Maximizing Muscle Function in Cuff-Deficient Shoulders: A Rehabilitation Proposal for Reverse Arthroplasty
| Autor: | Ania Roszkowski, Dragana Boljanovic, Mark Anunciacion, Helen Razmjou, Darren S. Drosdowech, Varda van Osnabrugge, Andrea Nunn, Analia Szafirowicz, Diane Nam, Amy Wainwright |
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| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty complications Shoulders medicine.medical_treatment Deltoid curve Reverse shoulder Review biomechanics rehabilitation 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation medicine Orthopedic surgery 030222 orthopedics Rehabilitation business.industry Biomechanics 030229 sport sciences musculoskeletal system Arthroplasty body regions Cuff deltoid Cuff Tear Arthropathy business cuff tear arthropathy human activities RD701-811 |
| Zdroj: | Journal of Shoulder and Elbow Arthroplasty, Vol 5 (2021) Journal of Shoulder and Elbow Arthroplasty |
| ISSN: | 2471-5492 |
| DOI: | 10.1177/24715492211023302 |
| Popis: | PurposeThe purpose of this review is to describe the role of altered joint biomechanics in reverse shoulder arthroplasty and to propose a rehabilitation protocol for a cuff-deficient glenohumeral joint based on the current evidence. Methods and Materials: The proposed rehabilitation incorporates the principles of pertinent muscle loading while considering risk factors and surgical complications.ResultsIn light of altered function of shoulder muscles in reverse arthroplasty, scapular plane abduction should be more often utilized as it better activates deltoid, teres minor, upper trapezius, and serratus anterior. Given the absence of supraspinatus and infraspinatus and reduction of external rotation moment arm of the deltoid in reverse arthroplasty, significant recovery of external rotation may not occur, although an intact teres minor may assist external rotation in the elevated position.ConclusionImproving the efficiency of deltoid function before and after reverse shoulder arthroplasty is a key factor in the rehabilitation of the cuff deficient shoulders. Performing exercises in scapular plane and higher abduction angles activates deltoid and other important muscles more efficiently and optimizes surgical outcomes. |
| Databáze: | OpenAIRE |
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