肩袖修复术后康复:系统回顾。

IF 2.5 4区 医学 Q2 SPORT SCIENCES
Steven Matlak, Albert Andrews, Austin Looney, Kenneth B Tepper
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引用次数: 9

摘要

肩袖撕裂是导致肩部残疾最常见的原因,并可能导致严重的疼痛和功能障碍。本文系统综述了关节镜下肩袖修复术后康复的最新研究成果。如果研究与关节镜下肩袖修复术后康复有关,并且发表于2003年至2019年之间,证据水平为1或2,则有资格纳入研究。两位盲法审稿人筛选、评分并从康复的各个方面的文章和建议中提取数据进行总结。从数据库检索中共检索到4067篇文章,并纳入22篇研究进行数据提取。我们注意到手术后早期和延迟活动的结果相似。综述文章支持使用有监督的物理治疗、15度外旋支具和辅助经皮神经电刺激来治疗疼痛。在1项研究中,早期等距负荷改善了结果。缺乏运动处方参数和肩胛下肌术后康复的证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Postoperative Rehabilitation of Rotator Cuff Repair: A Systematic Review.

Rotator cuff tears are the most common cause of shoulder disability and can cause significant pain and dysfunction. This systematic review summarizes the latest research on rehabilitation following arthroscopic rotator cuff repair. Studies were eligible for inclusion if they pertained to postoperative rehabilitation following arthroscopic rotator cuff repair and were published between 2003 and 2019 with a level of evidence of 1 or 2. Two blinded reviewers screened, graded, and extracted data from articles and recommendations on various aspects of rehabilitation were summarized. A total of 4067 articles were retrieved from the database search and 22 studies were included for data extraction. We noted similar outcomes between early and delayed mobilization following surgery. Reviewed articles support the use of supervised physical therapy, bracing in 15 degrees external rotation, and adjunctive transcutaneous electrical nerve stimulation for pain management. Early isometric loading improved outcomes in 1 study. Evidence is lacking for exercise prescription parameters and postoperative rehabilitation of the subscapularis.

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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
50
审稿时长
>12 weeks
期刊介绍: Sports Medicine and Arthroscopy Review helps physicians digest the large volume of clinical literature in sports medicine and arthroscopy, identify the most important new developments, and apply new information effectively in clinical practice. Each issue is guest-edited by an acknowledged expert and focuses on a single topic or controversy. The Guest Editor invites the leading specialists on the topic to write review articles that highlight the most important advances. This unique format makes the journal more in-depth, authoritative, and practical than most publications in this field. The journal also includes dozens of full-color and black-and-white arthroscopic images and illustrations.
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