Prospective randomized study of arthroscopic rotator cuff repair using an early versus delayed postoperative physical therapy protocol

Journal of Shoulder and Elbow Surgery
Derek J Cuff, Derek R Pupello

Abstract

This study evaluated patient outcomes and rotator cuff healing after arthroscopic rotator cuff repair using a postoperative physical therapy protocol with early passive motion compared with a delayed protocol that limited early passive motion. The study enrolled 68 patients (average age, 63.2 years) who met inclusion criteria. All patients had a full-thickness crescent-shaped tear of the supraspinatus that was repaired using a transosseous equivalent suture-bridge technique along with subacromial decompression. In the early group, 33 patients were randomized to passive elevation and rotation that began at postoperative day 2. In the delayed group, 35 patients began the same protocol at 6 weeks. Patients were monitored clinically for a minimum of 12 months, and rotator cuff healing was assessed using ultrasound imaging. Both groups had similar improvements in preoperative to postoperative American Shoulder and Elbow Surgeons scores (early group: 43.9 to 91.9, P < .0001; delayed group: 41.0 to 92.8, P < .0001) and Simple Shoulder Test scores (early group: 5.5 to 11.1, P < .0001; delayed group: 5.1 to 11.1, P < .0001). There were no significant differences in patient satisfaction, rotator cuff healing, or range of motion between t...Continue Reading

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Citations

May 13, 2014·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jonathan C Riboh, Grant E Garrigues
Aug 17, 2014·Journal of Shoulder and Elbow Surgery·Kevin ChanGeorge S Athwal
Mar 24, 2015·The Physician and Sportsmedicine·Brian P GallagherKevin B Freedman
Oct 30, 2015·Physiotherapy·Sophie ThomsonJeremy Lewis
Nov 10, 2015·The Physician and Sportsmedicine·Jeffrey D OsborneJ Michael Wiater
Aug 2, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Armin ArshiFrank A Petrigliano
Jan 3, 2014·The Journal of the American Academy of Orthopaedic Surgeons·David RossKyle Anderson
Nov 29, 2015·The Orthopedic Clinics of North America·Jason E HsuAlbert O Gee
Aug 12, 2015·The Angle Orthodontist·Roberto S S JúniorRenato P Martins
Jun 28, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Chris Hyunchul JoJi Sun Shin
Jul 9, 2016·Journal of Physical Therapy Science·Yoshihiro KaiNaoto Shiba
May 28, 2015·The American Journal of Sports Medicine·Chris Hyunchul JoSue Shin
Oct 10, 2014·The American Journal of Sports Medicine·Melissa A KluczynskiLeslie J Bisson
Nov 22, 2013·The Journal of Bone and Joint Surgery. American Volume·Derek J Cuff, Derek R Pupello
Feb 18, 2017·Orthopaedic Journal of Sports Medicine·Scott MollisonR Cole Beavis
Mar 30, 2018·The American Journal of Sports Medicine·Ho Yeon JeongYong Girl Rhee
Sep 8, 2017·Acta Orthopaedica·Mustafa S RashidAndrew J Carr
Apr 13, 2017·The Open Orthopaedics Journal·Ourania NikolaidouChristos Karampalis
Mar 22, 2019·Prosthetics and Orthotics International·Florian GrubhoferSamy Bouaicha
Oct 18, 2013·The Journal of Bone and Joint Surgery. American Volume·Andrew NeviaserBradford Parsons
Mar 21, 2019·The Journal of Bone and Joint Surgery. American Volume·Jérôme TirefortAlexandre Lädermann
Nov 20, 2014·BMC Veterinary Research·Sari H MölsäOuti M Laitinen-Vapaavuori
Sep 14, 2019·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Yoshiaki ItoigawaKazuo Kaneko
Sep 10, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Mathilde GaumePatrick Boyer
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Apr 26, 2019·Shoulder & Elbow·Kelms Amoo-AchampongFrank McCormick
Mar 12, 2020·International Orthopaedics·Umile Giuseppe LongoVincenzo Denaro

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