Clinical reasoning algorithm Rehabilitation after shoulder stabilization surgery

Objective

Patient - best possible outcome after surgery

All role players = same thinking

SAME GOAL AND KNOW WHAT THE GOAL IS

Return to previous levels of daily activity Return to participation
Return to sport
Return to Performance
With a reduced risk of re-injury

Evidence based approach to patient management

Propose:

Multidisciplinary approach starting before surgery to return to performance using a evidence based medicine platform

Clinical reasoning algorithm to guide clinical decision making throughout the rehabilitation process

Who is the role player

Patient / parents / Family

Orthopedic surgeon

Physiotherapist

Biokineticist

Coach

Surgery

Diagnosis

Pathophysiology

evidence

Procedure

Laterjet / Bankart

evidence

Complications that will influence progress

Related information

Resource

Recommended time to performance

Follow up time and and important criteria

Sensitive indicators / feedback
for the surgeon

8. Appendices

Appendix

7. Glossary of terms

Term

Description

6. Delivery and next actions

Commercial

Non-commercial

Biokineticist

Phase 1 Week 8-12

Primary Outcome Measures
Patient reported outcome measures

WOSI

SIRSI

VAS during provocative test

Secondary Outcome Measures
Performance based outcome measures

ROM
- Easy angle digital goniometer

GHJ
- Internal rotation
- External rotation
- Total arc
= NORM FOR DIFFERENT SURGERIES / SPORT

STRENGTH
- Easy force muscle strength dynometer
- Biodex
- Theraband

RC Muscles
- External rotators
- Internal Rotators

Phase 2 Week 12 - 16