Cic edizioni internazionali
Muscle, Ligaments and Tendons Journal

Reverse shoulder arthroplasty patient personalized rehabilitation protocol. Preliminary results according to prognostic groups

Original Article, 263 - 270
doi: 10.11138/mltj/2017.7.2.263
Tag this article
Abstract
Enhanced HTML Full text PDF
Background: Rehabilitation after Reverse Shoulder Arthroplasty (RSA) is still object of discussion with no based evidence guidelines. The aim of this study was to test a personalized rehabilitation protocol for three different patients groups according to clinical and intraoperative parameters that can affect final outcomes after RSA.
Patients and methods: We retrospectively evaluated a consecutive series of 112 patients who underwent to RSA between 2013 and 2015. The average follow-up was 29.2 months. A preoperative and postoperative clinical and radiographic assessment was performed. According to clinical, radiographic and intraoperative parameters, we selected three groups dedicating each one a specific level of post surgical care.
Results: A statistically significant improvement was achieved from preoperative evaluation, regarding all analysed parameters. Notable improvements were reported in high care group: elevation improved of 63.9° despite of Group A 55.5° and Group B 54.5° and it resulted statistically significant (p<0.05). Costant Score increased of 35.9%, despite of Group A and Group B respectively 40.6% and 34.8% (p> 0.05).
Conclusion: Our study shows that a personalized rehabilitation protocol can be effective improving clinical outcomes and decreasing complications rate, particularly in difficult management patients. Level of Evidence: Therapeutic Level IV.

Vol. 7 (No. 4) 2017 October/December

  1. Arthroscopy and sport
    Volpi P.
    doi: 10.11138/mltj/2017.7.4.490
  2. Biomechanics: a fundamental tool with a long history (and even longer future!)
    Innocenti B.
    doi: 10.11138/mltj/2017.7.4.491
  3. Multibody modelling of ligamentous and bony stabilizers in the human elbow
    Terzini M., Zanetti E.M., Audenino A.L., Putame G., Gastaldi L., Pastorelli S., Panero E., Sard A., Bignardi C.
    doi: 10.11138/mltj/2017.7.4.493
  4. Biomechanical response of the plantar tissues of the foot in healthy and degenerative conditions
    Fontanella C.G., Carniel E.L., Macchi V., Porzionato A., De Caro R., Natali A.N.
    doi: 10.11138/mltj/2017.7.4.503
  5. Finite element comparison between the human and the ovine lumbar intervertebral disc
    Casaroli G., Villa T., Galbusera F.
    doi: 10.11138/mltj/2017.7.4.510
  6. Tibiofemoral wear in standard and non-standard squat: implication for total knee arthroplasty
    Fekete G., Sun D., Gu Y., Neis P.D., Ferreira N.F., Innocenti B., Csizmadia B.M.
    doi: 10.11138/mltj/2017.7.4.520
  7. Automatic characterization of soft tissues material properties during mechanical tests
    Innocenti B., Larrieu J.-C., Lambert P., Pianigiani S.
    doi: 10.11138/mltj/2017.7.4.529
  8. Full-field in vitro investigation of hard and soft tissue strain in the spine by means of Digital Image Correlation
    Ruspi M.L., Palanca M., Faldini C., Cristofolini L.
    doi: 10.11138/mltj/2017.7.4.538
  9. Sensitivity analysis of the material properties of different soft-tissues: implications for a subjectspecific knee arthroplasty
    Pianigiani S., Croce D., D'Aiuto M., Pascale W., Innocenti B.
    doi: 10.11138/mltj/2017.7.4.546
  10. Mechanoreceptors of the Achilles tendon: a histomorphological study in pigs with clinical significance for humans
    Kapetanakis S., Gkasdaris G., Daneva E., Givissis G., Papathanasiou J., Xanthos T.
    doi: 10.11138/mltj/2017.7.4.558
  11. Tripled semitendinosus with single harvesting is as effective but less invasive compared to standard gracilis-semitendinosus harvesting
    Drocco L., Camazzola D., Ferracini R., Lustig S., Ravera L., Graziano E., Massè A., Bistolfi A.
    doi: 10.11138/mltj/2017.7.4.564
  12. Differences between the sexes in athletes’ body composition and lower limb bioimpedance values
    Mascherini G., Castizo-Olier J., Irurtia A., Petri C., Galanti G.
    doi: 10.11138/mltj/2017.7.4.573
  13. Flexibility responses to different stretching methods in young elite basketball players
    Notarnicola A., Perroni F., Campese A., Maccagnano G., Monno A., Moretti B., Tafuri S.
    doi: 10.11138/mltj/2017.7.4.582
  14. The effect of deep shoulder infections on patient outcomes after arthroscopic rotator cuff repair: a retrospective comparative study
    Atesok K., MacDonald P., Leiter J., McRae S., Singh M., Stranges G., Old J.
    doi: 10.11138/mltj/2017.7.4.590
  15. Lower limb strength, but not sensorial integration, explains the age-associated postural control impairment
    Andrade H.B., Costa S.M., Pirôpo U.S., Schettino L., Casotti C.A., Pereira R.
    doi: 10.11138/mltj/2017.7.4.598
  16. Trapeziometacarpal joint osteoarthritis: a prospective trial on two widespread conservative therapies
    Rocchi L., Merolli A., Giordani L., Albensi C., Foti C.
    doi: 10.11138/mltj/2017.7.4.603
  17. Unicompartmental knee replacement in patients aged 70 years and older
    Ventura A., Legani C., Borgo E.
    doi: 10.11138/mltj/2017.7.4.611
Last Viewed articles: la lista degli ultimi x visitati.
  1. Reverse shoulder arthroplasty patient personalized rehabilitation protocol. Preliminary results according to prognostic groups
    Romano A.M., Oliva F., Nastrucci G., Casillo P., Di Giunta A., Susanna M., Ascione F.
    doi: 10.11138/mltj/2017.7.2.263
credits