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Rotator Cuff repair rehabilitation

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https://www.readbyqxmd.com/read/28400883/rehabilitation-after-rotator-cuff-repair
#1
REVIEW
Ourania Nikolaidou, Stefania Migkou, Christos Karampalis
BACKGROUND: Rotator cuff tears are a very common condition that is often incapacitating. Whether non-surgical or surgical, successful management of rotator cuff disease is dependent on appropriate rehabilitation. If conservative management is insufficient, surgical repair is often indicated. Postsurgical outcomes for patients having had rotator cuff repair can be quite good. A successful outcome is much dependent on surgical technique as it is on rehabilitation. Numerous rehabilitation protocols for the management of rotator cuff disease are based primarily on clinical experience and expert opinion...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28331139/arthroscopic-removal-and-tendon-repair-for-refractory-rotator-cuff-calcific-tendinitis-of-the-shoulder
#2
Hiroshi Hashiguchi, Satoshi Iwashita, Atsushi Okubo, Shinro Takai
BACKGROUND: The purpose of this study was to evaluate clinical and radiological outcomes of arthroscopic treatment for refractory rotator cuff calcific tendinitis of the shoulder. METHODS: Subjects were 37 patients (35 women and 2 men; mean age, 47.8 years; age range 34-61 years) who had undergone arthroscopic treatment for calcific tendinitis of the shoulder. Despite sufficient nonsurgical treatments, all patients had residual calcific deposit with persistent or recurrent pain...
2017: Journal of Nippon Medical School, Nippon Ika Daigaku Zasshi
https://www.readbyqxmd.com/read/28318406/use-of-a-shoulder-abduction-brace-after-arthroscopic-rotator-cuff-repair-a-study-on-gait-performance-and-falls
#3
Yuma Sonoda, Takashi Nishioka, Ryo Nakajima, Shinji Imai, Piers Vigers, Taku Kawasaki
BACKGROUND: Fall prevention is essential in patients after arthroscopic rotator cuff repair because of the high risk of re-rupture. However, there are no reports related to falls that occur during the early postoperative period, while the affected limb is immobilized. OBJECTIVES: This study assessed gait performance and falls in patients using a shoulder abduction brace after arthroscopic rotator cuff repair. STUDY DESIGN: Prospective cohort and postoperative repeated measures...
March 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28314695/a-systematic-review-of-cost-effective-treatment-of-postoperative-rotator-cuff-repairs
#4
REVIEW
Rebecca N Dickinson, John E Kuhn, Jamie L Bergner, Katherine H Rizzone
OBJECTIVE: The Bundled Payments for Care Improvement initiative combines payment of multiple services for episodes of care into 1 bundle. Rotator cuff repair is a likely candidate for future inclusion. The objective of this study was to determine cost-effective, high-quality postoperative rehabilitation dosing and cryotherapy for patients undergoing rotator cuff repair based on systematic review of the literature. METHODS: Systematic review of level I and level II articles was performed in PubMed, Cochrane Databases, and PEDro...
May 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28288280/early-versus-delayed-motion-after-rotator-cuff-repair
#5
Darby A Houck, Matthew J Kraeutler, Hayden B Schuette, Eric C McCarty, Jonathan T Bravman
BACKGROUND: Previous meta-analyses have been conducted to compare outcomes of early versus delayed motion after rotator cuff repair. PURPOSE: To conduct a systematic review of overlapping meta-analyses comparing early versus delayed motion rehabilitation protocols after rotator cuff repair to determine which meta-analyses provide the best available evidence. STUDY DESIGN: Systematic review. METHODS: A systematic review was performed by searching PubMed and Cochrane Library databases...
March 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28261431/outcomes-of-rotator-cuff-repair-in-patients-with-comorbid-disability-in-the-extremities
#6
Joo Han Oh, Woo Kim, Jung Youn Kim, Yong Girl Rhee
BACKGROUND: Rehabilitation and overuse of the shoulder after rotator cuff repair are a concern in patients with comorbid disability in other extremities. Improvement of outcomes can be hampered in this situation. This study was to describe the clinical outcomes of rotator cuff repair in patients with comorbid disability in other extremities. METHODS: In two tertiary institutions, 16 patients with comorbid disability (9 men and 7 women; mean age of 57.1 years [range, 45 to 71 years]; 14 dominant arms; mean follow-up of 18 months [range, 12 to 38 months]) underwent rotator cuff repair...
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28210654/postoperative-rehabilitation-after-rotator-cuff-repair-a-web-based-survey-of-aana-and-aossm-members
#7
Scott Mollison, Jason J Shin, Alexander Glogau, R Cole Beavis
BACKGROUND: Postoperative rehabilitation after arthroscopic rotator cuff repair (ARCR) remains controversial and suffers from limited high-quality evidence. Therefore, appropriate use criteria must partially depend on expert opinion. HYPOTHESIS/PURPOSE: The purpose of the study was to determine and report on the standard and modified rehabilitation protocols after ARCR used by member orthopaedic surgeons of the American Orthopaedic Society for Sports Medicine (AOSSM) and the Arthroscopy Association of North America (AANA)...
