DOI QR코드

DOI QR Code

Proposal of East-West Integrative Medicine Manual for Rehabilitation after Shoulder Surgery

어깨 수술 후 재활 치료에서의 한양방협진 매뉴얼 제안

  • Received : 2017.12.26
  • Accepted : 2018.01.09
  • Published : 2018.01.31

Abstract

Objectives This is one of the manuals of East-west integrative medicine which was created by the Committee on integrative medicine of Chung-Yeon Korean Medicine Hospital. The purpose of this manual is to support clinical decision making and communication during the rehabilitation of patients after shoulder surgery. Methods The drafting was done by two rehabilitation specialists in Korean medicine. After a rehabilitation specialist in western medicine reviewed the draft and exchanged their ideas, a revised version that reflects the goal of consultation was made. Then the Committee agreed to adopt the manuals through the process of review and feedback in addition to face-to-face discussions. Results This manual describes clinical decision making for rehabilitation after arthroscopic rotator cuff repair, SLAP repair, and arthrolysis. Therefore it contains the schedule of rehabilitation treatment through the surgical technique, general goal of the rehabilitation by phase, guide for patients and postoperative infection management. Conclusions The proposal of this manual has a significance for it provides information about decision making process and contents of treatment in one medical institution for East-west integrative rehabilitation treatment after shoulder surgery.

