Holzer Nicolas, Cunningham Gregory, Duthon Victoria, Graf Véronique, Ziltener Jean-Luc, Hoffmeyer Pierre
Rev Med Suisse. 2013 Dec 18;9(411):2376-9.
Rehabilitation post surgical repair of the rotator cuff is an important determinant of the quality of the healing process, and of the clinical and functional results. Techniques used have been reported to favor certain of those parameters at the expense of others. Several approaches have been proposed; none has reached a consensus yet. The level of evidence in the literature does not allow for definitive recommendations and elaborating a protocol relies on clinical experience as well as expert opinion, incorporating scientific data. An initial period of rest with limited passive motion emerges though as an approach suited to the treatment of most clinical situations.
肩袖手术修复后的康复是愈合过程质量以及临床和功能结果的重要决定因素。据报道,所采用的技术有利于某些参数,但会牺牲其他参数。已经提出了几种方法;尚未达成共识。文献中的证据水平不允许给出明确的建议,制定方案依赖于临床经验以及专家意见,并纳入科学数据。不过,最初进行一段有限被动活动的休息期似乎是适合大多数临床情况的治疗方法。