Journal
CLINICS IN SPORTS MEDICINE
Volume 34, Issue 2, Pages 233-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.csm.2014.12.007
Keywords
Rotator cuff repair; Range of motion; Outcomes; Rehabilitation
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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.
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