Rehabilitation following shoulder arthroscopic stabilisation surgery: A survey of UK practice

Maher, Natasha, Wilmore, Elaine, Bateman, Marcus, Blacknall, James, Chester, Rachel ORCID:, Horsley, Ian, Gibson, Jo, O'Sullivan, Joel and Jaggi, Anju (2024) Rehabilitation following shoulder arthroscopic stabilisation surgery: A survey of UK practice. Shoulder & Elbow, 16 (1). pp. 85-97. ISSN 1758-5732

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Background: Optimal rehabilitation following arthroscopic shoulder stabilisation for traumatic anterior instability is unknown. The purpose of this study was to establish current UK practice for this patient group. Methodology: A self-administered online questionnaire was developed and distributed to UK surgeons and physiotherapists. Results: 138 responses were received. Routine immobilisation was reported in 79.7% of responses with a cross body sling being the preferred position (63.4%). Duration of immobilisation and timescales to initiate movement were highly variable. Return to light work was advised when patients felt able (25.4%) or after 6 weeks (26.1%). 58.7% recommended waiting for 12 weeks to return to manual work. 56% recommended non-contact sport could be resumed after 12 weeks. For contact sport, recommendations varied from 6 weeks (3.8%) to 6 months (5.8%). Psychological readiness was the most frequently cited criteria for return to play (58.6%). Factors such as hyperlaxity (40.6%), age (32.6%) and kinesiophobia (28.3%) were not considered as relevant as reported quality of surgical fixation (50%). Conclusion: There is no clear consensus regarding optimal post-operative rehabilitation following arthroscopic shoulder stabilisation. Further work is required to establish high value, personalised pathways for this patient group.

Item Type: Article
Uncontrolled Keywords: guidelines,instability,physiotherapy,rehabilitation,shoulder,stabilisation,surgery,orthopedics and sports medicine,physical therapy, sports therapy and rehabilitation,rehabilitation ,/dk/atira/pure/subjectarea/asjc/2700/2746
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Groups > Rehabilitation
Faculty of Medicine and Health Sciences > Research Centres > Population Health
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Depositing User: LivePure Connector
Date Deposited: 16 Jan 2023 16:33
Last Modified: 04 Mar 2024 18:15
DOI: 10.1177/17585732231154889


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