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后肩软组织稳定 恢复发挥 标准在调查中不同:系统性审查
Colby C Wollenman1, Mason W Young1, Gabriel C Lane2
1Department of Orthopaedic Surgery, Vanderbilt University Medical Center.
Sports medicine and arthroscopy review
|May 28, 2025
概括
在后肩部不稳定性手术后的回归 (RTP) 标准缺乏共识. 时间,力量和运动范围是常见的因素,但具体的指导方针各不相同,影响运动员的恢复和运动准备.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 后肩部不稳定性手术越来越常见.
- 这种手术后的回归率 (RTP) 显示出显著的变化.
- 关于无限制RTP的标准化标准的文献有限.
研究的目的:
- 系统地审查和确定用于后肩部不稳定性手术后不受限制的RTP的标准.
- 描述现有文献中各种RTP标准的频率.
主要方法:
- 从研究开始到2024年9月的研究的系统审查.
- 对1366个肩膀进行后肩部不稳定性手术的分析.
- 术后RTP标准的识别和频率计数.
主要成果:
- 时间 (56%),力量 (48%) 和运动范围 (41%) 是最常见的RTP标准.
- 运动特异性协议 (11%) 和自身感知 (4%) 不太常见.
- 许多研究使用了标准的组合,在每个类别中都有很大的差异.
结论:
- 在手术后的RTP标准上,关于后肩部不稳定性的共识显著缺乏.
- 最常见的标准 (时间,强度,ROM) 缺乏标准化的定义,阻碍了一致的RTP决策.
- 需要进一步的研究,以建立基于证据的标准化RTP指南.
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