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.
■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。