A CASE REPORT: TREATMENT OF REVERSE SHOULDER PROSTHESIS WITH DRY METHODS AND HYDROKINESIOTHERAPY
Autori
Bruschini Marco (Università Sapienza di Roma e Ospedale Pediatrico Bambino Gesù – S. Marinella)
Lanciotti Giulia (Laureata Università Sapienza di Roma)
Introduction to clinical case
The reverse shoulder prosthesis is now considered a surgical solution for patients with pathologies not treatable with anatomical prostheses, such as serious lesions of the rotator cuff. Hydrokinesistherapy, thanks to the water and its unique properties, has established itself as a valid method as support for dry post-operative rehabilitation. The objective of this study is to evaluate the effectiveness of hydrokinesitherapy integrated with dry rehabilitation in improving functional recovery and quality of life of patients undergoing reverse shoulder prosthesis. The protocol provides a combination of exercises adapted to the aquatic environment to promote an optimal return to function.
Methods
A case report was conducted on a 55-year-old patient who underwent reverse shoulder prosthesis and was subsequently included in a mixed rehabilitation program, including hydrokinesitherapy and dry therapy. The clinical evaluation was carried out in three moments (T0, T1, T2) through the scales NRS for pain and DASH for functionality, in addition to qualitative observations.
Results
The results show a significant improvement in pain and disability scores, with a progressive recovery of mobility and joint stability. The patient reported a reduction in pain already after the first sessions of hydrokinesitherapy, with a continuous improvement in movement control and ROM.
Discussion and clinical relevance
Hydrokinesistherapy, integrated with traditional rehabilitation, has proven to be an effective method in the post-operative recovery process for patients with reverse shoulder prosthesis, favoring the rehabilitation process. The results show a clear improvement between T0 and T1, highlighting how this approach can be considered as a valid therapeutic option, especially in the early stages of rehabilitation, but also adaptable to more advanced phases. In the proposed study, results were compared with contemporary scientific literature. In the first line it is noted that there are not a large number of articles on this subject and that they also involve other pathologies such as the reconstruction of the rotator cuff.
REFERENCES
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