Rehabilitation Following Shoulder Arthroscopic Stabilisation Surgery: A survey of UK practice

Palit, Tash, Wilmore, Elaine, Bateman, Marcus, Blacknall, James, Chester, Rachel ORCID:, Gibson, Jo, Horsley, Ian, O'Sullivan, Joel and Jaggi, Anju (2022) Rehabilitation Following Shoulder Arthroscopic Stabilisation Surgery: A survey of UK practice. Shoulder & Elbow. ISSN 1758-5732 (In Press)

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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
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
Depositing User: LivePure Connector
Date Deposited: 16 Jan 2023 16:33
Last Modified: 16 Jan 2023 16:33

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