Effect of Shoulder Movement Routine on Postoperative Shoulder Pain in Total Laparoscopic Hysterectomy: A Randomized Clinical Trial

Bibliographic Details
Title: Effect of Shoulder Movement Routine on Postoperative Shoulder Pain in Total Laparoscopic Hysterectomy: A Randomized Clinical Trial
Authors: Andrea Olguín-Ortega, Lino Palacios-Cruz, Alejandro Rendón-Molina, Oliver Cruz-Orozco, Brenda Sánchez-Ramírez, Silvia Fabiola Estrada-Rivera, José Roberto Silvestri-Tomassoni, Ana Cristina Arteaga-Gómez, Enrique Reyes-Muñoz
Source: Medicina, Vol 60, Iss 9, p 1478 (2024)
Publisher Information: MDPI AG, 2024.
Publication Year: 2024
Collection: LCC:Medicine (General)
Subject Terms: laparoscopy hysterectomy, shoulder pain, postoperative pain, shoulder movement, Medicine (General), R5-920
More Details: Background and Objectives: Postoperative shoulder pain is a common issue after total laparoscopic hysterectomy (TLH). This study evaluated the impact of a shoulder movement routine on postoperative shoulder pain in women undergoing uncomplicated TLH. Materials and Methods: An open-label randomized clinical trial included women without prior shoulder pain undergoing TLH between 20 January and 20 March 2024. Participants were randomized into two groups: Group 1 (n = 36) received a shoulder movement routine, while Group 2 (control, n = 39) performed a hand movement routine. Shoulder pain was assessed using the visual analog scale (VAS) at 6 h, 24 h, and 7 days postoperatively. Results: Seventy-five women participated. No significant differences were found between the groups regarding demographic variables, surgery duration, or hospital stay. Shoulder pain scores (VAS) at three time points (6 h, 24 h, and 7 days) showed no significant differences between groups (p = 0.57, p = 0.69, and p = 0.91, respectively). Similarly, there were no significant differences in incisional or abdominal pain. Conclusions: The shoulder movement routine did not significantly reduce postoperative shoulder pain in women undergoing uncomplicated TLH.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1648-9144
1010-660X
Relation: https://www.mdpi.com/1648-9144/60/9/1478; https://doaj.org/toc/1010-660X; https://doaj.org/toc/1648-9144
DOI: 10.3390/medicina60091478
Access URL: https://doaj.org/article/1433d797305a4daa9dfe3d4ed485e3bf
Accession Number: edsdoj.1433d797305a4daa9dfe3d4ed485e3bf
Database: Directory of Open Access Journals
More Details
ISSN:16489144
1010660X
DOI:10.3390/medicina60091478
Published in:Medicina
Language:English