January 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28111006/the-effect-of-early-range-of-motion-on-quality-of-life-clinical-outcome-and-repair-integrity-after-arthroscopic-rotator-cuff-repair
#8
Augustus D Mazzocca, Robert A Arciero, Kevin P Shea, John M Apostolakos, Olga Solovyova, Gregg Gomlinski, Karen E Wojcik, Vincent Tafuto, Harlan Stock, Mark P Cote
PURPOSE: To compare the effect of early versus delayed motion protocols on quality of life, clinical outcomes, and repair integrity in patients who have undergone arthroscopic single-tendon rotator cuff repair. METHODS: This was a prospective, randomized, investigator-blinded clinical trial. Seventy-three patients from a single surgeon's practice who underwent arthroscopic repair of a single-tendon rotator cuff tear were randomized to either an early motion protocol (starting 2 to 3 days after surgery) or a delayed motion protocol (starting 28 days after surgery)...
January 19, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28039127/effectiveness-of-early-compared-with-conservative-rehabilitation-for-patients-having-rotator-cuff-repair-surgery-an-overview-of-systematic-reviews
#9
Bruno Fles Mazuquin, Andrew Charles Wright, Sarah Russell, Puneet Monga, James Selfe, Jim Richards
AIM/OBJECTIVE: The aim is to critically analyse and discuss the current literature and determine the effectiveness of rehabilitation for patients after surgical repair of rotator cuff tears for range of motion (ROM), pain, functional status and retear rates; in addition, an update of new literature is included. DESIGN: Overview of systematic reviews. DATA SOURCES: A search was performed with no restrictions to date of publication and language in the following databases: EBSCO, AMED, CINAHL, SPORTDiscus, EMBASE, Cochrane, LILACS, MEDLINE, PEDro, Scielo, SCOPUS and Web of Knowledge...
December 30, 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27904211/post-operative-pain-management-in-shoulder-surgery-suprascapular-and-axillary-nerve-block-by-arthroscope-assisted-catheter-placement
#10
H Çağdaş Basat, D Hakan Uçar, Mehmet Armangil, Berk Güçlü, Mehmet Demirtaş
BACKGROUND: Postoperative pain management is the part of shoulder surgery to improve patient satisfaction, start rehabilitation process rapidly and decrease for hospital stay. Various treatment modalities have been used for pain management, but they have some limitations, side effects and risks. Throughout intraoperative and postoperative period, nerve blocks have been used more popularly than others because of efficacy. For the regional nerve block, local anesthetic should be infiltrated close to the nerve for maximum effect...
November 2016: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/27814629/advances-in-the-treatment-of-rotator-cuff-lesions-by-cytokines
#11
Genbin Wu, Peng Cheng Xu, Peng Wu, Kaihua Hu, Yeqing Sun, Biao Cheng, Yong Lu
Rotator cuff tears are one of the most common shoulder problems that usually require operative treatments. Therapeutic options used to repair ruptured tendons have consisted of suture, autografts, allografts, and synthetic prostheses. Although surgical treatments have improved dramatically up to now, shoulder pathology is still challenging to orthopedic surgery primarily because these injuries often respond poorly to treatment and require prolonged rehabilitation. Recent attention has focused on several biologic pathways which can augment function to tendon healing, consequently leading to the identification of growth factors involved in this process...
January 1, 2017: Frontiers in Bioscience (Landmark Edition)
https://www.readbyqxmd.com/read/27757408/functional-outcomes-after-double-row-versus-single-row-rotator-cuff-repair-a-prospective-randomized-trial
#12
Stephen J Nicholas, Steven J Lee, Michael J Mullaney, Timothy F Tyler, Takumi Fukunaga, Christopher D Johnson, Malachy P McHugh
BACKGROUND: The functional benefits of double-row (DR) versus single-row (SR) rotator cuff repair are not clearly established. PURPOSE: To examine the effect of DR versus SR rotator cuff repair on functional outcomes and strength recovery in patients with full-thickness tears. STUDY DESIGN: Randomized controlled trial; Level of evidence, 2. METHODS: Forty-nine patients were randomized to DR or SR repairs; 36 patients (13 women, 23 men; mean age, 62 ± 7 years; 20 SR, 16 DR) were assessed at a mean 2...
October 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27708736/prognosis-driven-rehabilitation-after-rotator-cuff-repair-surgery
#13
Dirk Kokmeyer, Eric Dube, Peter J Millett
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...
2016: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/27639653/assessment-of-kinematics-and-electromyography-following-arthroscopic-single-tendon-rotator-cuff-repair
#14
Jessica M Fritz, Ryan R Inawat, Brooke A Slavens, John R McGuire, Dean W Ziegler, Sergey S Tarima, Steven I Grindel, Gerald F Harris
BACKGROUND: The increasing demand for rotator cuff (RC) repair patients to return to work as soon as they are physically able has led to exploration of when this is feasible. Current guidelines from our orthopedic surgery clinic recommend a return to work at 9 weeks postoperation. To more fully define capacity to return to work, the current study was conducted using a unique series of quantitative tools. To date, no study has combined 3-dimensional (3D) motion analysis with electromyography (EMG) assessment during activities of daily living (ADLs), including desk tasks, and commonly prescribed rehabilitation exercise...
