Early Rehabilitation Program with Mobilization Technique after Arthroscopic Rotator Cuff Repair: A Case Report
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Abstract
Physiotherapy is an important element for rehabilitation in a patient after arthroscopy rotator cuff repair. A rehabilitation program is used to fulfil the goal of the operation. A stiff shoulder is a very common symptom after arthroscopy rotator cuff repair. Using a rehabilitation protocol is still controversial as to whether or not patients should move the shoulder as soon as possible. Moreover, there are various techniques to improve movement of the shoulder at each phase of rehabilitation. It is still unclear which protocol is the most effective rehabilitation after arthroscopy. I found that starting the program 1 day after arthroscopic rotator cuff repair together with a mobilization technique in one patient. Two days after the operation the patient was able to perform routine daily activities with some help, such as putting on and taking off clothes and a shoulder abduction pillow and eating. Seven days after the operation pain was completely gone, passive range of motion of the shoulder increased in flexion and abduction to 150 ° and 120° respectively, and reached full range of motion on day 14 after the operation. Two months after the operation, the patient could do full active range of motion except hand behind back (internal rotation of shoulder) until the hands reach the 4th–5th lumbar of the spine with stiffness at the end of the range of motion. The patient could do these activities by herself except that some activities could cause stiffness at the end of the range of motion such as hooking a bra. Three months after the operation, the patient had full range of motion in every direction, could do normal activities daily living and started to exercise with the theraband. These programs are recommended to physical therapists during rehabilitation for arthroscopic rotator cuff repair to support rapid reintegration into activities of daily living.
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References
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