Rehabilitation following reverse shoulder arthroplasty A work of the Rehabilitation Commission of the German Society of Shoulder and Elbow Surgery (DVSE) e.V. in collaboration with the German Association for Physiotherapy (ZVK) e.V., the Physical Therapy Association-Association for Physical Professions (VPT) e.V. and the Rehabilitation Section-Physical Therapy of the German Society for Orthopaedics and Trauma e.V. (DGOU)

被引：0

作者：

Buchmann, S. ^{[1
,2
]}

Schoch, C. ^{[3
]}

Grim, C. ^{[4
]}

Jung, C. ^{[5
]}

Beitzel, K. ^{[2
]}

Klose, M. ^{[2
]}

Mauch, B. ^{[6
]}

Pfalzer, F. ^{[7
]}

Tepohl, L. ^{[8
]}

Tholen, R. ^{[9
]}

Gottfried, T. ^{[10
,11
]}

Ortmann, H. ^{[12
]}

Scheibel, M. ^{[5
,13
]}

Mauch, F. ^{[7
,14
]}

机构：

[1] Orthopad Fachzentrum OFZ, Weilheim Garmisch Partenkirchen Starnberg Penzber, Johann Baur Str 5, D-82362 Weilheim, Germany

[2] Klinikum Rechts Der Isar, Abt & Poliklin Sportorthopadie, Munich, Germany

[3] St Vinzenz Allgau, Pfronten, Germany

[4] Klinikum Osnabruck GmbH, Osnabruck, Germany

[5] Schulthess Klin Zurich, Obere Extremitaten, Zurich, Switzerland

[6] Praxisklinik, Ctr 30, Fellbach, Germany

[7] Sportklin Stuttgart, Stuttgart, Germany

[8] Univ Ulm, Inst Rehabil Med Forsch, Bad Buchau, Germany

[9] Deutsch Verband Physiotherapie ZVK eV, Cologne, Germany

[10] Klin Hohenried gGmbH, Deutsch Rentenversicherung Bayern Sud, Bernried, Germany

[11] Deutsch Gesell Orthopadie & Unfallchirurg eV DGOU, Phys Therapie, Sekt Rehabil, Bernried, Germany

[12] Verband Phys Therapie VPT eV Landesgrp Bayem, Munich, Germany

[13] Charite, Ctr Muskuloskeletale Chirurg, Berlin, Germany

[14] Deutsch Vereinigung Schulter & Ellenbogenchirurg, Kommiss Rehabil, Stuttgart, Germany

来源：

OBERE EXTREMITAET-SCHULTER-ELLENBOGEN-HAND-UPPER EXTREMITY-SHOULDER ELBOW HAND | 2019年 / 14卷 / 04期

关键词：

Reverse shoulder replacement; Osteoarthritis; Cuff tear arthropathy; Physiotherapy; PROXIMAL HUMERUS; REPLACEMENT; OUTCOMES; HEMIARTHROPLASTY; ARTHROPATHY; DISLOCATION; FRACTURES; ROTATION; REVISION;

D O I：

10.1007/s11678-019-0513-5

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background. Reverse shoulder arthroplasty (RSA) shows a growing number of implantations and is a valuable option to improve shoulder function and decrease pain. However, there is no consensus concerning the rehabilitation protocol following surgery. Objectives. To review and evaluate current rehabilitation contents and protocols after RSA by reviewing the existing scientific literature and providing an overview of the clinical practice of selected German Society of Shoulder and Elbow Surgery (Deutsche Vereinigung fur Schulter- und Ellenbogenchirurgie e.V., DVSE) shoulder experts. Materials and methods. A literature search for the years 1989-2016 was conducted in relevant databases and bibliographies including the Guidelines International Network, National Guidelines, PubMed, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews and the Physiotherapy Evidence Database. In addition, 63 DVSE experts were contacted via an online questionnaire. Results. Since no level I/II studies on postoperative protocols after RSA were found, the 856 hits were searched by the committee members and sorted according to the topics "rehabilitation", "complications", "clinical outcome studies", "basic science", "reviews" and "miscellaneous". Additionally, survey results were analyzed and compared to the literature. Discussion. The comparison between literature recommendation and expert survey showed agreement according principal aspects (e.g. brace/sling, immobilization, passive exercises). Based on the literature and the expert opinions obtained, a four-phase rehabilitation protocol could be developed.

引用

页码：269 / 283

页数：15

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