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肩关节后方稳定修复术后的康复治疗

Rehabilitation Following Posterior Shoulder Stabilization.

作者信息

Goldenberg Brandon T, Goldsten Pamela, Lacheta Lucca, Arner Justin W, Provencher Matthew T, Millett Peter J

机构信息

Steadman Philippon Research Institute.

Howard Head Sports Medicine.

出版信息

Int J Sports Phys Ther. 2021 Jun 1;16(3):930-940. doi: 10.26603/001c.22501.

Abstract

UNLABELLED

Posterior shoulder instability has been noted in recent reports to occur at a higher prevalence than originally believed, with many cases occurring in active populations. In most cases, primary surgical treatment for posterior shoulder instability-a posterior labral repair-is indicated for those patients who have failed conservative management and demonstrate persistent functional limitations. In order to optimize surgical success and return to a prior level of function, a comprehensive and focused rehabilitation program is crucial. Currently, there is a limited amount of literature focusing on rehabilitation after surgery for posterior instability. Therefore, the purpose of this clinical commentary is to present a post-surgical rehabilitation program for patients following posterior shoulder labral repair, with recommendations based upon best medical evidence.

LEVEL OF EVIDENCE

摘要

未标注

近期报告指出,后肩部不稳定的发生率高于最初认为的水平,许多病例发生在活跃人群中。在大多数情况下,对于那些保守治疗失败且仍存在持续功能受限的患者,后肩部不稳定的主要手术治疗方法——后盂唇修复术是适用的。为了优化手术成功率并恢复到先前的功能水平,全面且有针对性的康复计划至关重要。目前,专注于后肩部不稳定手术后康复的文献数量有限。因此,本临床评论的目的是为后肩部盂唇修复术后的患者提供一个术后康复计划,并根据最佳医学证据给出建议。

证据水平

5级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a914/8168996/c7abc6c7d87c/ijspt_2021_16_3_22501_57772.jpg

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