Postoperative Rehabilitation After Rotator Cuff Repair

Mollison, Scott; Shin, Jason J.; Glogau, Alexander I.; Beavis, R. Cole

doi:10.1177/2325967116684775

Cited by 29 publications

(25 citation statements)

References 22 publications

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“…Considering the quality of life of patients with rotator cuff tears, active rehabilitation at an earlier stage is considered to be effective in securing the range of motion of the shoulder, improving the instability index, and relieving pain. In other words, When It compared with other previous studies [3,[8][9][10][11][12][13], There was a significant increase in movement and VAS and showed the nearly normal results in 14 weeks after rotator cuff repair. So, this rehabilitation exercise program is considered far more effective.…”

Section: Discussionmentioning

confidence: 52%

“…The initial exercise program after the repair of the rotator cuff allows unrestricted passive shoulder range of motion within six to seven weeks after surgery, strengthening exercises were most commonly prescribed between six weeks to three months and unrestricted return to activities was commonly allowed at five to six months [8]. In the previous study [9], Early ROM exercise accelerated recovery from postoperative stiffness for patients after arthroscopic rotator cuff repair but was likely to result in improper tendon healing in shoulders with large sized tears.…”

Section: Discussionmentioning

confidence: 99%

“…However, it is reported that close cooperation with the surgeon is important in rehabilitation exercise because of the high risk of re-tearing of the surgical site. Mollison et al surveyed 70% of the surgeons preferring a sling and a shoulder slightly inwardly, cushioned on the inside of the elbow for shoulder fixation, and 35% of them recommend to secure the shoulder ROM exercise from six~seven weeks after surgery [8]. And 56% recommend muscle exercises from six weeks to three months postoperatively.…”

Section: Discussionmentioning

confidence: 99%

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The Effects of Exercise Rehabilitation on Shoulder Range of Motion, ASES Score and VAS After Rotator Cuff Repair

Kim¹,

Song²

2019

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The purpose of the present study was to report the effect of exercise rehabilitation after rotator cuff repair. This case is a woman (54 years of age) who had been operated on for rotator cuff repair in 2017 and passed six weeks after surgery. Her job is a shop assistant in market. It showed that the ROM of shoulder flexion was deficit 70° from the noninvolved side, abduction deficit 135°, internal rotation deficit 60°, external rotation deficit 80° at six weeks after surgery. She had rehabilitation exercise over eight weeks in a specific rehabilitation center. The ROM of shoulder was rapidly improved after two weeks a rehabilitation exercise. And after four weeks a rehabilitation, The ROM of shoulder and Shoulder instability score (ASES) were restored to nearly normal and VAS was well controlled. Shoulder ROM and ASES and VAS remained normal during the eight week rehabilitation exercise after rotator cuff repair. It was very effective to have rehabilitation exercise three times a week after rotator cuff repair. The shoulder range of motion (flexion, abduction, internal rotation and external rotation), ASES and VAS were consistently improved and restored to normal during the eight week rehabilitation after rotator cuff repair.

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Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Effects of Exercise Rehabilitation on Shoulder Range of Motion, ASES Score and VAS After Rotator Cuff Repair

Kim¹,

Song²

2019

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“…Postoperative rehabilitation timeline is quite debated. 2 3 4 5 6 7 While some authors suggest to avoid active shoulder movements for up to approximately 6 to 8 weeks to allow tendon-to-bone healing, others claim the need to counteract the negative impacts of long time immobilization. 8 9 Tendon healing requires fixation techniques that provide adequate initial strength, stability, and compression against the rotator cuff footprint, while maximizing the biologic factors that allow ultimate tendon-to-bone healing.…”

Section: Introductionmentioning

confidence: 99%

The Effects of a Standard Postoperative Rehabilitation Protocol for Arthroscopic Rotator Cuff Repair on Pain, Function, and Health Perception

