▼ Objective: Although shoulder arthroplasty with ensuing rehabilitation is a relatively common intervention, the factors infl uencing the functional outcome are still a matter of discussion. These are evaluated based on the outcome as estimated by the Constant Score and patient satisfaction. Consequently, a prediction of the outcome based on initial demographic and diagnostic parameters is shown. Methods: 57 patients received an alloplastic shoulder replacement followed by short stay inpatient rehabilitation. To estimate functional results a questionnaire including the Constant Score, clinical examination, numerical rating scale for pain estimation, radiological investigation of the shoulder joint and satisfaction were recorded. A generalized linear model was fi tted to evaluate the eff ect of covariates Constant Score at admission, discharge and the improvement in-between. Results: 47 (82 %) patients were content with the treatment received. The median Constant Score at admission of 31 ( ± 3 improved to 64 ( ± 12) at follow-up. Patients treated by senior specialist obtained 13 ( ± 2) points more at discharge than patients treated by less experienced surgeons. Patients with assisted physiotherapy between operation and rehabilitation achieved 8 ( ± 2) points more. Motivated patients did 7 ( ± 2) points. A minimal Constant Score of 40 at admission, 60 at discharge or an improvement of 30 points ensured satisfi ed patients. Conclusions: Motivated patients receiving assisted physiotherapy between operation by an experienced specialist and rehabilitation have better functional results. Age, gender, type of prosthesis and diagnosis have no eff ect. A Constant Score of ≥ 40 at admission is associated with the patients being motivated and satisfi ed with the treatment.

Zusammenfassung ▼Hintergrund: Etwa 1,5 bis 2 Millionen Sportverletzungen treten in Deutschland j ä hrlich auf. 3 -5% davon betreff en die Wirbels ä ule. Sportverletzungen, Fehl-oder Ü berbelastung der Wirbels ä ule als sch ä dliche Folgen des Sportes verursachen R ü ckenbeschwerden oder Bandscheibenvorw ö lbungen. Ziel: Vergleich der Wirksamkeit einer konservativen Rehabilitation einschlie ß lich CellVAS und/oder modifi zierter Infusionstherapie by der Behandlung von lumbalen Bandscheiben Vorwölbung von Sportlern. Methoden: Sportler mit Bandscheibenvorw ö lbungen des 1. und 2. Grades wurden in einer spezialisierten orthop ä dischen Rehabilitationsklinik vom 1. Oktober 2002 bis zum 31. Oktober 2009 behandelt. Die konservative Behandlung wurde entweder erweitert mit CellVAS Mikrostromtherapie (26 Patienten) oder Tilscher Infusionstherapie (24 Patienten) oder beidem (51 Patienten). Die Bewertung erfolgte auf der Grundlage eines Fragebogens, klinischer und radiologischer Untersuchungen der Wirbelsäule. Der Fragebogen umfasste die subjektive Bewertung der Symptome mit der numerischen Rating-Skala und objektive Beurteilung durch den Lawlis Score. Ergebnisse: Das Durchschnittsalter der 51 Patienten in der Versuchsgruppe betrug 28 ( ± 9) Jahre bei Beginn der Behandlung. 30 (59 % ) waren weiblich und 21 (41 % ) waren m ä nnlich. 14 (27 % ) erreichten ein hervorragende Ergebnisse, 26 (51 % ) Patienten gute, 4 (8 % ) befriedigende und 7 (14 % ) unzureichende Ergebnisse. Die durchschnittliche Punktzahl stieg beim Lawlis Score signifi kant von 10 ( ± 2) Punkte bei Eintritt auf 21 ( + 4) nach der Behandlung. Die subjektive Schmerz-Bewertung durch die numerische Ratingskala verbesserte sich deutlich von 9 ( ± 2) bis 2 ( ± 2) Punkte. Fazit: Die Studie zeigt, dass die konservative Therapie mit CellVAS Mikrostromtherapie und Authors R. M. Aliyev , T. L. Vieth Affi liationAbstract ▼Background: Approximately 1.5 -2 million sports injuries occur in Germany annually. 3 -5 % of these concern the backbone. Sports injuries, miss-or overloading of the backbone as sports damages can cause back discomfort or intervertebral disc protrusion. Aim: Comparison of the eff ectiveness of a conservative rehabilitation including CellVAS and / or a modifi ed infusion therapy within the treatment of bulging lumbar intervertebral discs of sportsmen. Methods: Sportspersons with the diagnosis bulging intervertebral discs (1 st and 2 nd degree protrusions) were treated in the specialised orthopaedic rehabilitation clinic from October 1 st , 2002 till October 31 st , 2009. The conservative treatment was extended with either CellVAS micro-current therapy (26 patients) or Tilscher infusion therapy (24 patients) or both (51 patients). The evaluation was carried out on the basis of a questionnaire, a clinical examination and radiological investigation of the backbone. The questionnaire included the subjective evaluation of the symptoms with the numerical rating scale and objective assessment with the Lawlis score. Results:The average age of the 51 patients in t...

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