Rehabilitation Following Shoulder Arthroplasty

Walton, Julia; Spencer, Sonya; Walton, Michael

doi:10.1007/978-3-319-70099-1_27

Cited by 4 publications

(3 citation statements)

References 19 publications

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“…In this review, randomised controlled trials that included participants undergoing both anatomic and reverse total shoulder replacement were included despite recommendations by some that the rehabilitation programs for the two procedures should differ. 6 , 8 A recent review of publicly available rehabilitation protocols published by UK NHS Trusts reported that few institutions differentiate rehabilitation protocols based on prosthesis type. For those that do, there is little difference between the two approaches, 9 hence the decision to include what some may consider to be two clinically distinct patient groups.…”

Section: Discussionmentioning

confidence: 99%

“…5 Following total shoulder replacement, a programme of rehabilitation is important to help patients achieve the best clinical and quality of life outcomes. 6,7 However, the optimal approach to post-operative rehabilitation is unknown. 8 Variation is observed across the UK NHS 9 and few institutions adapt their rehabilitation protocol based on prosthesis type 9 despite the common assertion that different approaches are necessary.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of early versus delayed rehabilitation following total shoulder replacement: A systematic review

et al. 2021

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Objective To investigate the effectiveness of early versus delayed rehabilitation following total shoulder replacement. Design Intervention systematic review with narrative synthesis. Literature search MEDLINE, EMBASE, CINAHL, Scopus and the Cochrane Library were searched from inception to the 29th of July 2021. Study selection criteria Randomised controlled trials comparing early versus delayed rehabilitation following primary anatomic, primary reverse, or revision total shoulder replacement. Data synthesis A revised Cochrane risk of bias assessment tool for randomised controlled trials was used, as well as the Grading of Recommendations Assessment, Development and Evaluation approach to evaluate the quality of evidence. A narrative synthesis was undertaken. Results Three eligible randomised controlled trials ( n = 230) were included. There was very low-quality evidence of no statistically significant difference ( P > 0.05) in pain, shoulder function, health-related quality of life or lesser tuberosity osteotomy healing at 12 months between early or delayed rehabilitation. There was conflicting and very low-quality evidence of a difference between the effect of early and delayed rehabilitation on shoulder range of movement. There was limited, very low-quality evidence of statistically significantly improved pain and function ( P < 0.05) in the early post-operative period with early rehabilitation following anatomic total shoulder replacement. Conclusions No differences were seen in patient-reported or clinician-reported outcomes at 12 months post-surgery between early and delayed rehabilitation following total shoulder replacement. There is very low-quality evidence that early rehabilitation may improve shoulder pain and function in the early post-operative phase following anatomic total shoulder replacement.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effectiveness of early versus delayed rehabilitation following total shoulder replacement: A systematic review

et al. 2021

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“…Walton 1 in 1923 was the first to propose early intervention in patients with acute cholecystitis, and Hinchey 2 in a survey of American surgeons reported that 70 per cent of them favoured early operation. Other workers 3–10 reported their experiences after early operation and proved that provided the patient is in a good general condition and fully resuscitated, early operation has many advantages without increased mortality and morbidity.…”

Section: Introductionmentioning

confidence: 99%