September 14, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27548366/the-ability-of-preoperative-factors-to-predict-patient-reported-disability-following-surgery-for-rotator-cuff-pathology
#15
Jason D Woollard, James E Bost, Sara R Piva, G Kelley Fitzgerald, Mark W Rodosky, James J Irrgang
PURPOSE: Minimal research has examined the prognostic ability of shoulder examination data or psychosocial factors in predicting patient-reported disability following surgery for rotator cuff pathology. The purpose of this study was to examine these factors for prognostic value in order to help clinicians and patients understand preoperative factors that impact disability following surgery. METHODS: Sixty-two patients scheduled for subacromial decompression with or without supraspinatus repair were recruited...
August 22, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27522591/critical-period-and-risk-factors-for-retear-following-arthroscopic-repair-of-the-rotator-cuff
#16
Johannes Barth, Kevin Andrieu, Elias Fotiadis, Gerjon Hannink, Renaud Barthelemy, Mo Saffarini
PURPOSE: The incidence of retear following rotator cuff repair remains a major concern, and the cause and timing of retear remain unclear. The aim of this study was to prospectively investigate the timing of retears following rotator cuff repair at multiple time intervals. The hypothesis was that the 'critical period' for retears extends beyond the first three post-operative months. METHODS: The authors prospectively studied 206 shoulders that underwent arthroscopic double-row (without suture bridge) suture anchor repair for rotator cuff tears...
August 13, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27422460/2013-neer-award-predictors-of-failure-of-nonoperative-treatment-of-chronic-symptomatic-full-thickness-rotator-cuff-tears
#17
MULTICENTER STUDY
Warren R Dunn, John E Kuhn, Rosemary Sanders, Qi An, Keith M Baumgarten, Julie Y Bishop, Robert H Brophy, James L Carey, Frank Harrell, Brian G Holloway, Grant L Jones, C Benjamin Ma, Robert G Marx, Eric C McCarty, Sourav K Poddar, Matthew V Smith, Edwin E Spencer, Armando F Vidal, Brian R Wolf, Rick W Wright
BACKGROUND: The purpose of this study is to help define the indications for rotator cuff repair by identifying predictors of failure of nonoperative treatment. METHODS: A prospective, multicenter, cohort study design was used. All patients with full-thickness rotator cuff tears on magnetic resonance imaging were offered participation. Baseline data from this cohort were used to examine risk factors for failing a standard rehabilitation protocol. Patients who underwent surgery were defined as failing nonoperative treatment...
August 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27390438/analysis-of-scapular-kinematics-during-active-and-passive-arm-elevation
#18
Yoshihiro Kai, Masafumi Gotoh, Kazuto Takei, Kazuya Madokoro, Takeshi Imura, Shin Murata, Toru Morihara, Naoto Shiba
[Purpose] Early postoperative passive motion exercise after arthroscopic rotator cuff repair remains controversial. To better understand this issue, this study was aimed at evaluating scapular kinematics and muscle activities during passive arm elevation in healthy subjects. [Subjects and Methods] The dominant shoulders of 27 healthy subjects were examined. Electromagnetic sensors attached to the scapula, thorax, and humerus were used to determine three-dimensional scapular kinematics during active arm elevation with or without external loads and passive arm elevation...
June 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27385156/surgery-or-conservative-treatment-for-rotator-cuff-tear-a-meta-analysis
#19
Anssi Ryösä, Katri Laimi, Ville Äärimaa, Kaisa Lehtimäki, Juha Kukkonen, Mikhail Saltychev
PURPOSE: Comparative evidence on treating rotator cuff tear is inconclusive. The objective of this review was to evaluate the evidence on effectiveness of tendon repair in reducing pain and improving function of the shoulder when compared with conservative treatment of symptomatic rotator cuff tear. METHOD: Search on CENTRAL, MEDLINE, EMBASE, CINAHL, Web of Science and Pedro databases. Randomised controlled trials (RCT) comparing surgery and conservative treatment of rotator cuff tear...
July 6, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27332786/mobility-recovery-after-arthroscopic-rotator-cuff-repair
#20
Stefano Gumina, Rosanna Izzo, Giovanni Pintabona, Vittorio Candela, Riccardo Savastano, Valter Santilli
BACKGROUND: Mobility recovery after arthroscopic rotator cuff repair in different tears size. AIM: To investigate, after arthroscopic rotator cuff repair, the range of motion (ROM) progression in different sized tears (small, large and massive), and evaluating ROM changes in the pre and postoperative periods of each group. DESIGN: cohort study. SETTING: Policlinico Umberto I, "Sapienza" University, Rome, Italy. POPULATION: 92 patients with reparable rotator cuff tears...
June 22, 2016: European Journal of Physical and Rehabilitation Medicine
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