Jornal Internacional de Neurorreabilitação

Aggressive and Traditional Postoperative Rehabilitation Protocols for Rotator Cuff Repair: A Meta-analysis

Abstract

Haren Nandapalan

Introduction: A well-planned rehabilitation programme is just as crucial to a patient's rotator cuff repair procedure's successful completion of tendon healing and the best possible shoulder functional outcome as the size/location of the tear, the surgical approach and the fixation techniques (RCR). There is ongoing debate over the best order to carry out rehabilitation.

Purpose: This meta-objective analysis compares the results of an intense post-operative care regimen versus a traditional rehabilitation programme. The Cochrane Library, CINAHL, PubMed, Ovid MEDLINE and CEPS databases were also searched. We ultimately included six publications that met our criterion for selection.

Results: The traditional strategy improves ROM and shoulder function more than the intensive postoperative rehabilitation method, but it also involves a larger risk of the rotator cuff tendon failing to heal or rupturing again.

Conclusion: Despite the fact that patients with RCR benefit from the rigorous postoperative rehabilitation routine, additional research on the variables impacting the risk of tendon un-healing/re-tearing is needed. These elements must be taken into account while designing a postoperative programme for RCR patients.