Rehabilitation after arthroscopic Bankart repair: a systematic scoping review identifying important evidence gaps

McIsaac, Willem; Lalani, Amaan; Silveira, Anelise; Chepeha, Judy C.; Luciak-Corea, Charlene; Beaupré, Lauren A

doi:10.1016/j.physio.2021.03.014

Cited by 5 publications

(10 citation statements)

References 27 publications

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“… 5–7 Postoperative rehabilitation therapy is essential for restoring shoulder mobility, strength and protecting the surgical repair. 5 , 6 , 8 As such, rehabilitation following an ABR has been a topic of investigation in recent years. 5 , 6 , 9 Currently, there is a consensus guideline attempt by the American Society of Shoulder and Elbow Therapists (ASSET) and several rehabilitation protocols available in the literature.…”

Section: Rehabilitationmentioning

confidence: 99%

“… 5 , 6 , 8 As such, rehabilitation following an ABR has been a topic of investigation in recent years. 5 , 6 , 9 Currently, there is a consensus guideline attempt by the American Society of Shoulder and Elbow Therapists (ASSET) and several rehabilitation protocols available in the literature. Moreover, a recently published international consensus via a modified Delphi process also remarked the importance of following a rehabilitation process.…”

Section: Rehabilitationmentioning

confidence: 99%

“…However, there is still a lack of a validated standard of care protocol. 5 , 6 , 8–10 Therefore, wide variability exists across the professional literature concerning the key elements of rehabilitation after an ABR. 5 , 6 , 9 …”

Section: Rehabilitationmentioning

confidence: 99%

“… 5 DeFroda et al, 5 in a descriptive epidemiology study, reviewed 30 ABR protocols Accreditation Council for Graduate Medical Education (ACGME)-accredited orthopedic surgery programs reporting high variability among protocols. Similarly, in a recent systematic scoping review by McIsaac et al 6 evidence gaps concerning postoperative rehabilitation protocols were analyzed. The authors reported eleven rehabilitation protocols finding significant great heterogeneity in the rehabilitation parameters and evaluation approaches.…”

Section: Rehabilitationmentioning

confidence: 99%

“…The authors reported eleven rehabilitation protocols finding significant great heterogeneity in the rehabilitation parameters and evaluation approaches. 6 There exist considerable variation among the existing protocols concerning immobilization, timing of ROM milestones, and return to sports or activities. 5 , 6 These findings further suggest that a standardized protocol does not exist.…”

Section: Rehabilitationmentioning

confidence: 99%

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Factors That Influence the Return to Sport After Arthroscopic Bankart Repair for Glenohumeral Instability

Rossi

Pasqualini

Tanoira

et al. 2022

OAJSM

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Numerous studies have reported high rates of return to sports following arthroscopic Bankart repair (ABR) However, there is enormous controversy regarding the optimal management of these patients in the postoperative period. Controversy issues include rehabilitation, criteria for returning to sports, and the specific management of each athlete according to the sport they practice. Even though there are several rehabilitation protocols published in the literature, wide variability exists concerning the key elements of rehabilitation after an ABR. Regarding criteria for return to sports, there is a wide variation across the different published studies. The type of sports has been shown to affect an athlete’s decision to return to sports. Nevertheless, most research is evaluated by classifications that cluster different sports into categories that may have other influences in return to sports when analyzed separately. Finally, in addition to physical readiness, the athlete’s psychological state is crucial for returning to sports. However, the contribution of psychological readiness to an athlete’s return to sports after shoulder instability surgery remains uncertain and unexplored.

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Section: Rehabilitationmentioning

confidence: 99%

Section: Rehabilitationmentioning

confidence: 99%

Section: Rehabilitationmentioning

confidence: 99%

Section: Rehabilitationmentioning

confidence: 99%

Section: Rehabilitationmentioning

confidence: 99%

See 3 more Smart Citations

Factors That Influence the Return to Sport After Arthroscopic Bankart Repair for Glenohumeral Instability

Rossi

Pasqualini

Tanoira

et al. 2022

OAJSM

View full text Add to dashboard Cite

show abstract

Current Evidence Based Recommendations on Rehabilitation following Arthroscopic Shoulder Surgery: Rotator Cuff, Instability, Superior Labral Pathology, and Adhesive Capsulitis

Corban,

Shah,

Ramappa

2024

Curr Rev Musculoskelet Med

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

et al. 2023

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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. Methods 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.

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Rehabilitation after arthroscopic Bankart repair: a systematic scoping review identifying important evidence gaps

Cited by 5 publications

References 27 publications

Factors That Influence the Return to Sport After Arthroscopic Bankart Repair for Glenohumeral Instability

Factors That Influence the Return to Sport After Arthroscopic Bankart Repair for Glenohumeral Instability

Current Evidence Based Recommendations on Rehabilitation following Arthroscopic Shoulder Surgery: Rotator Cuff, Instability, Superior Labral Pathology, and Adhesive Capsulitis

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

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