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Abstract：
Rehabilitation after primary reverse total shoulder arthroplasty (RTSA) is accepted to be an essential component to successful outcome achievement, but successful rehabilitation approaches have yet to be well described in the literature. This retrospective review documents the outcomes of a cohort of 29 patients undergoing RTSA surgery with rehabilitation following the Upper Limb Treatment and Rehabilitation Advice (ULTRA) guideline (Appendix 1). The Oxford Shoulder Score, Quick Disabilities of the Arm, Shoulder and Hand score, range of movement (degrees of flexion, abduction and external rotation) and numerical rating score for pain were prospectively collected pre-operatively and at one- and two-years post-operatively. Scores were then evaluated to establish whether or not there were any significant changes over time. Statistically significant improvements were seen in all outcome domains from pre-operative to one-year post-operative. All improvements met the threshold for achieving substantial clinical benefit as well as exceeding the minimum clinically important difference, and all improvements were maintained at the two-year post-operative time point. The present study showed that following the ULTRA guideline after elective RTSA can give statistically significant improvements in range of movement, pain score and patient-reported outcome at one-year post-operatively, which can be maintained up to two-years post-operatively.
摘要：
初次反向全肩关节置换术（RTSA）后的康复被认为是成功取得结果的重要组成部分，但是成功的康复方法尚未在文献中得到很好的描述。这项回顾性审查记录了29例接受RTSA手术并按照上肢治疗和康复建议（ULTRA）指南进行康复治疗的患者的结果（附录1）。牛津肩谱,手臂的快速残疾，肩和手的评分，运动范围(屈曲度，术前以及术后一年和两年前瞻性地收集了外展和外部旋转）以及疼痛的数字评分。然后评估分数以确定是否存在随时间的任何显著变化。从术前到术后一年，在所有结局领域都观察到了统计学上的显着改善。所有改善均达到实现实质性临床获益的阈值，并超过最小临床重要差异。所有改善都维持在术后两年的时间点。本研究表明，在选择RTSA后遵循ULTRA指南可以在运动范围上有统计学意义的改善，术后一年的疼痛评分和患者报告的结果，术后可维持长达两年。
