Early versus delayed rehabilitation protocol after arthroscopic rotator cuff repair

Abstract

Objective: To assess the effect of immobilization versus early range of motion exercises in treating primary arthroscopic rotator cuff repair secondary to full-thickness tear. Design: Parallel group randomized clinical trial. Participants: 30 patients with primary arthroscopic rotator cuff repair secondary to full-thickness tear participated in the study. Interventions: Patients were divided into two groups, 15 in each group. The first group (A) received early range of motion (ROM) exercises started 2 weeks post-operative; and the second group (B) immobilized immediately post operative and received delayed range of motion exercises started 6 weeks post-operative. Main outcomes: Shoulder pain and function were assessed by shoulder pain and disability index (SPADI). ROM of shoulder flexion, abduction, and internal rotation were assessed by standard goniometer. Scapular protraction was assessed by digital caliper and scapular upward rotation was assessed by bubble inclinometer. All outcomes were assessed in both groups 6 weeks, 3 months and 6 months postoperative. Results: A significant increase in flexion, abduction and internal rotation ROM at 6 weeks, 3 months and 6 months was observed between groups in favor of Group A.