title: Knowing the speed limit: weighing the benefits and risks of rehabilitation progression after arthroscopic rotator cuff repair.
abstract: Rotator cuff repairs have increased. Although clinical trials have examined the effect of immobilization and timing of passive range of motion (ROM) on patient outcomes and structural integrity, there is controversy as to the timing and progression for therapy. Primary goals are restoring function while maintaining the structural integrity of the repair. We advocate for a protocol of 4 to 6 weeks of immobilization, followed by protected passive ROM, which is followed by a gradual progression to active ROM and then appropriate resistance exercise program for most all rotator cuff repairs. The rate of progression should be adjusted individually.
authors.affiliation: Proaxis Therapy, 200 Patewood Drive, Suite 150 C, Greenville, SC, USA; Center for Rehabilitation and Reconstruction Sciences, Greenville, SC, USA. Electronic address: chuck.thigpen@proaxistherapy.com.
authors.forename: Charles A
authors.initials: CA
authors.lastname: Thigpen
authors.affiliation: Department of Rehabilitation Therapies, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Shaffer
authors.affiliation: Department of Orthopedics, Steadman-Hawkins Clinics of the Carolinas, Greenville Health System, Greenville, SC, USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Kissenberth
mesh_terms: D001182:Arthroscopy; D001265:Athletic Injuries / Q000503:physiopathology / Q000534:rehabilitation* / Q000601:surgery*; D005081:Exercise Therapy; D006801:Humans; D007103:Immobilization; D016059:Range of Motion, Articular; D020127:Recovery of Function; D018570:Risk Assessment; D017006:Rotator Cuff / Q000503:physiopathology / Q000601:surgery*; D000070636:Rotator Cuff Injuries; D012421:Rupture / Q000503:physiopathology / Q000534:rehabilitation / Q000601:surgery; D016896:Treatment Outcome; D014945:Wound Healing
keywords: Outcomes; Range of motion; Rehabilitation; Rotator cuff repair