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Acromioclavicular Joint Injuries: Effective Rehabilitation
Matthew R LeVasseur1, Michael R Mancini1, Daniel P Berthold1,2
1Department of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA.
Rehabilitation protocols for acromioclavicular (AC) joint injuries lack standardization and individualization. Developing goal-oriented guidelines, like the "PASS" framework, can improve patient outcomes by addressing pain, apprehension, and stiffness.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Physical Therapy
Background:
- Acromioclavicular (AC) joint injuries are common, with varied treatment approaches.
- Rehabilitation protocols are crucial for recovery but often lack detailed, evidence-based guidelines.
Purpose of the Study:
- To review existing literature on rehabilitation protocols for operative and nonoperative AC joint injuries.
- To develop an updated, evidence-informed rehabilitation treatment algorithm.
Main Methods:
- A comprehensive literature search of the MEDLINE database (1995-2020) was conducted.
- Studies with detailed rehabilitation protocols and physiologic rationale were included.
- Exclusion criteria focused on studies lacking rehabilitation specifics or comparative data.
Main Results:
- The literature search yielded limited studies with detailed, physiologically-based AC joint rehabilitation protocols.
- No randomized controlled trials or comparative studies were found to support current protocols.
- Four publications met the criteria for detailed rehabilitation protocols.
Conclusions:
- Current AC joint rehabilitation protocols are often non-standardized and lack individual patient consideration.
- A more goal-oriented, critical-thinking approach is needed for effective rehabilitation.
- The
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