REVIEW ARTICLE


Prognosis Driven Rehabilitation After Rotator Cuff Repair Surgery



Dirk Kokmeyer1, *, Eric Dube2, Peter J. Millett,3
1 Maine Medical Partners, Orthopedic and Sports Medicine, South Portland, Maine, United States
2 Howard Head Sports Medicine, Silverthorne, Colorado, United States
3 The Steadman Clinic, Vail, Colorado, United States


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© Kokmeyer et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Maine Medical Partners, Orthopedics and Sports Medicine, 119 Gannett Drive, South Portland, Maine 04106, United States; E-mails: Kokmeyer@vvmc.com, dkokmeyer@mmc.org


Abstract

Background:

Rehabilitation after rotator cuff repair surgery has been the focus of several clinical trials in the past decade. Many illuminate new evidence with regard to the prognosis of structural and functional success after surgery.

Methods:

A selective literature search was performed and personal physiotherapeutic and surgical experiences are reported.

Results:

Post-operative rehabilitation parameters, namely the decision to delay or allow early range of motion after surgery, play a large role in the overall success after surgery. Using a prognosis driven rehabilitation program offers clinicians a means of prescribing optimal rehabilitation parameters while ensuring structural and functional success. This commentary aims to synthesize the evidence in a spectrum of prognostic factors to guide post-operative rehabilitation.

Conclusion:

The optimal rehabilitation program after rotator cuff repair surgery is debatable; therefore, we suggest using a spectrum of prognostic factors to determine a rehabilitation program suited to ensure structural and functional success, quickly and safely.

Keywords: Physical therapy, Protocol, Rehabilitation, Rotator cuff repair, Shoulder.