PDF(Pubmed)
Abstract：
UNASSIGNED: There is no consensus concerning the rehabilitation protocol following reverse shoulder arthroplasty. Several patients are expecting to be able to use their arms for sports or recreation shortly after their operation.
UNASSIGNED: This review was designed as an intervention systematic review with narrative analysis. Authors searched English literature in PubMed and Embase databases from 1/1/1989 until July 2022. Controlled studies comparing rehabilitation protocols for patients undergoing reverse shoulder arthroplasty were included. Data quality was examined with the Cochrane risk of a bias assessment tool for randomized trials, the Methodological Index for Non-Randomized studies (MINORS) tool, as well as the Grading of Recommendations Assessment Development and Evaluation (GRADE) approach.
UNASSIGNED: Three studies were finally analyzed. At 3 months post-op, forward flexion was found to be significantly higher in the early rehabilitation group (140.5, 95% confidence intervals (CIs): 135.10-145.89; the delayed rehabilitation group mean was 131.24, 95% CI: 125.73-136.74; p = 0.019). Twelve months post-op, no significant difference in any clinical or patient-reported outcome was shown. More complications were reported in the 6 weeks-delayed rehabilitation group.
UNASSIGNED: Newer regimes permit immediate shoulder mobilization but may not be applied to every patient. The lack of strong evidence warrants the need for future controlled studies; subsequently, postoperative rehabilitation should be individualized.
UNASSIGNED: This review was designed as an intervention systematic review with narrative analysis. Authors searched English literature in PubMed and Embase databases from 1/1/1989 until July 2022. Controlled studies comparing rehabilitation protocols for patients undergoing reverse shoulder arthroplasty were included. Data quality was examined with the Cochrane risk of a bias assessment tool for randomized trials, the Methodological Index for Non-Randomized studies (MINORS) tool, as well as the Grading of Recommendations Assessment Development and Evaluation (GRADE) approach.
UNASSIGNED: Three studies were finally analyzed. At 3 months post-op, forward flexion was found to be significantly higher in the early rehabilitation group (140.5, 95% confidence intervals (CIs): 135.10-145.89; the delayed rehabilitation group mean was 131.24, 95% CI: 125.73-136.74; p = 0.019). Twelve months post-op, no significant difference in any clinical or patient-reported outcome was shown. More complications were reported in the 6 weeks-delayed rehabilitation group.
UNASSIGNED: Newer regimes permit immediate shoulder mobilization but may not be applied to every patient. The lack of strong evidence warrants the need for future controlled studies; subsequently, postoperative rehabilitation should be individualized.
摘要：
■关于反向肩关节置换术后的康复方案没有共识。一些患者期望能够在手术后不久使用他们的手臂进行运动或娱乐。
■本综述被设计为具有叙事分析的干预系统综述。作者从1989年1月1日至2022年7月在PubMed和Embase数据库中搜索了英语文献。包括比较接受反向肩关节置换术患者康复方案的对照研究。使用Cochrane风险评估工具对随机试验的数据质量进行了检查，非随机研究方法学指数(MINORS)工具，以及建议分级评估开发和评估(GRADE)方法。
■最后分析了三项研究。术后3个月,在早期康复组中,前屈显著高于对照组(140.5,95%置信区间(CI):135.10-145.89;延迟康复组均值为131.24,95%CI:125.73-136.74;p=0.019).术后12个月,在任何临床或患者报告的结局方面均无显著差异.在6周延迟康复组中报告了更多的并发症。
■较新的治疗方案允许立即进行肩部活动，但可能不适用于每位患者。缺乏强有力的证据保证了未来对照研究的必要性；随后，术后康复应个体化。
■本综述被设计为具有叙事分析的干预系统综述。作者从1989年1月1日至2022年7月在PubMed和Embase数据库中搜索了英语文献。包括比较接受反向肩关节置换术患者康复方案的对照研究。使用Cochrane风险评估工具对随机试验的数据质量进行了检查，非随机研究方法学指数(MINORS)工具，以及建议分级评估开发和评估(GRADE)方法。
■最后分析了三项研究。术后3个月,在早期康复组中,前屈显著高于对照组(140.5,95%置信区间(CI):135.10-145.89;延迟康复组均值为131.24,95%CI:125.73-136.74;p=0.019).术后12个月,在任何临床或患者报告的结局方面均无显著差异.在6周延迟康复组中报告了更多的并发症。
■较新的治疗方案允许立即进行肩部活动，但可能不适用于每位患者。缺乏强有力的证据保证了未来对照研究的必要性；随后，术后康复应个体化。
