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Minerva Ortopedica e Traumatologica 2007 April;58(2):125-35
Copyright © 2007 EDIZIONI MINERVA MEDICA
language: English
Rehabilitation for rotator cuff tears
Looney C. G. 1, Kokmeyer D. 2, Allwein C. S. 2, Millett P. J. 1
1 Steadman-Hawkins Clinic, Vail, CO, USA 2 Vail Valley Medical Center, Vail, CO, USA
Rotator cuff pathology is an extremely common problem in adult patients. While rehabilitation of the postsurgical rotator cuff patient is challenging, it is a problem best managed with the combined input of the patient, therapist, and treating orthopaedic surgeon. Rehabi-litation protocols should respect the balance between risk of rotator cuff retear from early aggressive therapy and the development of shoulder scarring and stiffness from prolonged immobilization. It should progress at a pace that prevents shoulder stiffness, but respects the timelines of tendon healing biology. The purpose of this article is to provide an evidence-based approach, using the available basic science and clinical literature, to illustrate rehabilitation guidelines after surgical repair of the rotator cuff.