Rehabilitation following shoulder arthroscopic stabilisation surgery: A survey of UK practice
| Autor: | Natasha Maher, Elaine Willmore, Marcus Bateman, James Blacknall, Rachel Chester, Ian Horsley, Jo Gibson, Joel O’ Sullivan, Anju Jaggi |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Shoulder & Elbow. :175857322311548 |
| ISSN: | 1758-5740 1758-5732 |
| DOI: | 10.1177/17585732231154889 |
| Popis: | Background Optimal rehabilitation following arthroscopic shoulder stabilisation for traumatic anterior instability is unknown. The purpose of this study was to establish current UK practice for this patient group. Methods A self-administered online questionnaire was developed and distributed to UK surgeons and physiotherapists. Results 138 responses were received. Routine immobilisation was reported in 79.7% of responses with a cross-body sling being the preferred position (63.4%). Duration of immobilisation and timescales to initiate movement were highly variable. Return to light work was advised when patients felt able (25.4%) or after 6 weeks (26.1%). 58.7% recommended waiting for 12 weeks to return to manual work. 56% recommended non-contact sport could be resumed after 12 weeks. For contact sport, recommendations varied from 6 weeks (3.8%) to 6 months (5.8%). Psychological readiness was the most frequently cited criteria for return to play (58.6%). Factors such as hyperlaxity (40.6%), age (32.6%) and kinesiophobia (28.3%) were not considered as relevant as reported quality of surgical fixation (50%). Conclusion There is no clear consensus regarding optimal post-operative rehabilitation following arthroscopic shoulder stabilisation. Further work is required to establish high value, personalised pathways for this patient group. |
| Databáze: | OpenAIRE |
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