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Rehabilitation Protocols for Superior Capsular Reconstruction Are Variable: A Systematic Review
PURPOSE: To screen manuscripts that discuss rehabilitation protocols for patients who underwent superior capsular reconstruction (SCR) to elucidate whether a standard rehabilitation algorithm exists for SCR. METHODS: A systematic review was conducted according to the Preferred Reporting Items for Sy...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8220571/ https://www.ncbi.nlm.nih.gov/pubmed/34195662 http://dx.doi.org/10.1016/j.asmr.2021.01.001 |
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author | Lavin, Alessia C. Mansour, Kailey L. Greif, Dylan N. Shallop, Brandon J. Allegra, Paul R. Sanchez, Rafael A. Muñoz, Julianne Baraga, Michael G. |
author_facet | Lavin, Alessia C. Mansour, Kailey L. Greif, Dylan N. Shallop, Brandon J. Allegra, Paul R. Sanchez, Rafael A. Muñoz, Julianne Baraga, Michael G. |
author_sort | Lavin, Alessia C. |
collection | PubMed |
description | PURPOSE: To screen manuscripts that discuss rehabilitation protocols for patients who underwent superior capsular reconstruction (SCR) to elucidate whether a standard rehabilitation algorithm exists for SCR. METHODS: A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta Analyses (i.e., PRISMA) guidelines. PubMed (MEDLINE) and Embase were searched using pertinent Boolean operation terms “superior capsular reconstruction” and “rotator cuff repair rehabilitation,” and articles that included rehabilitation protocols following superior capsular reconstruction surgery were reviewed. Two independent reviewers performed the search and quality assessment. RESULTS: A total of 549 articles were yielded after our database search. Fourteen studies fulfilled our inclusion criteria and were included in the review. Study designs included 9 editorials, 3 case series, and 2 case reports. Each study included in this review used a unique rehabilitation algorithm that posed significant variability between the protocols. Four phases were identified to summarize each protocol and were used as a basis of discussion—sling versus brace time (3-6 weeks for comfort/removal vs complete immobilization), passive range of motion (immediately after surgery to initiation at 6 weeks), active range of motion (4-8 weeks), and strengthening/return to full activity (12-52 weeks). Initiation of rehabilitation, length of time spent in each phase, types of exercises, and overarching goals for return to function were significantly variable and were decided upon by the surgeon based on current massive rotator cuff repair protocols. Presently, there is no standard rehabilitation protocol for SCR. CONCLUSIONS: SCR is a relatively new procedure that is gaining rapid popularity with promising outcomes. Based on our review, there is no standard rehabilitation protocol in place; thus, it is not possible to recommend an evidence-based rehabilitation protocol following SCR at this time. LEVEL OF EVIDENCE: Level V, systematic review of Level IV and V studies. |
format | Online Article Text |
id | pubmed-8220571 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-82205712021-06-29 Rehabilitation Protocols for Superior Capsular Reconstruction Are Variable: A Systematic Review Lavin, Alessia C. Mansour, Kailey L. Greif, Dylan N. Shallop, Brandon J. Allegra, Paul R. Sanchez, Rafael A. Muñoz, Julianne Baraga, Michael G. Arthrosc Sports Med Rehabil Systematic Review PURPOSE: To screen manuscripts that discuss rehabilitation protocols for patients who underwent superior capsular reconstruction (SCR) to elucidate whether a standard rehabilitation algorithm exists for SCR. METHODS: A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta Analyses (i.e., PRISMA) guidelines. PubMed (MEDLINE) and Embase were searched using pertinent Boolean operation terms “superior capsular reconstruction” and “rotator cuff repair rehabilitation,” and articles that included rehabilitation protocols following superior capsular reconstruction surgery were reviewed. Two independent reviewers performed the search and quality assessment. RESULTS: A total of 549 articles were yielded after our database search. Fourteen studies fulfilled our inclusion criteria and were included in the review. Study designs included 9 editorials, 3 case series, and 2 case reports. Each study included in this review used a unique rehabilitation algorithm that posed significant variability between the protocols. Four phases were identified to summarize each protocol and were used as a basis of discussion—sling versus brace time (3-6 weeks for comfort/removal vs complete immobilization), passive range of motion (immediately after surgery to initiation at 6 weeks), active range of motion (4-8 weeks), and strengthening/return to full activity (12-52 weeks). Initiation of rehabilitation, length of time spent in each phase, types of exercises, and overarching goals for return to function were significantly variable and were decided upon by the surgeon based on current massive rotator cuff repair protocols. Presently, there is no standard rehabilitation protocol for SCR. CONCLUSIONS: SCR is a relatively new procedure that is gaining rapid popularity with promising outcomes. Based on our review, there is no standard rehabilitation protocol in place; thus, it is not possible to recommend an evidence-based rehabilitation protocol following SCR at this time. LEVEL OF EVIDENCE: Level V, systematic review of Level IV and V studies. Elsevier 2021-03-22 /pmc/articles/PMC8220571/ /pubmed/34195662 http://dx.doi.org/10.1016/j.asmr.2021.01.001 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Systematic Review Lavin, Alessia C. Mansour, Kailey L. Greif, Dylan N. Shallop, Brandon J. Allegra, Paul R. Sanchez, Rafael A. Muñoz, Julianne Baraga, Michael G. Rehabilitation Protocols for Superior Capsular Reconstruction Are Variable: A Systematic Review |
title | Rehabilitation Protocols for Superior Capsular Reconstruction Are Variable: A Systematic Review |
title_full | Rehabilitation Protocols for Superior Capsular Reconstruction Are Variable: A Systematic Review |
title_fullStr | Rehabilitation Protocols for Superior Capsular Reconstruction Are Variable: A Systematic Review |
title_full_unstemmed | Rehabilitation Protocols for Superior Capsular Reconstruction Are Variable: A Systematic Review |
title_short | Rehabilitation Protocols for Superior Capsular Reconstruction Are Variable: A Systematic Review |
title_sort | rehabilitation protocols for superior capsular reconstruction are variable: a systematic review |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8220571/ https://www.ncbi.nlm.nih.gov/pubmed/34195662 http://dx.doi.org/10.1016/j.asmr.2021.01.001 |
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