Ezell Dakota J, Malcarney Hilary L
Nevada Physical Therapy, Reno, NV, USA.
Nevada Orthopedics, Reno, NV, USA.
JSES Rev Rep Tech. 2021 May 13;1(3):179-185. doi: 10.1016/j.xrrt.2021.04.009. eCollection 2021 Aug.
Current rotator cuff repair rehabilitation protocols focus on multiple areas, including protecting the healing tissue, optimizing range of motion and strength, and returning the individual to labor demanding and sport-specific tasks. Post-operative rehabilitation timelines with consideration of the tear size remain variable among practitioners. Prognostic factors, healing rates, range of motion timeline, exercise progressions, and guidance on return to sport and work activity are the many factors that can help guide rotator cuff repair rehabilitation and ultimately may reduce failure rates and improve outcomes. The purpose of this narrative review is to outline the multi-factorial nature of rotator cuff pathology and guide treatment based on a multitude of factors.
当前的肩袖修复康复方案关注多个方面,包括保护愈合组织、优化活动范围和力量,以及使个体恢复到需要体力劳动和特定运动任务的状态。考虑到撕裂大小的术后康复时间线在从业者之间仍存在差异。预后因素、愈合率、活动范围时间线、锻炼进展以及恢复运动和工作活动的指导是许多有助于指导肩袖修复康复的因素,最终可能降低失败率并改善治疗效果。本叙述性综述的目的是概述肩袖病理的多因素性质,并基于多种因素指导治疗。