The compare of stiffness reduction and functional improvements between early passive motion and delayed passive motion in patients undergoing arthroscopic rotator cuff repair
10.3969/j.issn.1006-5725.2018.10.020
- VernacularTitle:关节镜下肩袖修复术后早期与延迟被动运动的疗效比较
- Author:
Rui GUO
1
;
Huajun WANG
;
Yun DONG
;
Yong YANG
;
Hao GUAN
;
Xiaofei ZHENG
Author Information
1. 河北医科大学附属邢台市人民医院 河北邢台 054001
- Keywords:
rotator cuff injury;
arthroscopy;
rehabilitation;
passive motion
- From:
The Journal of Practical Medicine
2018;34(10):1659-1663
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effects of early passive motion(EPM)and delayed passive motion (DPM)on joint range of motion(ROM),joint function and recurrent tears after arthroscopic rotator cuff repair. Methods A total of 84 cases with middle or large rotator cuff injury were randomly divided into EPM group(43 cases)and DPM group(41 cases). EPM group began shoulder rehabilitation exercise on the first day post-opera-tion and DPM group began 6 weeks later. ROM,pain and function of shoulder joint were evaluated before and 3,6 and 12 months after operation. Results ASES score and UCLA score in EPM group were significantly higher than those in DPM group at 3 months postoperatively(P < 0.05). There was no significant difference in joint ROM,pain and functional between two groups at 6 months and 12 months postoperatively(P > 0.05). There was no statistically significant difference in recurrent tears between two groups at least 12 months follow-up. Conclusion There was no significant difference in functional outcomes,ROM and relative risks of recurrent tears between EPM and DPM in patients undergoing arthroscopic rotator cuff repairs. EPM is conducive to joint ROM and function rapid recovery postoperatively and does not increase the risks of recurrent tears.
