A Prospective Study on Unsupervised Rehabilitation Protocol After Rotator Cuff Repair.

Abstract

BackgroundThe postoperative rehabilitation following rotator cuff repair yields favourable outcomes; however, it necessitates a significant investment of both time and financial resources. The primary aim of this study was to evaluate the efficacy of a home-based rehabilitation protocol in the management of patients who underwent rotator cuff repair. MethodsThe present study utilized a prospective design to investigate a group comprising 84 individuals who underwent surgical intervention for the purpose of rotator cuff repair. The participants were provided with detailed instructions regarding the exercise protocol, which they diligently executed within the confines of their individual residences. ResultsThe average duration of follow-up was 14 months. The Visual Analogue Score (VAS) for pain demonstrated a significant improvement, with the preoperative mean of 7.3 decreasing to a follow-up mean of 1.2. Additionally, the Disability of the Arm, Hand, and Shoulder (DASH) score, assessed in a sample of 52 patients, exhibited notable enhancement, as the preoperative mean of 33.1 decreased to a follow-up mean of 4.4. Furthermore, an improvement in the range of motion was observed in a group of 78 patients. A total of 74 patients achieved complete reintegration into the workforce within a three-month timeframe. ConclusionGiven that the patients are engaging in postoperative rehabilitation within the confines of their own residences, this approach serves to diminish financial burdens, mitigate time constraints associated with travel, and minimize susceptibility to external influences. RecommendationLimit home-based rehabilitation to well-evaluated cases without substantial tears, emphasizing optimal repair procedures for complex cases. Implement remote monitoring tools to track patient progress, ensuring adherence and early identification of potential issues. Conduct a thorough cost-benefit analysis to assess the economic advantages of home-based rehabilitation, considering reduced financial burdens and time constraints.