Keywords

Shoulder surgery;Rehabilitation;Integrative medicine;Korean medicine

References

  1. Steinfeld R, Valente RM, Stuart MJ. A commonsense approach to shoulder problems. Mayo Clin Proc. 1999 Aug;74(8):785-94. https://doi.org/10.4065/74.8.785
  2. van der Windt DA, Koes BW, de Jong BA, Bouter LM. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis. 1995 Dec;54(12):959-64.
  3. Pope DP, Croft PR, Pritchard CM, Silman AJ. Prevalence of shoulder pain in the community: the influence of case definition. Ann Rheum Dis. 1997 May;56(5):308-12. https://doi.org/10.1136/ard.56.5.308
  4. Burbank KM, Stevenson JH, Czarnecki GR, Dorfman J. Chronic shoulder pain: part I. Evaluation and diagnosis. Am Fam Physician. 2008 Feb 15;77(4):453-60.
  5. Kuhn JE, Dunn WR, Sanders R, An Q, Baumgarten KM, Bishop JY, Brophy RH, Carey JL, Holloway BG, Jones GL, Ma CB, Marx RG, McCarty EC, Poddar SK, Smith MV, Spencer EE, Vidal AF, Wolf BR, Wright RW; MOON Shoulder Group. Effectiveness of physical therapy in treating atraumatic full-thickness rotator cuff tears: a multicenter prospective cohort study. J Shoulder Elbow Surg. 2013 Oct;22(10):1371-9. https://doi.org/10.1016/j.jse.2013.01.026
  6. Colvin AC, Egorova N, Harrison AK, Moskowitz A, Flatow EL. National trends in rotator cuff repair. J Bone Joint Surg Am. 2012 Feb 1;94(3):227-33. https://doi.org/10.2106/JBJS.J.00739
  7. Gaunt BW, Shaffer MA, Sauers EL, Michener LA, McCluskey GM, Thigpen C; American Society of Shoulder and Elbow Therapists. The American Society of Shoulder and Elbow Therapists' consensus rehabilitation guideline for arthroscopic anterior capsulolabral repair of the shoulder. J Orthop Sports Phys Ther. 2010 Mar;40(3): 155-68.
  8. Millett PJ, Wilcox RB, O'Holleran JD, Warner JJ. Rehabilitation of the rotator cuff: an evaluation-based approach. J Am Acad Orthop Surg. 2006 Oct;14(11): 599-609. https://doi.org/10.5435/00124635-200610000-00002
  9. Gilbertson B, Wenner K, Russell LC. Acupuncture and arthroscopic acromioplasty. J Orthop Res. 2003 Jul;21(4): 752-8. https://doi.org/10.1016/S0736-0266(03)00028-7
  10. Ward U, Nilsson UG. Acupuncture for postoperative pain in day surgery patients undergoing arthroscopic shoulder surgery. Clin Nurs Res. 2013 Feb;22(1):130-6. https://doi.org/10.1177/1054773812454136
  11. Arias-Buria JL, Valero-Alcaide R, Cleland JA, Salom- Moreno J, Ortega-Santiago R, Atin-Arratibel MA, Fernandezde- las-Penas C. Inclusion of trigger point dry needling in a multimodal physical therapy program for postoperative shoulder pain: a randomized clinical trial. J Manipulative Physiol Ther. 2015 Mar-Apr;38(3):179-87. https://doi.org/10.1016/j.jmpt.2014.11.007
  12. Kwon MG, Jo HG, Kim JH, Jeung CW, Go YJ, Seol JU, Lee SY. The analysis of east-west integrative care system in a korean medicine hospital. J Korean Med Rehab. 2017;27(2):93-9. https://doi.org/10.18325/jkmr.2017.27.2.93
  13. Keener JD, Galatz LM, Stobbs-Cucchi G, Patton R, Yamaguchi K. Rehabilitation following arthroscopic rotator cuff repair: a prospective randomized trial of immobilization compared with early motion. J Bone Joint Surg Am. 2014 Jan 1;96(1):11-9. https://doi.org/10.2106/JBJS.M.00034
  14. Yamaguchi K, Tetro AM, Blam O, Evanoff BA, Teefey SA, Middleton WD. Natural history of asymptomatic rotator cuff tears: a longitudinal analysis of asymptomatic tears detected sonographically. J Shoulder Elbow Surg. 2001May-Jun;10(3):199-203. https://doi.org/10.1067/mse.2001.113086
  15. Mascarenhas R, Chalmers PN, Sayegh ET, Bhandari M, Verma NN, Cole BJ, Romeo AA. Is double-row rotator cuff repair clinically superior to single-row rotator cuff repair: a systematic review of overlapping meta-analyses. Arthroscopy. 2014 Sep;30(9):1156-65. https://doi.org/10.1016/j.arthro.2014.03.015
  16. Snyder SJ, Karzel RP, Del Pizzo W, Ferkel RD, Friedman MJ. SLAP lesions of the shoulder. Arthroscopy. 1990; 6(4):274-9. https://doi.org/10.1016/0749-8063(90)90056-J
  17. Maffet MW, Gartsman GM, Moseley B. Superior labrum- biceps tendon complexlesions of the shoulder. Am J Sports Med. 1995 Jan-Feb;23(1):93-8. https://doi.org/10.1177/036354659502300116
  18. Mohana-Borges AV, Chung CB, Resnick D. Superior labral anteroposterior tear: classification and diagnosis on MRI and MR arthrography. AJR Am J Roentgenol. 2003 Dec;181(6):1449-62. https://doi.org/10.2214/ajr.181.6.1811449
