Early and Delayed Postoperative Rehabilitation after Arthroscopic Rotator Cuff Repair: A Comparative Study of Clinical Outcomes

Sungwook Choi; Kyu Bum Seo; Seungjae Shim; Ju Yeon Shin; Hyunseong Kang

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자료유형: 학술저널

저자정보: Sungwook Choi (Jeju National University School of Medicine) Kyu Bum Seo (Jeju National University School of Medicine) Seungjae Shim (Jeju National University School of Medicine) Ju Yeon Shin (Jeju National University School of Medicine) Hyunseong Kang (Jeju National University School of Medicine)

저널정보: 대한견주관절의학회 대한견주관절의학회지 대한견주관절학회지 제22권 제4호

발행연도: 2019.12

수록면: 190 - 194 (5page)

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Background: The duration of immobilization after arthroscopic rotator cuff repair and the optimal time to commence rehabilitation are still the subject of ongoing debates. This study was undertaken to evaluate the functional outcome and rotator cuff healing status after arthroscopic rotator cuff repair by comparing early and delayed rehabilitation.
Methods: Totally, 76 patients with small, medium, and large sized rotator cuff tears underwent arthroscopic repair using the suture-bridge technique. In early rehabilitation group, 38 patients commenced passive range of motion at postoperative day 2 whereas 38 pa¬tients assigned to the delayed rehabilitation group commenced passive range of motion at postoperative week 3. At the end of the study period, clinical and functional evaluations (Constant score, the University of California, Los Angeles [UCLA] shoulder score) were carried out, subsequent to measuring the range of motion, visual analogue scale for pain, and isokinetic dynamometer test. Rotator cuff healing was confirmed by magnetic resonance imaging at least 6 months after surgery.
Results: No significant difference was obtained in range of motion and visual analogue scale between both groups. Functional outcomes showed similar improvements in the Constant score (early: 67.0–88.0; delayed: 66.9–91.0; p<0.001) and the UCLA shoulder score (early: 20.3–32.3; delayed: 20.4–32.4; p<0.001). Furthermore, rotator cuff healing showed no significant differences between the groups (range, 6–15 months; average, 10.4 months).
Conclusions: Delayed passive rehabilitation does not bring about superior outcomes. Therefore, early rehabilitation would be useful to help patients resume their daily lives.

#Rotator cuff injuries #Arthroscopy #Rehabilitation #Shoulder

참고문헌 (20)

참고문헌 신청

Pascal Boileau / 2005 / Arthroscopic Repair of Full-Thickness Tears of the Supraspinatus: Does the Tendon Really Heal? / The Journal of Bone and Joint Surgery (American) 87(6):1229

Leesa M. Galatz / 2004 / The Outcome and Repair Integrity of Completely Arthroscopically Repaired Large and Massive Rotator Cuff Tears / The Journal of Bone & Joint Surgery 86(2):219~224

Peter J. Millett / 2006 / Rehabilitation of the Rotator Cuff: An Evaluation-Based Approach / Journal of the American Academy of Orthopaedic Surgeons 14(11):599~609

Raab MG / 1996 / Early results of continuous passive motion after rotator cuff repair : a prospective, randomized, blinded, controlled study / Am J Orthop(Belle Mead NJ) 25(3):214~220

Li S / 2010 / Effect of continuous passive motion on basic fibroblast growth factor expression during tendon-bone repair after surgical repair of acute rupture of the supraspinatus tendon in rabbits / Nan Fang Yi Ke Da Xue Xue Bao 30(5):1020~1023

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