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
[71]   Factors Affecting Rotator Cuff Healing [J].
Mall, Nathan A. ;
Tanaka, Miho J. ;
Choi, Luke S. ;
Paletta, George A., Jr. .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2014, 96A (09) :778-788
[72]   Symptomatic Progression of Asymptomatic Rotator Cuff Tears A Prospective Study of Clinical and Sonographic Variables [J].
Mall, Nathan A. ;
Kim, H. Mike ;
Keener, Jay D. ;
Steger-May, Karen ;
Teefey, Sharlene A. ;
Middleton, William D. ;
Stobbs, Georgia ;
Yamaguchi, Ken .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2010, 92A (16) :2623-2633
[73]   The impact of preoperative smoking habits on the results of rotator cuff repair [J].
Mallon, WJ ;
Misamore, G ;
Snead, DS ;
Denton, P .
JOURNAL OF SHOULDER AND ELBOW SURGERY, 2004, 13 (02) :129-132
[74]   Exercise for women receiving adjuvant therapy for breast cancer [J].
Markes, M. ;
Brockow, T. ;
Resch, K. L. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2006, (04)
[75]  
MCCANN PD, 1993, CLIN ORTHOP RELAT R, P179
[76]   Failure With Continuity in Rotator Cuff Repair "Healing" [J].
McCarron, Jesse A. ;
Derwin, Kathleen A. ;
Bey, Michael J. ;
Polster, Joshua M. ;
Schils, Jean P. ;
Ricchetti, Eric T. ;
Iannotti, Joseph P. .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2013, 41 (01) :134-141
[77]   A Clinical Method for Identifying Scapular Dyskinesis, Part 1: Reliability [J].
McClure, Philip ;
Tate, Angela R. ;
Kareha, Stephen ;
Irwin, Dominic ;
Zlupko, Erica .
JOURNAL OF ATHLETIC TRAINING, 2009, 44 (02) :160-164
[78]   Does arthroscopic rotator cuff repair actually heal? Anatomic evaluation with magnetic resonance arthrography at minimum 2 years follow-up [J].
Meyer, Matthieu ;
Klouche, Shahnaz ;
Rousselin, Benoit ;
Boru, Blandine ;
Bauer, Thomas ;
Hardy, Philippe .
JOURNAL OF SHOULDER AND ELBOW SURGERY, 2012, 21 (04) :531-536
[79]  
Michener LA, 2005, PHYS THER, V85, P1128
[80]   American shoulder and elbow surgeons standardized shoulder assessment form patient self-report section: Reliability, validity, and responsiveness [J].
Michener, LA ;
McClure, PW ;
Sennett, BJ .
JOURNAL OF SHOULDER AND ELBOW SURGERY, 2002, 11 (06) :587-594