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Published in: MUSCULOSKELETAL SURGERY 1/2013

01-06-2013 | Original Article

Proposal for SICSeG guidelines for rehabilitation after anatomical shoulder prosthesis in concentric shoulder osteoarthritis

Authors: I. Fusaro, S. Orsini, S. Stignani, D. Creta, F. C. Cava, M. G. Benedetti

Published in: MUSCULOSKELETAL SURGERY | Special Issue 1/2013

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Abstract

Purpose

The purpose of this paper is to provide up-to-date guidelines on rehabilitation after anatomical shoulder prosthesis for concentric shoulder osteoarthritis, as previous guidelines date back to late 1970s and are no longer adequate due to the evolution of prosthesis models and surgical techniques.

Methods

The physiatric committee of the Italian Society of Shoulder and Elbow Surgery (SICSeG—Società Italiana di Chirurgia della Spalla e del Gomito) performed a search for all the existing literature related to rehabilitation after shoulder replacement. A total of 29 papers concerning shoulder rehabilitation were reviewed. In addition, the main Italian orthopedic surgeons and physiatrists dealing with shoulder surgery and rehabilitation were interviewed to obtain indications when literature was not conclusive.

Results

From literature evaluation and expert consultation, we produced guidelines concerning: patient evaluation by means of adequate rating scales, preoperative treatment, early intermediate and advanced postoperative phases, rehabilitation of scapulo-thoracic joint, return to work and sports, length of rehabilitation and follow-up.

Conclusions

This proposal for guidelines was presented during the 11th SICSeG Congress on May 2012 and to the main scientific societies concerned in shoulder surgery and rehabilitation. A consensus conference is needed in order to formalize and make them usable from all the professional figures involved in this field.
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Metadata
Title
Proposal for SICSeG guidelines for rehabilitation after anatomical shoulder prosthesis in concentric shoulder osteoarthritis
Authors
I. Fusaro
S. Orsini
S. Stignani
D. Creta
F. C. Cava
M. G. Benedetti
Publication date
01-06-2013
Publisher
Springer Milan
Published in
MUSCULOSKELETAL SURGERY / Issue Special Issue 1/2013
Print ISSN: 2035-5106
Electronic ISSN: 2035-5114
DOI
https://doi.org/10.1007/s12306-013-0257-0

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