Publicly Accessible Rehabilitation Protocols for Acromioclavicular Joint Reconstruction Are Widely Variable
Purpose: The purpose of this study was to assess the availability and variability of publicly accessible acromioclavicular (AC) joint reconstruction rehabilitation protocols. Methods: Protocols were identified by searching the websites of orthopedic surgery residency programs in the United States lo...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-04-01
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| Series: | Arthroscopy, Sports Medicine, and Rehabilitation |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666061X2030167X |
| _version_ | 1818441375320899584 |
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| author | Sana G. Cheema, B.A. Christina Hermanns, B.S. Reed G. Coda, B.S. Armin Tarakemeh, B.S. Scott M. Mullen, M.D. John Paul Schroeppel, M.D. Bryan G. Vopat, M.D. Mary K. Mulcahey, M.D. |
| author_facet | Sana G. Cheema, B.A. Christina Hermanns, B.S. Reed G. Coda, B.S. Armin Tarakemeh, B.S. Scott M. Mullen, M.D. John Paul Schroeppel, M.D. Bryan G. Vopat, M.D. Mary K. Mulcahey, M.D. |
| author_sort | Sana G. Cheema, B.A. |
| collection | DOAJ |
| description | Purpose: The purpose of this study was to assess the availability and variability of publicly accessible acromioclavicular (AC) joint reconstruction rehabilitation protocols. Methods: Protocols were identified by searching the websites of orthopedic surgery residency programs in the United States located from the Fellowship and Residency Electronic Interactive Database Access System. Private practice groups with publicly available protocols were also included. Results: Twenty-one protocols were included for review. Four of 14 (29%) protocols suggested starting passive range of motion (ROM) at postoperative week 2. Six of 20 (30%) protocols recommended initiation of full ROM at 6 weeks. Active ROM beginning at 6 weeks was recommended by 6 of 20 (30%) protocols. Six of 16 (38%) protocols recommended initiating active assisted ROM at 6 weeks. Sling immobilization for 6 weeks was recommended by 8 of 18 (44%) protocols. Shoulder isometric exercise initiated at 4 weeks was recommended by 4 of 13 (31%) protocols. Seven of 21 (33%) protocols recommended initiating shoulder strengthening at 12 weeks postoperatively. Return to sport time was included in 17 (81%) protocols with a range of 12 to 48 weeks (mean, 22 weeks). Conclusions: There was substantial variability in publicly accessible AC joint rehabilitation protocols, including a wide range in the recommendations for appropriate time to return to sport. Although strengthening exercises, active ROM, and active assisted ROM were recommended by most protocols, there were considerable differences in recommendations for when to initiate these rehabilitation components. Clinical Relevance: Rehabilitation is important for outcomes of AC joint reconstruction. This study shows the variability present in rehabilitation recommendations among online-accessible AC joint reconstruction rehabilitation protocols. |
| first_indexed | 2024-12-14T18:27:15Z |
| format | Article |
| id | doaj.art-b498af09e114412986c22b5c0a2b7b66 |
| institution | Directory Open Access Journal |
| issn | 2666-061X |
| language | English |
| last_indexed | 2024-12-14T18:27:15Z |
| publishDate | 2021-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy, Sports Medicine, and Rehabilitation |
