Postoperative Rehabilitation of Patients with Shoulder Arthroplasty ? A Review on the Standard of Care
- *Corresponding Author:
- Dr. Michael Kraus
Hessing Foundation, Hessingstr. 17
86199 Augsburg, Germany
Tel: 0049 821 9090241
Fax: 0049 821 9090236
E-mail: [email protected]
Received Date: March 04, 2014; Accepted Date: March 28, 2014; Published Date: March 31, 2014
Citation: Kraus M, Krischak G, Tepohl L (2014) Postoperative Rehabilitation of Patients with Shoulder Arthroplasty – A Review on the Standard of Care. Int J Phys Med Rehabil S5:001. doi: 10.4172/2329-9096.S5-001
Copyright: © 2014 Kraus M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Shoulder replacement is the third most common joint replacement worldwide following hip and knee replacements. Compared with hip and knee the rehabilitation for shoulder prosthesis is discussed controversially and depends strongly on the precepts of the surgeon. The objective of this paper is to determine the current standard of care of rehabilitation following shoulder arthroplasty based on a systematic review. The PubMed database was searched with the terms‚ [rehabilitation] and [shoulder prosthesis]’, ‘[rehabilitation] and [glenohumeral joint replacement]’, ‘[shoulder prosthesis] and [physiotherapy]’ and ‘[total shoulder replacement] and [rehabilitation]’. In total 1,026 papers were found in the primary search, crosschecking all relevant results another 1,332 papers were detected. All papers were scanned manually for relevance on the topic. Finally, ten papers were included which were in accordance with the inclusion criteria. All indications leading to shoulder replacement as well as all types of replacement procedures were included. In summary there are many parallels between different rehabilitation protocols which can be used as a general guideline. Based on the consensus regarding intensity of physiotherapy, post-operation immobilization and total rehabilitation time a three-phase-protocol, which starts passive and increases to active-assisted and to active, was extracted. Up to now no publication shows the influence of rehabilitation following shoulder prostheses. Therefore, prospective studies are needed.