![]() The local Institutional Review Board approved this study protocol. ![]() Patients excluded from the study were retired soldiers, active duty patients who retired during follow up, soldiers in the Warrior Transition Battalion, soldiers undergoing the medical board process to exit military service, or soldiers with any concurrent neurologic or psychological diagnosis including, but not limited to traumatic brain injury. 6 The authors hypothesize that a criterion based early sling weaning protocol would yield improvements in quality of life with decreased pain and improved sleep habits with continued favorable outcomes at six month follow up.Īll active duty service members (ADSM) undergoing shoulder arthroscopy and open pectoralis major repair as performed by three orthopaedic staff surgeons at a single institution from Octoto Octowere included in this retrospective review. Given successful reports of accelerated rehabilitation protocols in shoulder arthroscopy and high patient satisfaction, the purpose of this study was to establish an objective, criterion based protocol for accelerated sling weaning following shoulder arthroscopy. 6 Little clinical evidence is available regarding objective criteria to successfully wean patients out of the sling, which is why consensus rehabilitation guidelines prevail in most physical therapy literature and medical center protocols. 1‐ 5 Accelerated physical therapy protocols have been successful in decreasing pain scores and producing earlier functional activity and range of motion compared to conservative protocols. Traditional protocols generally follow longer periods of time for sling use for all patients within a given protocol and do not individualize patient progression regarding sling use based upon objective criteria. 1‐ 3 This can be true both for the duration of time immobilized in a sling, as well as the aggressiveness of the physical therapy protocol. Postoperative stiffness is the most common complication ranging in incidence from 8.6‐15% after these procedures and is often associated with prolonged immobilization. The use of sling immobilization after arthroscopic shoulder surgery is well accepted to protect surgical repairs in the immediate postoperative period.
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