| spelling | doaj.art-b498af09e114412986c22b5c0a2b7b662022-12-21T22:51:54ZengElsevierArthroscopy, Sports Medicine, and Rehabilitation2666-061X2021-04-0132e427e433Publicly Accessible Rehabilitation Protocols for Acromioclavicular Joint Reconstruction Are Widely VariableSana G. Cheema, B.A.0Christina Hermanns, B.S.1Reed G. Coda, B.S.2Armin Tarakemeh, B.S.3Scott M. Mullen, M.D.4John Paul Schroeppel, M.D.5Bryan G. Vopat, M.D.6Mary K. Mulcahey, M.D.7Department of Orthopaedic Surgery, University of Kansas Health System, Kansas City, Kansas, U.S.A.Department of Orthopaedic Surgery, University of Kansas Health System, Kansas City, Kansas, U.S.A.Department of Orthopaedic Surgery, University of Kansas Health System, Kansas City, Kansas, U.S.A.Department of Orthopaedic Surgery, University of Kansas Health System, Kansas City, Kansas, U.S.A.Department of Orthopaedic Surgery, University of Kansas Health System, Kansas City, Kansas, U.S.A.Department of Orthopaedic Surgery, University of Kansas Health System, Kansas City, Kansas, U.S.A.Department of Orthopaedic Surgery, University of Kansas Health System, Kansas City, Kansas, U.S.A.Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana, U.S.A.; Address correspondence to Mary K. Mulcahey M.D., 1430 Tulane Ave, Box 8632, New Orleans, LA 70112, U.S.A.Purpose: The purpose of this study was to assess the availability and variability of publicly accessible acromioclavicular (AC) joint reconstruction rehabilitation protocols. Methods: Protocols were identified by searching the websites of orthopedic surgery residency programs in the United States located from the Fellowship and Residency Electronic Interactive Database Access System. Private practice groups with publicly available protocols were also included. Results: Twenty-one protocols were included for review. Four of 14 (29%) protocols suggested starting passive range of motion (ROM) at postoperative week 2. Six of 20 (30%) protocols recommended initiation of full ROM at 6 weeks. Active ROM beginning at 6 weeks was recommended by 6 of 20 (30%) protocols. Six of 16 (38%) protocols recommended initiating active assisted ROM at 6 weeks. Sling immobilization for 6 weeks was recommended by 8 of 18 (44%) protocols. Shoulder isometric exercise initiated at 4 weeks was recommended by 4 of 13 (31%) protocols. Seven of 21 (33%) protocols recommended initiating shoulder strengthening at 12 weeks postoperatively. Return to sport time was included in 17 (81%) protocols with a range of 12 to 48 weeks (mean, 22 weeks). Conclusions: There was substantial variability in publicly accessible AC joint rehabilitation protocols, including a wide range in the recommendations for appropriate time to return to sport. Although strengthening exercises, active ROM, and active assisted ROM were recommended by most protocols, there were considerable differences in recommendations for when to initiate these rehabilitation components. Clinical Relevance: Rehabilitation is important for outcomes of AC joint reconstruction. This study shows the variability present in rehabilitation recommendations among online-accessible AC joint reconstruction rehabilitation protocols.http://www.sciencedirect.com/science/article/pii/S2666061X2030167X |
| spellingShingle | Sana G. Cheema, B.A. Christina Hermanns, B.S. Reed G. Coda, B.S. Armin Tarakemeh, B.S. Scott M. Mullen, M.D. John Paul Schroeppel, M.D. Bryan G. Vopat, M.D. Mary K. Mulcahey, M.D. Publicly Accessible Rehabilitation Protocols for Acromioclavicular Joint Reconstruction Are Widely Variable Arthroscopy, Sports Medicine, and Rehabilitation |
| title | Publicly Accessible Rehabilitation Protocols for Acromioclavicular Joint Reconstruction Are Widely Variable |
| title_full | Publicly Accessible Rehabilitation Protocols for Acromioclavicular Joint Reconstruction Are Widely Variable |
| title_fullStr | Publicly Accessible Rehabilitation Protocols for Acromioclavicular Joint Reconstruction Are Widely Variable |
| title_full_unstemmed | Publicly Accessible Rehabilitation Protocols for Acromioclavicular Joint Reconstruction Are Widely Variable |
| title_short | Publicly Accessible Rehabilitation Protocols for Acromioclavicular Joint Reconstruction Are Widely Variable |
| title_sort | publicly accessible rehabilitation protocols for acromioclavicular joint reconstruction are widely variable |
| url | http://www.sciencedirect.com/science/article/pii/S2666061X2030167X |
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