Guide to Physical Therapy After Arthroscopic Rotator Cuff Repair [Evidence Based 2023] FPF Show Episode 68

Guide to Physical Therapy After Arthroscopic Rotator Cuff Repair [Evidence Based 2023] FPF Show Episode 68

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In today's episode we go over a Guide to Physical Therapy After Arthroscopic Rotator Cuff Repair [Evidence Based 2023] FPF Show Episode 68: 

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Show Notes / Relevant Articles:

• FPF Mini Course - 7 Reasons Why Injuries Happen in the Gym and What to do About it
• When Do Rotator Cuff Tears Fail After Surgical Repair? | Arthroscopic Surgery, Physical Therapy
• The Ultimate Guide to Rotator Cuff Tears, Tendinopathy and Sub-acromial Impingement Syndrome
• The Ultimate Guide to Getting Out of Shoulder Pain and Back to Bench Press, Overhead Press and Olympic Lifts
• Physical Therapy Diagnosis and Treatment for Rotator Cuff Tendinitis / Impingement 
• What Physical Therapists NEED to Know About Rotator Cuff Repair from an Orthopedic Surgeon
• Do I Need Surgery for My Torn Rotator Cuff?

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Thank you!

Dan Pope DPT, OCS, CSCS

References: 

1. Matlak S, Andrews A, Looney A, Tepper KB. Postoperative Rehabilitation of Rotator Cuff Repair: A Systematic Review. Sports Med Arthrosc Rev. 2021 Jun 1;29(2):119-129. doi: 10.1097/JSA.0000000000000310. PMID: 33972488.

2. Rossi LA, Atala N, Bertona A, Tanoira I, Bongiovanni S, Maignon G, Ranalletta M. Return to Sports After in Situ Arthroscopic Repair of Partial Rotator Cuff Tears. Arthroscopy. 2019 Jan;35(1):32-37. doi: 10.1016/j.arthro.2018.07.037. Epub 2018 Nov 22. PMID: 30473454.

3. Altintas B, Anderson N, Dornan GJ, Boykin RE, Logan C, Millett PJ. Return to Sport After Arthroscopic Rotator Cuff Repair: Is There a Difference Between the Recreational and the Competitive Athlete? Am J Sports Med. 2020 Jan;48(1):252-261. doi: 10.1177/0363546519825624. Epub 2019 Mar 11. PMID: 30855979.

4. Berton A, De Salvatore S, Candela V, Cortina G, Lo Presti D, Massaroni C, Petrillo S, Denaro V. Delayed Rehabilitation Protocol after Rotator Cuff Repair. Osteology. 2021; 1(1):29-38. https://doi.org/10.3390/osteology1010003

5. Novoa-Boldo A, Gulotta LV. Expectations Following Rotator Cuff Surgery. Curr Rev Musculoskelet Med. 2018 Mar;11(1):162-166. doi: 10.1007/s12178-018-9470-7. PMID: 29435813; PMCID: PMC5825351.

6. Seiter, Max & Nolte, Philip-Christian & Elrick, Bryant & Millett, Peter. (2020). Clinical outcomes of rotator cuff repair in athletes. Annals of Joint. 5. 10.21037/aoj-20-40. 

7. Carbone S, Candela V, Gumina S. High Rate of Return to CrossFit Training After Arthroscopic Management of Rotator Cuff Tear. Orthop J Sports Med. 2020 Apr 1;8(4):2325967120911039. doi: 10.1177/2325967120911039. Erratum in: Orthop J Sports Med. 2020 May 30;8(5):2325967120928365. PMID: 32284944; PMCID: PMC7139188.

8. Le BT, Wu XL, Lam PH, Murrell GA. Factors predicting rotator cuff retears: an analysis of 1000 consecutive rotator cuff repairs. Am J Sports Med. 2014 May;42(5):1134-42. doi: 10.1177/0363546514525336. Epub 2014 Apr 18. PMID: 24748610.

9. Li S, Sun H, Luo X, Wang K, Wu G, Zhou J, Wang P, Sun X. The clinical effect of rehabilitation following arthroscopic rotator cuff repair: A meta-analysis of early versus delayed passive motion. Medicine (Baltimore). 2018 Jan;97(2):e9625. doi: 10.1097/MD.0000000000009625. PMID: 29480870; PMCID: PMC5943887.

10. Saltzman BM, Zuke WA, Go B, Mascarenhas R, Verma NN, Cole BJ, Romeo AA, Forsythe B. Does early motion lead to a higher failure rate or better outcomes after arthroscopic rotator cuff repair? A systematic review of overlapping meta-analyses. J Shoulder Elbow Surg. 2017 Sep;26(9):1681-1691. doi: 10.1016/j.jse.2017.04.004. Epub 2017 Jun 12. PMID: 28619382.

11. Tirefort J, Schwitzguebel AJ, Collin P, Nowak A, Plomb-Holmes C, Lädermann A. Postoperative Mobilization After Superior Rotator Cuff Repair: Sling Versus No Sling: A Randomized Prospective Study. J Bone Joint Surg Am. 2019 Mar 20;101(6):494-503. doi: 10.2106/JBJS.18.00773. PMID: 30893230.

12. McBroom TJ, Abraham PF, Varady NH, Kucharik MP, Eberlin CT, Best MJ, Martin SD. Accelerated versus standard physical therapy in patients with transtendinous rotator cuff repair: a propensity-matched cohort study. J Shoulder Elbow Surg. 2022 Jun;31(6S):S123-S130. doi: 10.1016/j.jse.2021.10.039. Epub 2021 Dec 2. PMID: 34864154.

13. Longo UG, Risi Ambrogioni L, Berton A, Candela V, Migliorini F, Carnevale A, Schena E, Nazarian A, DeAngelis J, Denaro V. Conservative versus accelerated rehabilitation after rotator cuff repair: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2021 Jul 24;22(1):637. doi: 10.1186/s12891-021-04397-0. PMID: 34303366; PMCID: PMC8310609.

14. University of Delaware Protocols: https://sites.udel.edu/ptclinic/professionals/guidelines/