Postoperative Rehabilitation of Anterior Glenohumeral Joint Instability Surgery: A Systematic Review
Autor: | Andrew Lincoln, Steven J. Svoboda, Gregory Lloyd, Sarah Attanasio, Jana Lu, Jonathan Day |
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Rok vydání: | 2021 |
Předmět: |
Joint Instability
medicine.medical_specialty medicine.medical_treatment MEDLINE Physical Therapy Sports Therapy and Rehabilitation 03 medical and health sciences 0302 clinical medicine Cadaver Humans Medicine Orthopedics and Sports Medicine Bankart repair Postoperative Care 030222 orthopedics Rehabilitation business.industry Shoulder Dislocation 030229 sport sciences Evidence-based medicine Anterior shoulder Postoperative rehabilitation Combined Modality Therapy Return to Sport Clinical trial Athletic Injuries Bankart Lesions Physical therapy Shoulder Injuries business |
Zdroj: | Sports Medicine and Arthroscopy Review. 29:54-62 |
ISSN: | 1062-8592 |
DOI: | 10.1097/jsa.0000000000000305 |
Popis: | Anterior glenohumeral instability is the most common form of shoulder instability. The systematic review summarizes the latest research on rehabilitation after Bankart repair. Inclusion criteria included postoperative rehabilitation and published in English between 2000 and 2019. Studies were excluded if they were addresses, comments, or editorials, or included other shoulder injuries or cadaver models. Two rounds of review using Rayyan QCRI software were performed for screening and full text search, and the articles were graded for levels of evidence. Of the 1982 articles, 14 articles were included with levels of evidence 1 through 4. Both arthroscopic and open Bankart repair have demonstrated improving functional outcomes and reducing recurrence rates of anterior shoulder instability. Accelerated postoperative rehabilitation may be comparable to a conventional protocol for arthroscopic repair, and the subscapularis musculature involvement during open repair can impact the timeframe. Strong evidence supports 4 phases of rehabilitation and future clinical trials are needed to compare different programs. |
Databáze: | OpenAIRE |
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