  19. De Carli A, Vadalà A, Perugia D, Frate L, Iorio C, Fabbri M, Ferretti A. Shoulder adhesive capsulitis: manipulation and arthroscopic arthrolysis or intra-articular steroid injections? Int Orthop. 2012 Jan;36(1):101-6. https://doi.org/10.1007/s00264-011-1330-7
  20. Cools AM, Dewitte V, Lanszweert F, Notebaert D, Roets A, Soetens B, Cagnie B, Witvrouw EE. Rehabilitation of scapular muscle balance: which exercises to prescribe? Am J Sports Med. 2007 Oct;35(10):1744-51.
  21. World Health Organization. International classification of functioning, disability and health. World Health Organization. 2001.
  22. Kibler WB, McMullen J, Uhl T. Shoulder rehabilitation strategies, guidelines, and practice. Orthop Clin North Am. 2001 Jul;32(3):527-38. https://doi.org/10.1016/S0030-5898(05)70222-4
  23. Rubin BD, Kibler WB. Fundamental principles of shoulder rehabilitation:conservative to postoperative management. Arthroscopy. 2002 Nov-Dec;18(9 Suppl 2):29-39.
  24. Ross D, Maerz T, Lynch J, Norris S, Baker K, Anderson K. Rehabilitation following arthroscopic rotator cuff repair: a review of current literature. J Am Acad Orthop Surg. 2014 Jan;22(1):1-9.
  25. Yi A, Villacis D, Yalamanchili R, Hatch GF 3rd. A Comparison of Rehabilitation Methods After Arthroscopic Rotator Cuff Repair: A Systematic Review. Sports Health. 2015 Jul;7(4):326-34. https://doi.org/10.1177/1941738115576729
  26. Leggin BG, Sheridan S, Eckenrode BJ. Rehabilitation after surgical management of the thrower's shoulder. Sports Med Arthrosc. 2012 Mar;20(1):49-55. https://doi.org/10.1097/JSA.0b013e3182471f31
  27. Kwon YW, Kalainov DM, Rose HA, Bisson LJ, Weiland AJ. Management of early deep infection after rotator cuff repair surgery. J Shoulder Elbow Surg. 2005 Jan-Feb; 14(1):1-5. https://doi.org/10.1016/j.jse.2004.04.010
  28. Mirzayan R, Itamura JM, Vangsness CT Jr, Holtom PD, Sherman R, Patzakis MJ. Management of chronic deep infection following rotator cuff repair. J Bone Joint Surg Am. 2000 Aug;82-A(8):1115-21.
  29. Smucny M, Menendez ME, Ring D, Feeley BT, Zhang AL. Inpatient surgical site infection after shoulder arthroplasty. J Shoulder Elbow Surg. 2015 May;24(5):747-53. https://doi.org/10.1016/j.jse.2014.12.024
  30. Cofield RH, Edgerton BC. Total shoulder arthroplasty:complications and revision surgery. Instr Course Lect. 1990;39:449-62.
  31. Saltzman MD, Marecek GS, Edwards SL, Kalainov DM. Infection after shoulder surgery. J Am Acad Orthop Surg. 2011 Apr;19(4):208-18.
  32. Randelli P, Castagna A, Cabitza F, Cabitza P, Arrigoni P, Denti M. Infectious and thromboembolic complications of arthroscopic shoulder surgery. J Shoulder Elbow Surg. 2010 Jan;19(1):97-101. https://doi.org/10.1016/j.jse.2009.04.009
  33. Iwagaki H, Saito S. Effects of a Kampo medicine on postoperative infection. Nihon Geka Gakkai Zasshi. 2013 Sep;114(5):241-5.
  34. Burbank KM, Stevenson JH, Czarnecki GR, Dorfman J. Chronic shoulder pain: part I. Evaluation and diagnosis. Am Fam Physician. 2008 Feb 15;77(4):453-60.
  35. China Association of Chinese Medicine, Chinese Medicine Standardization Branch of China Standardization Association, China Academy of Chinese Medicine Standard Research Center. Interpretation of the guidelines of clinical diagnosis and treatment of Chinese medicine. Beijing: China Press of Traditional Chinese Medicine, 2015.
  36. Sun HW, Clinical Study on the Effect of Traditional Chinese Medicine Combined with Arthroscopy in Treating Frozen Shoulder Frozen Stage, Master Thesis, Xinjiang Medical University, 2011.
  37. Korea institute of oriental medicine. Shoulder pain in adults-Korean medicine clinical practice guideline. Seoul: Elesevier Korea. 2015:194.
  38. Koh KH, Lim TK, Shon MS, Park YE, Lee SW, Yoo JC. Effect of immobilization without passive exercise after rotator cuff repair: randomized clinical trial comparing four and eight weeks of immobilization. J Bone Joint Surg Am. 2014 Mar 19;96(6):e44. https://doi.org/10.2106/JBJS.L.01741
  39. Lee BG, Cho NS, Rhee YG. Effect of two rehabilitation protocols on range of motion and healing rates after arthroscopic rotator cuff repair: aggressive versus limited early passive exercises. Arthroscopy. 2012 Jan;28(1):34-42. https://doi.org/10.1016/j.arthro.2011.07.012
  40. Grimshaw J, Russell I. Achieving health gain through clinical guidelines. I: Developing scientifically valid guidelines. Qual Health Care. 1993 Dec;2(4):243-8. https://doi.org/10.1136/qshc.2.4.243

Acknowledgement

Supported by : 청연의학연구소