Monesi

Benedetti

Zati

et al. 2018

Joints

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Purpose There is still conflicting evidence to support postoperative rehabilitation protocols using immobilization following rotator cuff repair over early motion. The objective of the study was to evaluate the evolution of pain, shoulder function, and patients' perception of their health status up to 1 year after cuff rotator repair and a standard postoperative rehabilitation protocol consisting of 4 weeks of immobilization followed by a 2-week assisted controlled rehabilitation. Methods Descriptive, longitudinal, uncontrolled case-series study was performed on 49 patients who underwent arthroscopic rotator cuff repair following traumatic or degenerative lesions. VAS scale for pain, Constant–Murley score for function, and SF-12 score for quality of life were used as outcome measures and were administered before the rehabilitation treatment, at the end of the 2-week rehabilitation, 3 months, and 1 year after surgery. Results VAS pain score decreased significantly along the follow-up reaching almost a nil value after 1 year (0.2). Function as measured by Constant–Murley score had a significant improvement during follow-up, reaching a mean value of 84.6. The short form (SF)-12 score increased over time reaching 46.3 for the physical and 43.8 for the psychological dimension, respectively, at 1 year. Conclusion The present study confirmed an excellent outcome at 1 year after rotator cuff repair using a traditional 4-week immobilization followed by a 2-week rehabilitation protocol without evidence of tendon un-healing or re-tearing. Level of Evidence This is a level IV, therapeutic case series.

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“…Because of the heterogeneity in patient demographic characteristics and tear characteristics, both physicians and physical therapists have difficulty in developing postoperative rehabilitation guidelines after RTC repair, thus resulting in a variety of recommendations. 9 Furthermore, a study performed by Mollison et al 9 looking at postoperative rehabilitation after RTC repair called for future studies to evaluate the printed rehabilitation guidelines that surgeons distribute to their patients and therapists. Therefore, the purpose of this study was to compare publicly available rehabilitation protocols designated for RTC repair published online by academic residency programs and private practice institutions.…”

mentioning

confidence: 99%

A Review of Online Rehabilitation Protocols Designated for Rotator Cuff Repairs

Coda

Cheema

Hermanns

et al. 2020

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose: To compare publicly available rehabilitation protocols designated for rotator cuff (RTC) repairs published online by academic residency programs and private practice institutions. Methods: A systematic electronic search using the Fellowship and Residency Electronic Interactive Database Access System (FREIDA) was performed for RTC repair rehabilitation protocols. Private practice programs with published rehabilitation protocols that were discovered during the Google search were also included for review, but no comprehensive search for private practice protocols was performed. The main exclusion criteria consisted of noneEnglish-language protocols and protocols without any of the time-based components in question. Included protocols were assessed independently based on the specified RTC tear size (small [1 cm], medium [1-4 cm], large or massive [5 cm], or no mention of size). Protocols were compared based on the inclusion, exclusion, and timing of certain rehabilitation components. Results: A total of 96 rehabilitation protocols were included for review, from 39 academic institutions and 28 private practice programs. Specific instructions for concomitant biceps tenodesis were included in 26 protocols (27.1%). Of the 96 protocols, 88 (91.7%) did not place restrictions on early postoperative passive range of motion (PROM) of the shoulder. Isolated PROM with restrictions on active range of motion was most commonly recommended for the first 4 or 6 weeks postoperatively (80.2%). Use of a sling or immobilizer was most frequently recommended for the first 4 or 6 weeks postoperatively (78.1%). Wide variation was noted in recommendations for returning to resistance strengthening, with the highest incidence being 27 protocols recommending returning at 12 weeks (28.1%); this further varied based on the size of the tear. A total of 21 protocols (21.9%) recommended the use of cryotherapy postoperatively. Conclusions: Although certain rehabilitation components were common, such as duration of PROM and sling or immobilizer use, a large degree of variation remains among published rehabilitation protocols after RTC repair, and this variability is still seen even when subdividing by the size or severity of the RTC tear. Clinical Relevance: Rehabilitation after RTC repair is crucial to patient outcomes. This study summarizes the variability among online rehabilitation protocols for RTC repair in the United States and emphasizes the importance of appropriate rehabilitation after RTC surgery.

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Postoperative Rehabilitation After Rotator Cuff Repair

Cited by 29 publications

References 22 publications

The Effects of Exercise Rehabilitation on Shoulder Range of Motion, ASES Score and VAS After Rotator Cuff Repair

The Effects of Exercise Rehabilitation on Shoulder Range of Motion, ASES Score and VAS After Rotator Cuff Repair

The Effects of a Standard Postoperative Rehabilitation Protocol for Arthroscopic Rotator Cuff Repair on Pain, Function, and Health Perception

A Review of Online Rehabilitation Protocols Designated for Rotator Cuff Repairs

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