Rehabilitation After Shoulder Instability Surgery: Keys for Optimizing Recovery

Background: Rehabilitation after shoulder instability surgery is crucial for restoring function and preventing recurrent instability. Shoulder instability can result from traumatic injuries or repetitive stress, leading to dislocations and significant functional impairment. Effective rehabilitation protocols are essential to facilitate recovery, improve range of motion, and strengthen shoulder muscles. Understanding the keys to optimizing recovery after surgery is very important for both patients and healthcare providers. Methods: This study reviews current rehabilitation strategies used after shoulder instability surgery, emphasizing evidence-based practices. A systematic literature review conducted from ۲۰۱۰ to ۲۰۲۲ evaluated studies that assess various rehabilitation protocols, including early mobilization versus delayed mobilization, strengthening exercises, and proprioceptive training. The study also discusses the importance of individualized rehabilitation plans tailored to the specific surgical method performed, such as Bankart repair or the Latarjet procedure. Results: Findings indicate that a well-structured rehabilitation program significantly enhances recovery outcomes after shoulder instability surgery. Early mobilization within a pain-free range is beneficial for preventing stiffness and promoting recovery without jeopardizing surgical repairs. Strengthening exercises targeting the rotator cuff and scapular stabilizers are essential components of the rehabilitation process that improve stability and shoulder function. Additionally, proprioceptive training helps patients regain neuromuscular control and confidence in their shoulder. The study emphasizes that adherence to a progressive rehabilitation protocol leads to higher rates of return to sports and daily activities, and long-term follow-ups show that patients engaged in comprehensive rehabilitation experience lower rates of recurrent instability compared to those with less structured programs. Conclusion: Rehabilitation after shoulder instability surgery plays a vital role in optimizing recovery and restoring function. Key elements include early mobilization, targeted strengthening exercises, and proprioceptive training. An individualized approach considering the specific surgical technique used is also essential for maximizing patient outcomes. Furthermore, future research should focus on refining rehabilitation protocols and examining the long-term effects of various strategies on shoulder stability and patient satisfaction.

کلیدواژه ها:

Shoulder instability ، rehabilitation ، postoperative recovery ، Bankart repair ، Latarjet procedure ، strength training ، proprioception