Clinical Effects of Rehabilitation after Arthroscopic Rotator Cuff Repair

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Rotator cuff tears are a common cause of shoulder pain and dysfunction, with a prevalence of 13% in adults over 50 and 50% in people over 80. Non-operative treatment may be offered to patients who have minor incomplete rips. When nonsurgical treatments have failed, rotator cuff surgery is recommended. The fact that different tendon-to-bone healing capacities exist is a drawback of the surgical procedure. The rate of subsequent tears following repair in young participants with non-retracted tears ranged from 16% to 94 percent. The rapid development of surgical techniques like open repair, mini-open repair, and arthroscopic repair has increased the importance and difficulty of providing the best rehabilitation possible following rotator cuff surgery. Optimal tendon healing and a positive functional outcome for the shoulder depend on the size and location of the rupture, the surgical approach and fixation methods, and a well-planned rehabilitation routine. When it comes to postoperative rehabilitation programs, the length of immobilization, active versus passive motion, and vigorous postoperative treatment are still up for debate. Accelerated or intensive rehabilitation protocols, integrated pre-operative rehabilitation, early use of passive or active range-of-motion exercises, and higher doses of a rehabilitation protocol are all examples of aggressive rehabilitation protocols. It is suggested that you move passively as soon as possible after surgery to avoid stiffness afterward. Raab et al. found that a faster recovery in range of motion (ROM) and relief from pain was achieved with early continuous passive motion following repair. in 1996. However, other authors claim that immobilization for four to six weeks following rotator cuff repair may aid tendon healing. A higher rate of unhealed injuries and even rotator cuff retreading occurred as a result of early motion following repair. However, a recent study found that early vigorous motion in the fourth postoperative week had no negative effects. Due to advancements in surgical techniques, the likelihood of an early or aggressive post-operative treatment strategy has increased recently.