A Delayed Physical Therapy Protocol That Limited Passive Range of Motion Was Similar to a Protocol with Early Passive Range of Motion After Rotator Cuff Repair

Authors:
  • DCDj Cuff
    Dj Cuff
  • PUPupello
    Pupello
  • JIJ P Iannotti
    J P Iannotti
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Abstract
Cuff DJ, Pupello DR. Prospective Randomized Study of Arthroscopic Rotator Cuff Repair Using an Early Versus Delayed Postoperative Physical Therapy Protocol. J Shoulder Elbow Surg. 2012 May 2 [Epub ahead of print]. ### Question: In patients having arthroscopic rotator cuff repair, does a delayed physical therapy protocol that limits early passive range of shoulder motion differ from an early postoperative physical therapy protocol? ### Design: Randomized (unclear allocation concealment), unblinded controlled trial with 1-year follow-up. ### Setting: The Suncoast Orthopaedic Surgery and Sports Medicine Center in Venice, Florida. ### Patients: 68 patients (mean age, 63 years; 56% men) who had an isolated full-thickness crescent-shaped supraspinatus tear repaired arthroscopically with use of a transosseous equivalent suture-bridge technique and arthroscopic subacromial decompression in conjunction with the rotator cuff repair. Exclusion criteria were any labral or biceps procedure done at the same time as the rotator cuff repair; rotator cuff tears that were partial-thickness L-shaped pattern or reverse L-shaped pattern and that required margin convergence-type sutures or extended into the subscapularis or infraspinatus; evidence of glenohumeral arthritis; accompanying adhesive capsulitis; revision rotator cuff repairs; and Workers’ Compensation cases. All patients completed follow-up. ### Intervention: Patients were allocated to a delayed (n = …

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