We suggest that early passive motion exercise is not mandatory after arthroscopic repair of small to medium-sized full-thickness rotator cuff tears, and postoperative rehabilitation can be modified to ensure patient compliance. 429).Įarly passive motion exercise after arthroscopic cuff repair did not guarantee early gain of ROM or pain relief but also did not negatively affect cuff healing. You make the effort without outside help. This means all of the effort should come from your unaffected arm, bringing the affected arm along for the ride. This is the space in which you move a part of your body by using your muscles. Detachment of the repaired cuff was identified in 12% of group 1 and 18% of group 2 (P =. The following are passive exercises for your affected shoulder. Flexibility: Stretching the muscles that you strengthen is important for restoring range of motion and preventing injury. Keeping these muscles strong can relieve shoulder pain and prevent further injury. 631) and ASES score, 73.29 ± 18.48 versus 82.90 ± 12.35 (P =. Strength: Strengthening the muscles that support your shoulder will help keep your shoulder joint stable. The final functional scores assessed at 12 months for groups 1 and 2 were as follows: Constant score, 69.81 ± 3.43 versus 69.83 ± 6.24 (P =. A normal range of movement for shoulder adduction is 30 to 50. If you hug yourself, your shoulders are adducting. of active range of motion and passive range of motion of shoulder flexion and abduction when motions are assessed in sitting, as compared with supine. Functional evaluations were not statistically different between the 2 groups either. Shoulder adduction occurs when you move your arms towards the middle of the body. There were no statistical differences between the 2 groups in ROM or VAS for pain at each time point. Ultrasonography, magnetic resonance imaging, or computed tomography arthrography was utilized to evaluate postoperative cuff healing. Functional evaluations, including Constant score, Simple Shoulder Test (SST), and American Shoulder and Elbow Surgeons (ASES) score, were also evaluated at 6 and 12 months postoperatively. Range of motion (ROM) and visual analog scale (VAS) for pain were measured preoperatively and 3, 6, and 12 months postoperatively. Forty-nine patients were allocated into group 2: no passive motion was allowed during the same period. Fifty-six patients were randomly allocated into group 1: early passive motion exercises were conducted 3 to 4 times per day during the abduction brace-wearing period. Patients were instructed to wear an abduction brace for 4 to 5 weeks after surgery and to start active-assisted shoulder exercise after brace weaning. Patients with large to massive tears and concomitant stiffness or labral lesions were excluded. One hundred five consecutive patients who underwent arthroscopic repair for small to medium-sized full-thickness rotator cuff tears were included. Randomized controlled trial Level of evidence, 1. To elucidate whether early passive motion exercise affects functional outcome and tendon healing after arthroscopic rotator cuff repair. However, recent approaches show that longer immobilization may enhance tendon healing and quality. Early passive motion exercise has been the standard rehabilitation protocol after rotator cuff repair for preventing postoperative stiffness.
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