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Postoperative Rehabilitation of Multidirectional Instability Surgery: A Systematic Review.

Catherine C Ayoub1, Kevin Berardino2, Harry Tsou2

  • 1MedStar Health.

Sports Medicine and Arthroscopy Review
|May 11, 2021
PubMed
Summary

Optimal postsurgical rehabilitation for multidirectional instability (MDI) of the shoulder remains unclear. This systematic review found a lack of evidence comparing different rehabilitation protocols after MDI surgery.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Physical Therapy

Background:

  • Multidirectional instability (MDI) of the shoulder often requires surgical intervention when conservative treatments fail.
  • Current understanding of optimal postsurgical management for MDI is limited.

Purpose of the Study:

  • To conduct a systematic review of postsurgical rehabilitation protocols for patients with MDI.
  • To evaluate the evidence base for different rehabilitation strategies following MDI surgery.

Main Methods:

  • A systematic literature search identified articles describing postsurgical rehabilitation after MDI surgery.
  • Articles were screened in two phases by blinded reviewers.
  • Included studies (evidence levels I-IV) were analyzed for surgical techniques and rehabilitation protocols.

Main Results:

  • Nine articles met the inclusion criteria from an initial 163 identified.
  • Surgical techniques included capsular plication, rotator interval closure, and capsular shift.
  • Rehabilitation protocols varied in duration and physical therapy modalities.

Conclusions:

  • There is a significant lack of evidence to guide the optimal postsurgical rehabilitation protocol for MDI.
  • Further research is necessary to compare specific rehabilitation protocols and their impact on patient outcomes after MDI surgery.