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

• Published in: Medicina (Kaunas, Lithuania) Lithuania), 2024-09, Vol.60 (9), p.1478
• Main Authors: Olguín-Ortega, Andrea, Palacios-Cruz, Lino, Rendón-Molina, Alejandro, Cruz-Orozco, Oliver, Sánchez-Ramírez, Brenda, Estrada-Rivera, Silvia Fabiola, Silvestri-Tomassoni, José Roberto, Arteaga-Gómez, Ana Cristina, Reyes-Muñoz, Enrique
• Format: Article
• Language: English
• Subjects: Abdomen; Adult; Analgesics; Care and treatment; Clinical trials; Complications and side effects; Exercise; Exercise therapy; Female; Gynecology; Hospitals; Humans; Hysterectomy; Hysterectomy - adverse effects; Hysterectomy - methods; Intervention; Laparoscopic surgery; Laparoscopy; Laparoscopy - adverse effects; Laparoscopy - methods; laparoscopy hysterectomy; Middle Aged; Movement - physiology; Pain management; Pain Measurement - methods; Pain, Postoperative; Pain, Postoperative - etiology; Pain, Postoperative - prevention & control; Patients; Performance evaluation; postoperative pain; Postoperative period; Shoulder; Shoulder - physiopathology; Shoulder - surgery; shoulder movement; Shoulder pain; Shoulder Pain - etiology; Shoulder Pain - prevention & control; Surgery; Testing; Treatment Outcome
• ISSN: 1648-9144; 1010-660X; 1648-9144
• DOI: 10.3390/medicina60091478

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. 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 ( = 36) received a shoulder movement routine, while Group 2 (control, = 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. 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 ( = 0.57, = 0.69, and = 0.91, respectively). Similarly, there were no significant differences in incisional or abdominal pain. The shoulder movement routine did not significantly reduce postoperative shoulder pain in women undergoing uncomplicated TLH.