To conduct a scoping review of studies on postoperative functional recovery trajectories in patients undergoing total shoulder arthroplasty(TSA),and to summarize patterns of functional change and associated influencing factors,so as to provide a evidence-based reference for postoperative rehabilitation management.
Relevant literature was systematically searched in CNKI,WanFang Database,Chinese Biomedical Literature Database,Chinese Journal Full-text Database,EMbase, PubMed,Web of Science,EBSCO,Scopus,and the Cochrane Library.The retrieval period was from the establishment of the databases until May 26,2025.
A total of 15 studies were included.The number of functional recovery trajectories identified in patients undergoing TSA ranged from 1 to 3.The most frequently used follow-up time points were 3 months,6 months,1 year,and 2 years postoperatively.Common evaluation indicators included joint function,range of motion,pain level and quality of life.The recovery speed of joint function in TSA patients was relatively fast within 3 to 6 months,and the improvement in function tended to be stable from 6 to 12 months.After one year,the function remained stable with little change.The influencing factors of the functional recovery trajectories in TSA patients included age,gender,type of underlying disease,ASA classification,Walch classification,surgical method, previous shoulder surgery history,psychological state,and social economic burden.
The functional recovery trajectories of TSA patients exhibit both a single overall trend as well as multiple types of trajectories.In the future,longitudinal data research should be strengthened to clarify the different types of recovery trajectories and their influencing factors,in order to provide a basis for precise postoperative rehabilitation management.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |