Brems J J
Cleveland Clinic Foundation, OH 44195.
Clin Orthop Relat Res. 1994 Oct(307):70-85.
Successful outcome of total shoulder arthroplasty depends on a well-designed and a well-executed physical therapy program. For maximal benefit, the program is usually initiated immediately after surgery and follows a logical pattern of joint mobilization followed by muscle strengthening. The process proceeds through a series of well-defined phases. The patient must see himself or herself as the active agent in the program, a concept that is enhanced by a discussion and demonstration of the therapy goals before surgery. Because of a unique understanding of the therapy requirements, the surgeon should remain intimately involved with the patient and therapist, frequently evaluating progress and outcomes of the exercises. When a well-performed surgical procedure is supplemented with a well-designed and frequently monitored therapy program, an excellent outcome of shoulder replacement should be expected.
全肩关节置换术的成功结果取决于精心设计和执行良好的物理治疗方案。为了获得最大益处，该方案通常在手术后立即启动，并遵循关节活动度训练随后进行肌肉强化的合理模式。这个过程按一系列明确的阶段进行。患者必须将自己视为该方案中的积极参与者，这一观念可通过术前对治疗目标的讨论和演示得到强化。由于对外科治疗要求有独特的理解，外科医生应始终密切参与患者和治疗师的工作，经常评估锻炼的进展和效果。当一个执行良好的外科手术辅以精心设计且经常监测的治疗方案时，有望获得出色的肩关节置换效果。
