Rehabilitation following rotator cuff repair

Jung, Christian; Tepohl, Lena; Tholen, Reina; Beitzel, Knut; Buchmann, Stefan; Gottfried, Thomas; Grim, Casper; Mauch, Bettina; Krischak, Gert; Ortmann, Hans; Schoch, Christian; Mauch, Frieder

doi:10.1007/s11678-018-0448-2

Cited by 25 publications

(13 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This was in agreement with the most popular answer in this study, which was to start strengthening between 6 weeks and 3 months. Similarly, Jung et al 4 devised a 4-phase rehabilitation protocol by performing a literature review and surveying 63 surgeons from the German Society of Shoulder and Elbow Surgery (DVSE). Their group recommended strengthening at 3 months after surgery.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Rehabilitation After Rotator Cuff Repair

Mollison

Shin

Glogau

et al. 2017

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background:Postoperative rehabilitation after arthroscopic rotator cuff repair (ARCR) remains controversial and suffers from limited high-quality evidence. Therefore, appropriate use criteria must partially depend on expert opinion.Hypothesis/Purpose:The purpose of the study was to determine and report on the standard and modified rehabilitation protocols after ARCR used by member orthopaedic surgeons of the American Orthopaedic Society for Sports Medicine (AOSSM) and the Arthroscopy Association of North America (AANA). We hypothesized that there will exist a high degree of variability among rehabilitation protocols. We also predict that surgeons will be prescribing accelerated rehabilitation.Study Design:Cross-sectional study; Level of evidence, 4.Methods:A 29-question survey in English language was sent to all 3106 associate and active members of the AOSSM and the AANA. The questionnaire consisted of 4 categories: standard postoperative protocol, modification to postoperative rehabilitation, operative technique, and surgeon demographic data. Via email, the survey was sent on September 4, 2013.Results:The average response rate per question was 22.7%, representing an average of 704 total responses per question. The most common immobilization device was an abduction pillow sling with the arm in neutral or slight internal rotation (70%). Surgeons tended toward later unrestricted passive shoulder range of motion at 6 to 7 weeks (35%). Strengthening exercises were most commonly prescribed between 6 weeks and 3 months (56%). Unrestricted return to activities was most commonly allowed at 5 to 6 months. The majority of the respondents agreed that they would change their protocol based on differences expressed in this survey.Conclusion:There is tremendous variability in postoperative rehabilitation protocols after ARCR. Five of 10 questions regarding standard rehabilitation reached a consensus statement. Contrary to our hypothesis, there was a trend toward later mobilization.

show abstract

Section: Discussionmentioning

confidence: 99%

Postoperative Rehabilitation After Rotator Cuff Repair

Mollison

Shin

Glogau

et al. 2017

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

show abstract

“…Active assisted motion in abduction, forward flexion, and internal/external rotation was allowed after 6 weeks and active shoulder movements after 9 weeks postoperatively. 23…”

Section: Methodsmentioning

confidence: 99%

Clinical Outcomes, Tendon Integrity, and Shoulder Strength After Revision Rotator Cuff Reconstruction: A Minimum 2 Years’ Follow-up

et al. 2018

Self Cite

View full text Add to dashboard Cite

show abstract

“…In the current clinical practice, the postoperative management of patients’ underwent RC repair can be slightly different among studies in terms of time points in which start specific movements and physical exercises. Based on the available literature, the postoperative rehabilitation protocol could be split into four main phases [ 95 ]. The first phase refers to the immediate postoperative period until the 6-week during which supervised passive ROM and active-assisted ROM are allowed; in the second phase (weeks 6–12), patients start to execute full-active ROM; in the third phase (months 3–4), stretching and strengthening exercises can be initiated and continued in the fourth phase (months 4–6) to completely restore full and pain-free active ROM and return as normally as possible to sports, activities of daily living and work.…”

Section: Discussionmentioning

confidence: 99%

Retear rates after rotator cuff surgery: a systematic review and meta-analysis

Longo

Carnevale

Piergentili

et al. 2021

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Rotator cuff retear (RCR) is one of the main postoperative drawbacks. RCR can be considered a multifactorial issue, which causes are related either to biological than biomechanical factors. The aim of this study was to define the incidence of RCR after surgical treatment at different time points and to identify the main factors influencing the postoperative rotator cuff (RC) healing. Methods A systematic review and meta-analysis were performed following the PRISMA guidelines. A comprehensive search of the literature was carried out in July 2020, using PubMed and Cochrane Library databases. Only level 1 and 2 clinical evidence studies were included. Studies were included if patients with preoperative repairable full-thickness RC tears were treated surgically, and if studies reported postoperative RCR confirmed by imaging diagnostic. The association between timing of retear and follow-up time points were investigated using an inverse-variance method of pooling data. A subgroup meta-analysis was performed using the DerSimonian and Laird method for the estimation of the between-study variance, i.e., τ2. The association between retear rate after surgery and patients’ age, preoperative tear size, fatty infiltration, postoperative rehabilitation protocol, surgical techniques, and RC repairs was determined by expressing the effect measure in terms of odds ratio (OR) with 95% confidence interval (CI). The Mantel-Haenszel method with 95% CIs was used. Results Thirty-one articles were included in this study. The percentage of RCR after surgery was 15% at 3 months follow-up, 21% at 3–6 months follow-up, 16% at 6–12 months follow-up, 21% at 12–24 months follow-up, 16% at follow-up longer than 24 months. The main factors influencing RC healing are both patient-related (i.e., age, larger tear size, fatty infiltration) and not patient-related (i.e., postoperative rehabilitation protocol, surgical techniques, and procedures). Conclusions Postoperative RC healing is influenced by patient-related and non-patient-related factors. Further high-level clinical studies are needed to provide highly relevant clinical results.

show abstract

Rehabilitation following rotator cuff repair

Cited by 25 publications

References 41 publications

Postoperative Rehabilitation After Rotator Cuff Repair

Postoperative Rehabilitation After Rotator Cuff Repair

Clinical Outcomes, Tendon Integrity, and Shoulder Strength After Revision Rotator Cuff Reconstruction: A Minimum 2 Years’ Follow-up

Retear rates after rotator cuff surgery: a systematic review and meta-analysis

Contact Info

Product

Resources

About