The American Society of Shoulder and Elbow Therapists' consensus statement on rehabilitation following arthroscopic rotator cuff repair

被引:139
作者
Thigpen, Charles A. [1 ,2 ]
Shaffer, Michael A. [3 ]
Gaunt, Bryce W. [4 ]
Leggin, Brian G. [5 ]
Williams, Gerald R. [6 ]
Wilcox, Reg B., III [7 ]
机构
[1] ATI Phys Therapy, 200 Patewood Dr,Ste 150 C, Greenville, SC 29615 USA
[2] Univ S Carolina, Ctr Effectiveness Orthoped Res, Greenville, SC USA
[3] Univ Iowa Hosp & Clin, Dept Rehabil Therapies, Iowa City, IA 52242 USA
[4] St Francis Rehabil Ctr, Human Performance Rehabil Ctr, Columbus, GA USA
[5] Good Shepherd Penn Partners, Penn Therapy & Fitness, Philadelphia, PA USA
[6] Thomas Jefferson Univ, Jefferson Med Coll, Rothman Inst, Philadelphia, PA 19107 USA
[7] Brigham & Womens Hosp, Dept Rehabil Serv, 75 Francis St, Boston, MA 02115 USA
关键词
Rotator cuff; tears; postoperative rehabilitation; physical therapy; therapeutic exercise; stiffness; RANDOMIZED CONTROLLED-TRIAL; IDENTIFYING SCAPULAR DYSKINESIS; EARLY PASSIVE MOTION; ELECTROMYOGRAPHIC ANALYSIS; PHYSICAL-THERAPY; FATTY INFILTRATION; MUSCLE ACTIVATION; CLINICAL METHOD; HEALING RATES; EXERCISES;
D O I
10.1016/j.jse.2015.12.018
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
This is a consensus statement on rehabilitation developed by the American Society of Shoulder and Elbow Therapists. The purpose of this statement is to aid clinical decision making during the rehabilitation of patients after arthroscopic rotator cuff repair. The overarching philosophy of rehabilitation is centered on the principle of the gradual application of controlled stresses to the healing rotator cuff repair with consideration of rotator cuff tear size, tissue quality, and patient variables. This statement describes a rehabilitation framework that includes a 2-week period of strict immobilization and a staged introduction of protected, passive range of motion during weeks 2-6 postoperatively, followed by restoration of active range of motion, and then progressive strengthening beginning at postoperative week 12. When appropriate, rehabilitation continues with a functional progression for return to athletic or demanding work activities. This document represents the first consensus rehabilitation statement developed by a multidisciplinary society of international rehabilitation professionals specifically for the postoperative care of patients after arthroscopic rotator cuff repair. (C) 2016 Journal of Shoulder and Elbow Surgery Board of Trustees.
引用
收藏
页码:521 / 535
页数:15
相关论文
共 117 条
  • [1] The influence of intraoperative factors and postoperative rehabilitation compliance on the integrity of the rotator cuff after arthroscopic repair
    Ahmad, Shahrulazua
    Haber, Mark
    Bokor, Desmond J.
    [J]. JOURNAL OF SHOULDER AND ELBOW SURGERY, 2015, 24 (02) : 229 - 235
  • [2] Immediate passive motion versus immobilization after endoscopic supraspinatus tendon repair: A prospective randomized study
    Arndt, J.
    Clavert, P.
    Mielcarek, P.
    Bouchaib, J.
    Meyer, N.
    Kempf, J. -F.
    [J]. ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH, 2012, 98 (06) : S131 - S138
  • [3] BALLANTYNE BT, 1993, PHYS THER, V73, P668, DOI 10.1093/ptj/73.10.668
  • [4] Ballantyne BT, 1993, PHYS THER, V73, P677
  • [5] Rat rotator cuff tendon-to-bone healing properties are adversely affected by hypercholesterolemia
    Beason, David P.
    Tucker, Jennica J.
    Lee, Chang Soo
    Edelstein, Lena
    Abboud, Joseph A.
    Soslowsky, Louis J.
    [J]. JOURNAL OF SHOULDER AND ELBOW SURGERY, 2014, 23 (06) : 867 - 872
  • [6] Cumulative Effects of Hypercholesterolemia on Tendon Biomechanics in a Mouse Model
    Beason, David P.
    Abboud, Joseph A.
    Kuntz, Andrew F.
    Bassora, Rocco
    Soslowsky, Louis J.
    [J]. JOURNAL OF ORTHOPAEDIC RESEARCH, 2011, 29 (03) : 380 - 383
  • [7] Electromyographic analysis of specific exercises for scapular control in early phases of shoulder rehabilitation
    Ben Kibler, W.
    Sciascia, Aaron D.
    Uhl, Timothy L.
    Tambay, Nishin
    Cunningham, Thomas
    [J]. AMERICAN JOURNAL OF SPORTS MEDICINE, 2008, 36 (09) : 1789 - 1798
  • [8] BJORKENHEIM JM, 1988, CLIN ORTHOP RELAT R, P148
  • [9] Blackburn TA, 1990, ATH TRAIN, V25, P40
  • [10] Description of Clinical Outcomes and Postoperative Utilization of Physical Therapy Services Within 4 Categories of Shoulder Surgery
    Brennan, Gerard P.
    Parent, Eric C.
    Cleland, Joshua A.
    [J]. JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, 2010, 40 (01) : 20 - 29