Article

[Rehabilitation concepts and return to sport after interventions on the shoulder.]

Der Orthopäde (Impact Factor: 0.67). 03/2014;
Source: PubMed

ABSTRACT Rehabilitation of athletes following surgical interventions for shoulder injuries is of utmost importance for recovery and return to sport.
The aim was to determine adequate concepts for rehabilitation following shoulder surgery in athletes.
A selective literature search was carried out in PubMed and a review of the available concepts is given taking personal experiences as well as national and international recommendations into consideration.
This article presents the basic principles of functional rehabilitation, the kinetic chain and the different phases in rehabilitation. Specific rehabilitation concepts and return to sport strategies following traumatic dislocation, superior labrum anterior to posterior (SLAP) lesions and rotator cuff tears are presented. There is little high-level scientific evidence available for the treatment of these patients and most concepts are based on clinical experience and expert opinion.
Rehabilitation of athletes with shoulder injuries requires a broad consensus strategy with respect to the next steps. Individual concepts for rehabilitation should take surgical and patient-specific criteria into consideration. Further research is urgently required to develop evidence-based recommendations.

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    ABSTRACT: Shoulder dislocation is a common injury in athletes. Surgical and non-surgical therapy options are still the subject of controversial debate. This article presents important considerations for decision-making and current concepts for the therapy of shoulder dislocation in athletes. A selective literature search was carried out in PubMed. Surgical and non-surgical therapy options are described in the literature without yet defining a gold standard. Early surgical stabilization is currently recommended in young athletes. For decision-making numerous sport and patient-related factors need to be considered. Most athletes are able to return to the pre-injury level after surgical stabilization.
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