年轻活跃患者肩关节置换术后的康复策略

Rehabilitation Strategies After Shoulder Arthroplasty in Young and Active Patients.

作者信息

Brameier Devon T, Hirscht Alicia, Kowalsky Marc S, Sethi Paul M

机构信息

The ONS Sports and Shoulder Service, Orthopaedic and Neurosurgery Specialists (ONS), The ONS Foundation for Clinical Research and Education (ONSF), 6 Greenwich Office Park, 40 Valley Drive, Greenwich, CT 06831, USA.

Physical Therapy, Orthopaedic and Neurosurgery Specialists (ONS), ONS Stamford, The ONS Foundation for Clinical Research and Education (ONSF), 5 High Ridge Park, Stamford, CT 06905, USA; Physical Therapy, Orthopaedic and Neurosurgery Specialists (ONS), ONS Stamford, The ONS Foundation for Clinical Research and Education (ONSF), 6 Greenwich Office Park, Greenwich, CT 06831, USA.

出版信息

Clin Sports Med. 2018 Oct;37(4):569-583. doi: 10.1016/j.csm.2018.05.007.

DOI:10.1016/j.csm.2018.05.007

PMID:30201171

Abstract

A well-designed and sensibly progressed rehabilitation program is vital to successful shoulder arthroplasty outcomes. This article describes the protocol suggested by ONS clinicians to treat the growing young, active patient population undergoing anatomic shoulder arthroplasty. This protocol includes an immediate postoperative phase, early strengthening phase, resistance strengthening and proprioception phase, and advanced sport-specific and goal-specific strengthening and proprioception phase. These patients may progress more quickly than older patients and require more challenging exercises aimed at regaining strength and mobility for activity, thus this protocol emphasizes incorporating full-body training to prevent undue stress on the repair on return to activity.

摘要

一个设计良好且进展合理的康复计划对于肩关节置换术的成功结果至关重要。本文描述了ONS临床医生建议的用于治疗越来越多接受解剖型肩关节置换术的年轻、活跃患者群体的方案。该方案包括术后即刻阶段、早期强化阶段、抗阻强化和本体感觉阶段，以及高级的特定运动和特定目标强化与本体感觉阶段。这些患者可能比老年患者恢复得更快，并且需要更具挑战性的锻炼来恢复活动所需的力量和灵活性，因此该方案强调纳入全身训练，以防止恢复活动时对修复部位造成过度压力。