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在肩关节整形术后恢复运动:一个范围审查
Daniel P McGurren1, Corey Peacock2
1Physical Therapy, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.
Cureus
|February 4, 2026
概括
肩膀整形术后恢复运动的比例很高,但缺乏客观的测试标准. 目前的协议依赖于时间,而不是功能,强调需要基于证据的回归体育指南.
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:
- 在全肩关节整形术 (TSA) 后的运动恢复 (RTS) 协议对于患者的康复和功能至关重要.
- 现有的文献缺乏在TSA之后对RTS标准的全面综合.
- 需要基于证据的RTS清除指南,以优化患者的治疗结果.
研究的目的:
- 综合现有的关于RTS协议和测试标准的文献在TSA之后.
- 为了确定以证据为基础的实践中存在的空白,以 TSA 后的 RTS.
- 为临床医生提供有关TSA后RTS的未来研究优先事项的信息.
主要方法:
- 采用了一个范围审查方法,遵守PRISMA-ScR指南.
- 从2015年1月到2025年9月,在PubMed和谷歌学者中进行文献搜索.
- 纳入标准侧重于对接受TSA的成年人的研究,并报告了RTS协议或测试标准.
主要成果:
- 23项研究符合纳入标准,于2015年至2025年间发表.
- 观察到高的整体RTS率 (85.1%),解剖TSA显示出更高的比率 (92.6%).
- 显著缺乏客观的测试标准,依赖于基于时间的限制和主观的评估.
结论:
- 虽然TSA后的RTS率令人鼓舞,但在基于证据的清算标准中存在很大的差距.
- 目前的RTS协议缺乏标准化的客观功能措施,依赖于任意的时间框架.
- 未来的研究应该专注于开发标准化的力量测试,体育特定评估和验证的RTS清除结果措施.
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