Postoperative Rehabilitation of Rotator Cuff Repair: A Systematic Review.
Postoperative Rehabilitation of Rotator Cuff Repair: A Systematic Review.
- 2021
Available online from MWHC library: 2001 - present
Rotator cuff tears are the most common cause of shoulder disability and can cause significant pain and dysfunction. This systematic review summarizes the latest research on rehabilitation following arthroscopic rotator cuff repair. Studies were eligible for inclusion if they pertained to postoperative rehabilitation following arthroscopic rotator cuff repair and were published between 2003 and 2019 with a level of evidence of 1 or 2. Two blinded reviewers screened, graded, and extracted data from articles and recommendations on various aspects of rehabilitation were summarized. A total of 4067 articles were retrieved from the database search and 22 studies were included for data extraction. We noted similar outcomes between early and delayed mobilization following surgery. Reviewed articles support the use of supervised physical therapy, bracing in 15 degrees external rotation, and adjunctive transcutaneous electrical nerve stimulation for pain management. Early isometric loading improved outcomes in 1 study. Evidence is lacking for exercise prescription parameters and postoperative rehabilitation of the subscapularis. Copyright (c) 2021 Wolters Kluwer Health, Inc. All rights reserved.
English
1062-8592
00132585-202106000-00008 [pii] 10.1097/JSA.0000000000000310 [doi]
IN PROCESS -- NOT YET INDEXED
MedStar Union Memorial Hospital
MedStar Washington Hospital Center
MedStar Health Physical Therapy
Orthopaedic Surgery Residency
Journal Article
Available online from MWHC library: 2001 - present
Rotator cuff tears are the most common cause of shoulder disability and can cause significant pain and dysfunction. This systematic review summarizes the latest research on rehabilitation following arthroscopic rotator cuff repair. Studies were eligible for inclusion if they pertained to postoperative rehabilitation following arthroscopic rotator cuff repair and were published between 2003 and 2019 with a level of evidence of 1 or 2. Two blinded reviewers screened, graded, and extracted data from articles and recommendations on various aspects of rehabilitation were summarized. A total of 4067 articles were retrieved from the database search and 22 studies were included for data extraction. We noted similar outcomes between early and delayed mobilization following surgery. Reviewed articles support the use of supervised physical therapy, bracing in 15 degrees external rotation, and adjunctive transcutaneous electrical nerve stimulation for pain management. Early isometric loading improved outcomes in 1 study. Evidence is lacking for exercise prescription parameters and postoperative rehabilitation of the subscapularis. Copyright (c) 2021 Wolters Kluwer Health, Inc. All rights reserved.
English
1062-8592
00132585-202106000-00008 [pii] 10.1097/JSA.0000000000000310 [doi]
IN PROCESS -- NOT YET INDEXED
MedStar Union Memorial Hospital
MedStar Washington Hospital Center
MedStar Health Physical Therapy
Orthopaedic Surgery Residency
Journal Article