The clinical outcome of physiotherapy after reversed shoulder arthroplasty: a systematic review.
Ze LuGoris NazariPedro H AlmeidaTatiana PontesJoy Christine MacDermidPublished in: Disability and rehabilitation (2021)
High-quality RCTs are required to provide more conclusive results. We identified substantial variation in the post-operative PT programs except for the progressive mobilization strategy and the common management following surgery to increase the soft tissue healing within 4-6 weeks.Implications for RehabilitationThe reverse shoulder arthroplasty (rTSA) has been widely utilized for patients with rotator cuff arthropathy, primary arthritis, and proximal fractures.A successful outcome of rTSA is not only depending on the surgical management, but also depended on physiotherapy (PT) programs.Our systematic review concluded that a 12-week PT program starting with immobilization for 4-6 weeks, followed by 3-4 phases PT exercises including PROM, AAROM, AROM, and strength training was recommended as common management for patients received rTSA.Due to the huge variation in the included studies, the evidence of PT protocol in our study was not sufficient to summarize the better clinical practice suggestions regarding rTSA rehabilitation.
Keyphrases
- systematic review
- end stage renal disease
- rotator cuff
- public health
- clinical practice
- minimally invasive
- ejection fraction
- chronic kidney disease
- newly diagnosed
- randomized controlled trial
- rheumatoid arthritis
- peritoneal dialysis
- multiple sclerosis
- prognostic factors
- meta analyses
- quality improvement
- resistance training
- body composition
- coronary artery bypass
- acute coronary syndrome