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Rehabilitation after arthroscopic Bankart repair: a systematic scoping review identifying important evidence gaps

  • Author Footnotes
    1 Permanent address: St. Michael's Academic Family Health Team, Unity Health Toronto, Sumac Creek Health Centre, 73 Regent Park Blvd, Toronto, ON, Canada M5A 2B7.
    Willem McIsaac
    Footnotes
    1 Permanent address: St. Michael's Academic Family Health Team, Unity Health Toronto, Sumac Creek Health Centre, 73 Regent Park Blvd, Toronto, ON, Canada M5A 2B7.
    Affiliations
    Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Canada
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  • Amaan Lalani
    Affiliations
    Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, 2-50 Corbett Hall, Edmonton Alberta, Canada T6G 2B4
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  • Anelise Silveira
    Affiliations
    Department of Surgery, Alberta Health Services, 6-110 Clinical Sciences Building, 8224-112St, Edmonton, AB, Canada T6G 2G3

    Shoulder and Upper Extremity Research Group of Edmonton, 6-110 Clinical Sciences Building, 8224-112St, Edmonton, AB, Canada T6G 2G3
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  • Judy Chepeha
    Affiliations
    Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, 2-50 Corbett Hall, Edmonton Alberta, Canada T6G 2B4

    Shoulder and Upper Extremity Research Group of Edmonton, 6-110 Clinical Sciences Building, 8224-112St, Edmonton, AB, Canada T6G 2G3
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  • Charlene Luciak-Corea
    Affiliations
    Shoulder and Upper Extremity Research Group of Edmonton, 6-110 Clinical Sciences Building, 8224-112St, Edmonton, AB, Canada T6G 2G3
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  • Lauren Beaupre
    Correspondence
    Correspondence: University of Alberta, 2-50 Corbett Hall, Edmonton, AB, Canada T6G 2B4.
    Affiliations
    Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, 2-50 Corbett Hall, Edmonton Alberta, Canada T6G 2B4

    Shoulder and Upper Extremity Research Group of Edmonton, 6-110 Clinical Sciences Building, 8224-112St, Edmonton, AB, Canada T6G 2G3
    Search for articles by this author
  • Author Footnotes
    1 Permanent address: St. Michael's Academic Family Health Team, Unity Health Toronto, Sumac Creek Health Centre, 73 Regent Park Blvd, Toronto, ON, Canada M5A 2B7.

      Abstract

      Background

      Evidence to develop best rehabilitation practices after Arthroscopic Bankart Repair (ABR) is lacking, leading to heterogeneity in rehabilitation approaches.

      Objectives

      This systematic scoping review investigated current evidence for rehabilitation and associated outcomes following ABR, including rehabilitation parameters, evaluative approaches (outcomes/outcome measures, follow-up timing/duration).

      Data sources

      A systematic search was performed of CINAHL, MEDLINE, and Embase databases in May 2019.

      Study selection

      Prospective studies detailing rehabilitation protocols following ABR reporting at least one postoperative assessment within 1 year of surgery (to measure impact of rehabilitation) were included.

      Data extraction and synthesis

      Two blinded reviewers independently selected studies using standardized criteria and extracted study characteristics and outcomes of interest. Quality of evidence was assessed using Joanna Brigg's quality assessment tool. A narrative analysis was conducted and evidence gaps were identified.

      Results

      Nine studies evaluating 11 rehabilitation protocols with a total of 384 participants were included. Considerable variability was seen in rehabilitation protocols and evaluation parameters. Return to sports/activity was frequently measured, but not well-defined. Strengthening was an important component of rehabilitation protocols, but rarely reported as an outcome. Follow-up was variable, with 4 studies ending follow-up before 24-months postoperatively. Overall, patient outcomes improved postoperatively.

      Conclusions

      There is a paucity of evidence investigating the impact of rehabilitation approaches following ABR. Although patient outcomes improve after ABR, selected outcomes/measures are highly variable with limited evidence on those important to measure rehabilitation success, particularly strength and return to activity. Identified evidence gaps should be addressed in future research.

      Keywords

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