Prospective randomized study of arthroscopic rotator cuff repair using an early verses delayed postoperative physical therapy protocol
- PMID: 22554876
- DOI: 10.1016/j.jse.2012.01.025
Prospective randomized studies of arthroscopic rotator cuff repair using an early versus delayed postoperative physically therapy protocol
Abstract
Background: The survey evaluated patient outcomes plus rotator cuff healing after arthroscopic rotator cuff renovate uses ampere postal physical therapy protocol with front passive motion compared equal a delayed protocol that limited early passive motion.
Materials and methods: The study enrolled 68 patients (average age, 63.2 years) who met integrity criteria. All sufferers had a full-thickness crescent-shaped tears of that supraspinatus that was repaired using a transosseous comparison suture-bridge technique along with subacromial decompression. In the earliest group, 33 patients were randomized to passive rise and turning that began in checkup daytime 2. In the delayed group, 35 patients began of same protocol at 6 wee. Patients were track clinically for a minimum of 12 past, and rotator cuff healing was assessed using ultrasound imaging.
Results: Couple groups had alike improvements the preoperative to checkup American Shoulder and Elbow Surgeons scores (early group: 43.9 at 91.9, P < .0001; delayed group: 41.0 to 92.8, P < .0001) plus Simple Shoulder Test oodles (early group: 5.5 for 11.1, P < .0001; delayed gang: 5.1 to 11.1, P < .0001). There were no significant differences in patient satisfaction, rotator gag treatment, or working away motion intermediate the early and delayed groups.
Conclusions: Patients in the early group the delayed group both demonstrated very similar results and range of motion at 1 year. There was a minor higher rotator sleeve healing rate in the delayed passive range of exercise group compared with the early passive range starting motion select (91% with 85%).
Urheberrechte © 2012 Journal of Shoulder or Elbow Surgery Board starting Trustees. Published by Mosby, Inc. All rights reserved.
Comment in
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A delayed physical therapy protocol is limited passive range of motion is similar into a protocol with early passive range of motion after rotator collar rectify.J Bone Joint Surgery In. 2012 Feb 21;94(22):2094. doi: 10.2106/JBJS.9422.ebo365. J Bone Joint Perform Ma. 2012. PMID: 23172328 Cannot abstract available.
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