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

Maher, Natasha, Wilmore, Elaine, Bateman, Marcus, Blacknall, James, Chester, Rachel ORCID: https://orcid.org/0000-0003-1979-0682, Horsley, Ian, Gibson, Jo, O'Sullivan, Joel and Jaggi, Anju (2023) Rehabilitation following shoulder arthroscopic stabilisation surgery: A survey of UK practice. Shoulder & Elbow. ISSN 1758-5732

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Abstract

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
Related URLs:	http://www.scopus.com/inward/record.url?...
Depositing User:	LivePure Connector
Date Deposited:	16 Jan 2023 16:33
Last Modified:	15 May 2023 01:00
URI:	https://ueaeprints.uea.ac.uk/id/eprint/90596
DOI:	10.1177/17585732231154889

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