Abstract
Background: Reverse shoulder arthroplasty (RSA) shows a growing number of implantations and is a valuable option to improve shoulder function and decrease pain. However, there is no consensus concerning the rehabilitation protocol following surgery. Objectives: To review and evaluate current rehabilitation contents and protocols after RSA by reviewing the existing scientific literature and providing an overview of the clinical practice of selected German Society of Shoulder and Elbow Surgery (Deutsche Vereinigung für Schulter- und Ellenbogenchirurgie e. V., DVSE) shoulder experts. Materials and methods: A literature search for the years 1989–2016 was conducted in relevant databases and bibliographies including the Guidelines International Network, National Guidelines, PubMed, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews and the Physiotherapy Evidence Database. In addition, 63 DVSE experts were contacted via an online questionnaire. Results: Since no level I/II studies on postoperative protocols after RSA were found, the 856 hits were searched by the committee members and sorted according to the topics “rehabilitation”, “complications”, “clinical outcome studies”, “basic science”, “reviews” and “miscellaneous”. Additionally, survey results were analyzed and compared to the literature. Discussion: The comparison between literature recommendation and expert survey showed agreement according principal aspects (e.g. brace/sling, immobilization, passive exercises). Based on the literature and the expert opinions obtained, a four-phase rehabilitation protocol could be developed.
Titel in Übersetzung | Rehabilitation nach inverser Schulterprothetik: Eine Arbeit der Kommission Rehabilitation der Deutschen Vereinigung für Schulter- und Ellenbogenchirurgie (DVSE) e. V. in Zusammenarbeit mit dem Deutschen Verband für Physiotherapie (ZVK) e. V., dem Verband Physikalische Therapie – Vereinigung für die physiotherapeutischen Berufe (VPT) e. V. und der Sektion Rehabilitation – Physikalische Therapie der Deutschen Gesellschaft für Orthopädie und Unfallchirurgie (DGOU) e. V. |
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Originalsprache | Englisch |
Seiten (von - bis) | 269-283 |
Seitenumfang | 15 |
Fachzeitschrift | Obere Extremitat |
Jahrgang | 14 |
Ausgabenummer | 4 |
DOIs | |
Publikationsstatus | Veröffentlicht - 1 Dez. 2019 |
Extern publiziert | Ja |