Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Department of Physical Therapy, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Sports Health. 2023 Jul-Aug;15(4):599-605. doi: 10.1177/19417381221116319. Epub 2022 Aug 5.
Multiple rehabilitation protocols after shoulder surgery have been proposed. The coronavirus pandemic adds an extra layer of complexity to postoperative rehabilitation after shoulder surgery.
The combined use of a home-based rehabilitation system, the Shoulder Strengthening and Stabilization System (SSS), and telehealth visits will lead to acceptable patient self-reported outcomes and satisfaction after shoulder surgery.
Prospective observational cohort.
Level 4.
A total of 132 patients were prescribed SSS after shoulder surgery. A virtual clinical specialist monitored patients through telehealth visits as prescribed by the treating physician. Data were collected prospectively during each telehealth visit. Patients completed an exit survey during their last telehealth visit.
The use of SSS with telehealth revealed a positive impact on postoperative shoulder rehabilitation (96%), pain (71%), and stiffness (92%) as reported by patients. Both pain scores and pain medication use decreased from the 1st to 8th postoperative telehealth session ( < 0.01). Nearly all (93%) patients recommended SSS after shoulder surgery upon completing the SSS protocol.
Postoperative management of shoulder surgery with SSS combined with telehealth results in a reduction in patient pain levels in the early postoperative period. Patients reported high levels of improvement with SSS in shoulder rehabilitation, pain, and stiffness. The overwhelming majority (93%) of patients recommended SSS for postoperative shoulder rehabilitation and SSS yielded high patient satisfaction scores. Elucidating the impact of SSS on clinical outcomes and function in comparison with traditional rehabilitation protocols is warranted.
SSS in combination with telehealth was tolerated well by patients and may represent an alternative or adjunct to traditional rehabilitation protocols.
肩部手术后提出了多种康复方案。冠状病毒大流行给肩部手术后的术后康复增加了额外的复杂性。
将基于家庭的康复系统“肩部强化和稳定系统（SSS）”与远程医疗访问相结合，将导致肩部手术后患者可接受的自我报告结果和满意度。
前瞻性观察队列。
4 级。
共有 132 例肩部手术后患者接受了 SSS 治疗。虚拟临床专家按照治疗医生的规定通过远程医疗访问对患者进行监测。在每次远程医疗访问期间都收集数据。患者在最后一次远程医疗访问期间完成了退出调查。
使用 SSS 和远程医疗对肩部手术后的康复（96%）、疼痛（71%）和僵硬（92%）产生了积极影响，患者报告了这些结果。从第 1 次到第 8 次术后远程医疗会议，疼痛评分和止痛药使用均有所下降（<0.01）。几乎所有（93%）患者在完成 SSS 方案后都推荐肩部手术后使用 SSS。
使用 SSS 联合远程医疗对肩部手术后进行术后管理可降低患者术后早期的疼痛水平。患者报告 SSS 在肩部康复、疼痛和僵硬方面有很高的改善水平。绝大多数（93%）患者推荐 SSS 用于肩部手术后的康复，并且 SSS 产生了很高的患者满意度评分。需要阐明 SSS 对临床结果和功能的影响与传统康复方案相比。
SSS 与远程医疗相结合，患者耐受性良好，可能是传统康复方案的替代或辅助方法。
