Rehabilitation and return to sports after anterior shoulder stabilization

Popchak, Adam; Patterson-Lynch, Brittany; Christain, Heather; Irrgang, James J.

doi:10.21037/aoj.2017.10.06

Cited by 13 publications

(7 citation statements)

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“…This is, however, a temporary solution as patients will eventually require a full range of motion to function in daily activities. Rehabilitation strategies that focus on muscle strength and control 33,34 are supported by our results. Strengthening the major shoulder muscles is recommended to counter the additional passive resistance and limit potential increases in muscle cost.…”

Section: Discussionsupporting

confidence: 80%

Simulating the effect of glenohumeral capsulorrhaphy on kinematics and muscle function

Fox

Bonacci

Gill

et al. 2020

Journal Orthopaedic Research

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This study aimed to use a predictive simulation framework to examine shoulder kinematics, muscular effort, and task performance during functional upper limb movements under simulated selective glenohumeral capsulorrhaphy. A musculoskeletal model of the torso and upper limb was adapted to include passive restraints that simulated the changes in shoulder range of motion stemming from selective glenohumeral capsulorrhaphy procedures (anteroinferior, anterosuperior, posteroinferior, posterosuperior, and total anterior, inferior, posterior, and superior). Predictive muscle-driven simulations of three functional movements (upward reach, forward reach, and head touch) were generated with each model. Shoulder kinematics (elevation, elevation plane, and axial rotation), muscle cost (i.e., muscular effort), and task performance time were compared to a baseline model to assess the impact of the capsulorrhaphy procedures. Minimal differences in shoulder kinematics and task performance times were observed, suggesting that task performance could be maintained across the capsulorrhaphy conditions. Increased muscle cost was observed under the selective capsulorrhaphy conditions, however this was dependent on the task and capsulorrhaphy condition. Larger increases in muscle cost were observed under the capsulorrhaphy conditions that incurred the greatest reductions in shoulder range of motion (i.e., total inferior, total anterior, anteroinferior, and total posterior conditions) and during tasks that required shoulder kinematics closer to end range of motion (i.e., upward reach and head touch). The elevated muscle loading observed could present a risk to joint capsule repair. Appropriate rehabilitation following glenohumeral capsulorrhaphy is required to account for the elevated demands placed on muscles, particularly when a significant range of motion loss presents.

show abstract

Section: Discussionsupporting

confidence: 80%

Simulating the effect of glenohumeral capsulorrhaphy on kinematics and muscle function

Fox

Bonacci

Gill

et al. 2020

Journal Orthopaedic Research

View full text Add to dashboard Cite

show abstract

“…This is, however, only a temporary solution as patients will likely need to return to full range of motion in order to function in routine daily activities. Standard rehabilitation strategies following shoulder stabilisation that focus on muscle strength and control 34,35 are supported by our results. In particular, strengthening the major shoulder muscles will serve to counter the additional passive resistance and potential increase in muscle cost incurred by the glenohumeral capsulorrhaphy.…”

Section: Discussionsupporting

confidence: 83%

Simulating the Impact of Glenohumeral Capsulorrhaphy on Movement Kinematics and Muscle Function in Activities of Daily Living

Fox

Gill

Bonacci

et al. 2020

Preprint

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This study aimed to use a predictive simulation framework to examine shoulder kinematics, muscular effort and task performance during functional upper limb movements under simulated selective glenohumeral capsulorrhaphy. A musculoskeletal model of the torso and upper limb was adapted to include passive restraints that simulated the changes in shoulder range of motion stemming from selective glenohumeral capsulorrhaphy procedures (anteroinferior, anterosuperior, posteroinferior, posterosuperior, and total anterior, inferior, posterior and superior). Predictive muscle-driven simulations of three functional movements (upward reach, forward reach and head touch) were generated with each model. Shoulder kinematics (elevation, elevation plane and axial rotation), muscle cost (i.e. muscular effort) and task performance time were compared to a baseline model to assess the impact of the capsulorrhaphy procedures. Minimal differences in shoulder kinematics and task performance times were observed, suggesting that task performance could be maintained across the capsulorrhaphy conditions. Increased muscle cost was observed under the selective capsulorrhaphy conditions, however this was dependent on the task and capsulorrhaphy condition. Larger increases in muscle cost were observed under the capsulorrhaphy conditions that incurred the greatest reductions in shoulder range of motion (i.e. total inferior, total anterior, anteroinferior and total posterior conditions) and during tasks that required shoulder kinematics closer to end range of motion (i.e. upward reach and head touch). The elevated muscle loading observed could present a risk to joint capsule repair. Appropriate rehabilitation following glenohumeral capsulorrhaphy is required to account for the elevated demands placed on muscles, particularly when significant range of motion loss presents.

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“…Muscular strength and control are recognized as important contributors to shoulder stability [24]. In particular, strength is recognized clinically as an important consideration for determining return to activity [25]. A recent abstract noted that strength and functional deficits were prolonged after ABR [26].…”

Section: Rehabilitation Parametersmentioning

confidence: 99%

“…Additionally, another systematic review investigating postABR return to play criteria found that 76% of studies included time from surgery as the only criterion [28]. This criterion may be insufficient as functional performance measures of the shoulder, such as strength and endurance, are important considerations in clinical decision making around return to play [25]. This further supports the need for objective strength assessment in ABR outcome evaluations.…”

Section: Rehabilitation Parametersmentioning

confidence: 99%

Rehabilitation after arthroscopic Bankart repair: a systematic scoping review identifying important evidence gaps

McIsaac¹,

Lalani²,

Silveira³

et al. 2022

Physiotherapy

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Rehabilitation and return to sports after anterior shoulder stabilization

Cited by 13 publications

References 0 publications

Simulating the effect of glenohumeral capsulorrhaphy on kinematics and muscle function

Simulating the effect of glenohumeral capsulorrhaphy on kinematics and muscle function

Simulating the Impact of Glenohumeral Capsulorrhaphy on Movement Kinematics and Muscle Function in Activities of Daily Living

Rehabilitation after arthroscopic Bankart repair: a systematic scoping review identifying important evidence gaps

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