title: Proposal for SICSeG guidelines for rehabilitation after anatomical shoulder prosthesis in concentric shoulder osteoarthritis.
abstract: OBJECTIVE
  The purpose of this paper is to provide up-to-date guidelines on rehabilitation after anatomical shoulder prosthesis for concentric shoulder osteoarthritis, as previous guidelines date back to late 1970s and are no longer adequate due to the evolution of prosthesis models and surgical techniques.
  
  
  METHODS
  The physiatric committee of the Italian Society of Shoulder and Elbow Surgery (SICSeG-Società Italiana di Chirurgia della Spalla e del Gomito) performed a search for all the existing literature related to rehabilitation after shoulder replacement. A total of 29 papers concerning shoulder rehabilitation were reviewed. In addition, the main Italian orthopedic surgeons and physiatrists dealing with shoulder surgery and rehabilitation were interviewed to obtain indications when literature was not conclusive.
  
  
  RESULTS
  From literature evaluation and expert consultation, we produced guidelines concerning: patient evaluation by means of adequate rating scales, preoperative treatment, early intermediate and advanced postoperative phases, rehabilitation of scapulo-thoracic joint, return to work and sports, length of rehabilitation and follow-up.
  
  
  CONCLUSIONS
  This proposal for guidelines was presented during the 11th SICSeG Congress on May 2012 and to the main scientific societies concerned in shoulder surgery and rehabilitation. A consensus conference is needed in order to formalize and make them usable from all the professional figures involved in this field.
authors.affiliation: Physical Therapy and Rehabilitation Unit, Istituto Ortopedico Rizzoli, Via Pupilli 1, Bologna, Italy. ifusaro@ior.it
authors.forename: I
authors.initials: I
authors.lastname: Fusaro
authors.forename: S
authors.initials: S
authors.lastname: Orsini
authors.forename: S
authors.initials: S
authors.lastname: Stignani
authors.forename: D
authors.initials: D
authors.lastname: Creta
authors.forename: F C
authors.initials: FC
authors.lastname: Cava
authors.forename: M G
authors.initials: MG
authors.lastname: Benedetti
mesh_terms: D006801:Humans; D007595:Joint Prosthesis; D010003:Osteoarthritis / Q000473:pathology / Q000534:rehabilitation* / Q000601:surgery*; D012785:Shoulder Joint / Q000601:surgery*