Johnson Michael
Department of Rehabilitation and Regenerative Medicine, Columbia University, New York, NY.
Sports Med Arthrosc Rev. 2017 Sep;25(3):116-122. doi: 10.1097/JSA.0000000000000158.
Shoulder dislocation and subsequent instability is a common problem in young athletes. Though it is not uncommon to attempt nonoperative rehabilitation in the early going, reinjury rates are high, particularly with contact sport athletes. As a result, many athletes will undergo a primary repair of one, or multiple, glenohumeral ligaments that make up the anterior shoulder capsule. This paper presents phases of rehabilitation from the preoperative stage up to returning to play. Criteria for phase progression are included, along with examples of common exercises and themes for each phase that allow the physical therapist to consider when working with patients who have had this type of shoulder surgery, allowing them to return to full function with low risk of reinjury.
肩关节脱位及随后的不稳定在年轻运动员中是一个常见问题。尽管在初期尝试非手术康复并不罕见，但再受伤率很高，尤其是对于从事接触性运动的运动员。因此，许多运动员将对构成肩关节前囊的一条或多条盂肱韧带进行初次修复。本文介绍了从术前阶段到恢复比赛的康复阶段。文中包括了阶段进展的标准，以及每个阶段常见练习的示例和主题，可供物理治疗师在治疗接受过此类肩部手术的患者时参考，使他们能够以较低的再受伤风险恢复到完全功能状态。
