Longo Umile Giuseppe, Rizzello Giacomo, Petrillo Stefano, Loppini Mattia, Maffulli Nicola, Denaro Vincenzo
Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, 00128 Rome, Italy.
Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20090 Pieve Emanuele, Milan, Italy.
Medicina (Kaunas). 2019 Jul 24;55(8):402. doi: 10.3390/medicina55080402.
To compare the long term clinical outcomes, range of motion (ROM) and strength of two different postoperative rehabilitation protocols after arthroscopic rotator cuff repair (RCR) for full-thickness rotator cuff (RC) tears. Patients undergoing RCR were divided into two groups. In 51 patients (56 shoulders), rehabilitation was performed without passive external rotation, anterior elevation ROM, and active pendulum exercises in the first 2 weeks after surgery (Group A). In 49 patients (50 shoulders) aggressive rehabilitation was implemented, with early free passive external rotation, anterior elevation ROM, and active pendulum exercises were allowed from the day after surgery (Group A). No statistically significant differences were found in clinical scores, muscle strength, passive forward flexion, passive and active internal/external rotation between the two groups. However, the mean active forward flexion was 167.3° ± 26° (range 90-180°) in group A and 156.5° ± 30.5° (range 90-180°) in group B ( = 0.04). A statistically significant difference between the 2 groups was found in active forward flexion ROM, which was better in patients of group A.
为比较关节镜下全层肩袖撕裂修复术（RCR）后两种不同术后康复方案的长期临床疗效、活动范围（ROM）和力量。接受RCR的患者被分为两组。51例患者（56肩）在术后前2周进行康复时不进行被动外旋、前屈ROM和主动钟摆运动（A组）。49例患者（50肩）实施积极康复，术后次日即允许早期自由被动外旋、前屈ROM和主动钟摆运动（B组）。两组在临床评分、肌肉力量、被动前屈、被动和主动内/外旋方面未发现统计学显著差异。然而，A组平均主动前屈为167.3°±26°（范围90 - 180°），B组为156.5°±30.5°（范围90 - 180°）（P = 0.04）。两组在主动前屈ROM方面存在统计学显著差异，A组患者的情况更好。
