title: Early rehabilitation affects functional outcomes and activities of daily living after arthroscopic rotator cuff repair: a case report.
abstract: [Purpose] The effect of early rehabilitation protocols after arthroscopic rotator cuff repair is currently unknown. We examined short-term effects of early rehabilitation on functional outcomes and activities of daily living after arthroscopic rotator cuff repair. [Subject and Methods] An 82-year-old male fell during a walk, resulting in a supraspinatus tear. Arthroscopic rotator cuff repair was performed using a single-row technique. He wore an abduction brace for 6 weeks after surgery. [Results] From day 1 after surgery, passive range of motion exercises, including forward flexion and internal and external rotation were performed twice per day. Starting at 6 weeks after surgery, active range of motion exercises and muscle strengthening exercises were introduced gradually. At 6 weeks after surgery, his active forward flexion was 150°, UCLA shoulder rating scale score was 34 points, and Quick Disabilities of the Arm, Shoulder, and Hand questionnaire disability/symptom score was 36 points. At 20 weeks after surgery, his active forward flexion was 120°, UCLA shoulder rating scale score was 34 points, and Quick Disabilities of the Arm, Shoulder, and Hand questionnaire disability/symptom score was 0 points. [Conclusion] These protocols are recommended to physical therapists during rehabilitation for arthroscopic rotator cuff repair to support rapid reintegration into activities of daily living.
authors.affiliation: Department of Occupational Therapy, Health Science University, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Shimo
authors.affiliation: Department of Rehabilitation, Fuefuki Central Hospital, Japan.
authors.forename: Yuta
authors.initials: Y
authors.lastname: Sakamoto
authors.affiliation: Kugawa Hospital for Orthopaedic Surgery, Japan.
authors.forename: Akinari
authors.initials: A
authors.lastname: Tokiyoshi
authors.affiliation: Department of Physical Therapy, Health Science University, Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Yamamoto
keywords: Arthroscopic rotator cuff repair; Daily-living activities; Early rehabilitation