TY  - BOOK
AU  - Ayoub, Catherine C
AU  - Mottla, Jay
TI  - Postoperative Rehabilitation of Multidirectional Instability Surgery: A Systematic Review
SN  - 1062-8592
PY  - 2021///
KW  - IN PROCESS -- NOT YET INDEXED
KW  - MedStar Washington Hospital Center
KW  - MedStar Health Physical Therapy
KW  - Orthopaedic Surgery Residency
KW  - Journal Article
N1  - Available online from MWHC library: 2001 - present
N2  - Multidirectional instability (MDI) of the shoulder is managed with surgery when conservative rehabilitation fails. The optimal postsurgical management of MDI is not well understood. The purpose of this study is to create a systematic review evaluating postsurgical rehabilitation protocols treating MDI. Articles were included if a postsurgical rehabilitation protocol was described following surgical treatment for MDI. Identified articles underwent 2 phases of screening by blinded team members. Remaining articles had their level of evidence determined by a predefined grading system, ranging from levels I to V. Articles with evidence levels I to IV were included in analysis. Of the 163 articles identified in the literature, 9 were included in this study. Surgical techniques examined in these articles include capsular plication, rotator interval closure, and capsular shift. Rehabilitation protocols were evaluated for duration of treatment and physical therapy modalities. Article results were evaluated for subjective and objective measures of protocol success. Overall, there is a lack of evidence to indicate the optimal rehabilitation protocol post-MDI surgery. Further research is needed to compare rehabilitation protocols following specific surgical procedures to determine their effect on postsurgical patient outcomes. Copyright (c) 2021 Wolters Kluwer Health, Inc. All rights reserved
UR  - https://dx.doi.org/10.1097/JSA.0000000000000313
ER  -