sport Science · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo investigate the influence of shoulder immobilization on daily physical activity.

introductionThe harmful effect of sedentary behavior does not receive much attention in orthopedic surgery even though immobilization, especially of the lower extremity, has been associated with reduced physical activity. Immobilization of the shoulder is common after reconstructive shoulder surgery and could also potentially lead to reduced physical activity and have a negative effect on a patient's general health.

methodTwenty-one healthy volunteers were immobilized in an orthosis (DJO Ultrasling III) for 10 h on two consecutive days. In the following week, activity was measured on the same days without the orthosis. Activity including gait cycles per minute and total gait cycles per day was measured by accelerometer based step count StepWatchTMActivity Monitor. Average age was 26 +/- 3 years. A questionnaire was administered to evaluate subjective activity.

resultsParticipants wearing the shoulder orthosis were significantly less active than without immobilization by 2227.5 gait cycles/day (5501.2 with SO, 7728.7 without SO). Also, significantly more time in sedentary behavior occurred (< 400 steps/h) when the shoulder was immobilized. Patients were significantly more active without shoulder orthosis in medium level activities (800-999 steps/h). Differences for low (400-799 steps/h) and high activity levels (> 1000 steps/h) were not statistically significant. Subjective limitations while wearing the orthosis were graded at 2.343 on a scale of 0-4.

conclusionResults of this study show that even in young, healthy volunteers immobilization of the shoulder in an orthosis for 2 days leads to significantly reduced activity levels. A negative influence on general health, especially in older patients who are immobilized for up to 6 weeks, can potentially occur. Promoting physical activity during the immobilization period should be part of rehabilitation after injuries/surgery of the shoulder.

trial registrationRetrospectively registered in DRKS (DRKS00017636).

Indexed as

Orthotic DevicesAccelerometryAdultExerciseFemaleGaitHumansImmobilizationMaleRetrospective StudiesShoulderYoung AdultActivity of daily livingRehabilitationSedentary behaviorShoulder immobilization

Identifiers

PMID32093681
PMCPMC7041289
OpenAlexW3009717842

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.