Journal international de neuroréadaptation

A Meta-analysis of the Postoperative Rehabilitation Protocol after Rotator Cuff Repair Comparing Aggressive and Traditional

Abstract

Vincent Auffret*

Introduction: For patients undergoing rotator cuff repair, a well-planned rehabilitation routine is equally important to complete tendon healing and optimal shoulder functional outcome as the size/location of the rip, surgical technique, and fixation modalities (RCR). The order in which rehabilitation should proceed is still up for discussion.

Purpose: This meta-objective analysis's is to compare the outcomes of a post-operative aggressive treatment and a conventional rehabilitation protocol. Methods: We looked through the databases of PubMed, Ovid MEDLINE, CINAHL, the Cochrane Library, and CEPS. Six publications that matched our selection criteria were ultimately included.

Results: The intensive postoperative rehabilitation approach improves ROM and shoulder function more than the conventional protocol, but it also carries a higher risk of the rotator cuff tendon failing to repair or rupturing again.

Conclusion: Despite the fact that patients with RCR benefit from the rigorous postoperative rehabilitation routine, additional research on the variables impacting the risk of tendon un-healing/re-tearing is needed. These elements must be taken into account while designing a postoperative programme for RCR patients.