首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Return-to-Sport Criteria After Upper Extremity Surgery in Athletes—A Scoping Review, Part 1: Rotator Cuff and Shoulder Stabilization Procedures
【24h】

Return-to-Sport Criteria After Upper Extremity Surgery in Athletes—A Scoping Review, Part 1: Rotator Cuff and Shoulder Stabilization Procedures

机译:运动员上肢手术后返回体育标准 - 一个范围审查,第1部分:转子袖口和肩部稳定程序

获取原文
       

摘要

Background: Standardized criteria are lacking to guide patient return to sport (RTS) after rotator cuff surgery (RCS) or shoulder stabilization surgery (SSS). Purpose: To describe RTS criteria used after RCS and SSS in athletic populations. Study Design: Scoping review; Level of evidence, 4. Methods: This scoping review was based on the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses–Scoping Review) guidelines. A total of 5 electronic databases (MEDLINE, Scopus, SPORTDiscus, Embase, Google Scholar Advanced search) and the gray literature were searched for English-language studies that reported at least 1 RTS criterion in athletes after shoulder surgery. Studies were assigned to the RCS or SSS subgroup based on the primary procedure performed. Data were extracted and summarized as frequencies or arithmetic mean and standard deviation. Results: Included were 52 studies and 2706 athletes (2206 male, 500 female, with a mean age of 28.8 ± 1.8 years). The RCS group consisted of 14 studies and the SSS group consisted of 38 studies. Time from surgery was the most common RTS criterion reported overall (37/52 studies; 71%) as well as within the RCS (93%) and SSS (63%) subgroups. Muscle strength (25/52 studies; 48%) and range of motion (23/52; 44%) were used by almost half of the included articles. RTS criteria reported less often were absence of pain, successful completion of sport-specific or position-specific test, proprioception, radiographic evaluation, patient-surgeon agreement, minimum time required to participate in pain-free throwing, and satisfactory scapulothoracic mechanics. All studies used 1 to 3 of the above RTS criteria; however, the definition of each criterion differed among the included articles. Conclusion: Time from surgery was the most commonly reported RTS criterion after RCS or SSS in athletes, whereas muscle strength and range of motion were used by almost half of the articles. There was high heterogeneity in the definition of each RTS criterion used among the included studies, which also used different combinations of 1 to 3 RTS criteria. These results suggest the need to better define quantitative and qualitative RTS criteria in athletes undergoing rotator cuff and shoulder stabilization procedures in order to safely return athletes to sport.
机译:背景:在旋转袖口手术(RCS)或肩部稳定手术(SSS)之后,缺乏标准化标准缺乏指导患者返回运动(RTS)。目的:描述RCS和SSS在运动人群中使用的RTS标准。研究设计:划分评论;证据级别,4.方法:此范围审查是基于Prisma-SCR(首选的系统评价和Meta-Analys-Scoping Review评论)指导方针。总共有5个电子数据库(Medline,Scopus,Sportdiscus,Embase,Google Scholar高级搜索)和灰色文献被搜索了肩部手术后至少1次RTS标准的英语研究。根据所执行的主要过程分配给RCS或SSS子组的研究。提取数据并汇总为频率或算术平均值和标准偏差。结果:包括52项研究和2706名运动员(2206名男性,500名女性,平均年龄为28.8±1.8岁)。 RCS组由14项研究组成,SSS组由38项研究组成。来自手术的时间是总体上报告的最常见的RTS标准(37/52研究; 71%)以及RCS(93%)和SSS(63%)子组。肌肉力量(25/52的研究; 48%)和运动范围(23/52; 44%)使用了几乎一半的包含物品。 RTS标准较少常常缺乏痛苦,成功完成体育特异性或特定位置的测试,预读物,放射线评估,患者外科医生协议,参与无痛苦投掷所需的最短时间,以及令人满意的嗜孢状素力学所需的时间。所有研究都使用上述RTS标准的1至3;然而,每个标准的定义在包括的文章中不同。结论:手术中的时间是运动员中RCS或SSS之后最常见的RTS标准,而近一半的物品使用肌肉力量和运动范围。在所附研究中使用的每个RTS标准的定义中,存在高的异质性,这也使用了1至3个RTS标准的不同组合。这些结果表明,需要更好地定义经历肩带袖口和肩部稳定程序的运动员中的定量和定性RTS标准,以便安全地将运动员返回运动。

著录项

相似文献

  • 外文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号