Evaluation of function following rehabilitation after distal biceps tendon repair

Abstract

Background: There is limited knowledge of the effects on function after ruptured distal biceps tendon repair. The purpose of this follow-up was to evaluate range of motion (ROM), strength, endurance, physical function and perceived satisfaction after surgery for ruptured distal biceps tendon and standardised physiotherapy treatment.

Methods: This is a cross-sectional study of individuals assessed on average 3 years following a distal biceps tendon repair. Out of 44 patients identified, 22 participated. All had completed standardised rehabilitation postoperatively. ROM, static upper arm flexion and extension strength, and endurance were measured. The participants estimated their level of disability and satisfaction with treatment results.

Results: Supination of the injured arm was significantly inferior to the non-injured arm (p < .001), but elbow flexion, extension, and pronation were not (p > .05). There were no significant differences in isometric strength in flexion and extension or endurance in pronation/supination between arms. Patients reported low level of disability (DASH score, median 0.83), with 16/22 scoring ≤10. Eighteen participants (82%) reported complete satisfaction with treatment.

Conclusion: The majority of the participants had regained function with the exception of range of motion in supination. They reported no or minor disability and overall satisfaction with treatment results was high.

Keywords:

• Distal biceps tendon rupture
• outcome
• physiotherapy
• rehabilitation
• range of motion
• strength
• follow-up

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

The trial was undertaken with financial support in the form of research grants from the Research and Development Council for Västra Götaland and Renee Eanders foundation.