Il trattamento riabilitativo post-chirurgico nell’instabilità anteriore gleno-omerale: una survey sull’approccio dei fisioterapisti italiani.
Post-surgical rehabilitation in anterior gleno-humeral instabilty: a survey of current Italian physiotherapist practice.
Introduction
Anterior glenohumeral instability is a common occurrence in the population. This condition is even more pronounced in athletes and people involved in sports activities at any level. Treatment may involve conservative or surgical strategy. The choice of strategy is influenced by several factors. Rehabilitation treatment is a key element, both to avoid the risk of recurrence and to allow the patient to return to the pre-injury level.
This survey aims to investigate the clinical practice of Italian physiotherapist in the management of anterior gleno-humeral instability following surgical treatment.
Methods
An online survey with 25 multiple-choice questions was developed and submitted to Italian-based physiotherapists: 8 questions concerning demographic characteristics and the other 17 about treatment choices.
Results
304 respondents completed the survey (117 OMPTs, 42.09%). 241 participants (86.69%) mainly use therapeutic exercise in the management of these patients. The 50.72% (n= 141) of subjects introduces an early pain-free mobilization. Most of respondents (n= 197, 70.86%) uses plyometric, strengthening and sport-specific exercises in the last phase of rehabilitation with athletes. According to 167 physiotherapists (60.07%), patients practicing overhead or contact sports have longer period of recovery for RTS (return to sport).
Discussion and Conclusion
Italian physioterapists agree on timing and modalities of therapeutic exercise, planning of sections and types of treatment. Application of scales and questionnaires and return to sport parameters highlight a less clear approach by the respondents.
REFERENCES
- Neumann, Donald A. Kinesiology of the Musculoskeletal System.
- Kirkley A, 1999.
- Jaggi A, 2010.
- Hayes K, 2002.
- Wilk KE, 1997.
- Lizzio VA, 2017.
- Ma R, 2017.
- Guerrero P, 2009.
- Friedman LGM, 2020.
- O’Brien SJ, 1990.
- Galvin JW, 2017.
- Wilk KE, 2013.
- Payne LZ, 1997.
- Teyhen DS, 2008.
- Edouard P, 2011.
- Burns TC, 2010.
- Lemme NJ, 2020.
- Handoll HH, 2004.
- Fedorka CJ, 2015.
- Bak K, 2010.
- Glazebrook H, 2018.
- Von Elm, 2008.
- Eysenbach, 2004.
- 64th World Medical Association General Assembly, Declaration of Helsinki, 2013.
- Bury, J, 2017.
- Pieters, L, 2019.
- Brindisino, F, 2020.
- Brindisino F, 2020.
- Brindisino F, 2022.
- OMPT definition; 2004.
- Montermini C, 2020.
- Rossettini, G2018.
- Gaunt BW, 2010.
- Shanley E, 2020.
- Leggin BG, 2012.
- Rubin BD, 2002.
- Romeo AA, 2001.
- Ayoub CC, 2021.
- Murray IR, 2013.
- Schenk TJ, 1998.
- Rossi LA, 2022.
