Rotator Cuff Rehabilitation: A Survey of Practice in India

Authors

  • Ameya Kakodkar Department of Physiotherapy, Manipal College of Health Professions, MAHE, Manipal.
  • Kavitha Vishal Department of Physiotherapy, Manipal College of Health Professions, MAHE, Manipal
  • Ranganath Gangavelli GITAM School of Physiotherapy, GITAM,Vishakhapatnam.

DOI:

https://doi.org/10.37506/0dx38f34

Keywords:

rehabilitation”, “rotator cuff repair”, “rotator cuff tear”, “survey”, “tendon”.

Abstract

" This article was withdrawn as consent was not taken from all authors prior to publication".

Background- Rotator cuff related shoulder pain (RcRSp) and Rotator cuff (RC) tears constitute a significant amount of the caseload of shoulder disorders. Rehabilitation following surgical repair of the cuff is designed according to the stage of healing and has been widely studied with varying opinions on its progression.The present study aimed to describe the practice of rehabilitation following RC repair in India.

Study Design - Cross-sectional descriptive survey study

Methods- A content validated questionnaire to describe the rehabilitation practice following RC repair was developed and converted into an online survey.

Results- We analysed 125 responses from physiotherapists. Majority of the participants commenced passive range of motion (ROM) and scapular exercises in the first week, active ROM in 4-6 weeks. Wide variability exists in commencing glenohumeral strengthening exercises.

Conclusion-Rehabilitation practices show variability, with certain similarities to practice in other countries and non-uniform concordance to existing guidelines.

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Author Biographies

  • Ameya Kakodkar, Department of Physiotherapy, Manipal College of Health Professions, MAHE, Manipal.

    Post-graduate student, Department of Physiotherapy, Manipal College of Health Professions, MAHE, Manipal.

  • Kavitha Vishal, Department of Physiotherapy, Manipal College of Health Professions, MAHE, Manipal

    Assistant Professor, Department of Physiotherapy, Manipal College of Health Professions, MAHE, Manipal

  • Ranganath Gangavelli, GITAM School of Physiotherapy, GITAM,Vishakhapatnam.

    Professor and Principal, GITAM School of Physiotherapy, GITAM,Vishakhapatnam.

References

Mitchell C, Adebajo A, Hay E, Carr A. Shoulder pain: diagnosis and management in primary care. BMJ. 2005 Nov 10;331(7525):1124.

Vidal C, Lira MJ, de Marinis R, Liendo R, Contreras JJ. Increasing incidence of rotator cuff surgery: A nationwide registry study in Chile. BMC Musculoskelet Disord. 2021 Dec;22(1):1052.

Ryösä A, Laimi K, Äärimaa V, Lehtimäki K, Kukkonen J, Saltychev M. Surgery or conservative treatment for rotator cuff tear: a meta-analysis. Disabil Rehabil. 2017 Jul 3;39(14):1357–63.

Longo UG, Risi Ambrogioni L, Candela V, Berton A, Carnevale A, Schena E, et al. Conservative versus surgical management for patients with rotator cuff tears: a systematic review and META-analysis. BMC Musculoskelet Disord. 2021 Dec;22(1):50.

Kuhn JE, Dunn WR, Sanders R, An Q, Baumgarten KM, Bishop JY, et al. Effectiveness of physical therapy in treating atraumatic full-thickness rotator cuff tears: a multicenter prospective cohort study. J Shoulder Elbow Surg. 2013 Oct;22(10):1371–9.

Piper CC, Hughes AJ, Ma Y, Wang H, Neviaser AS. Operative versus nonoperative treatment for the management of full-thickness rotator cuff tears: a systematic review and meta-analysis. J Shoulder Elbow Surg. 2018 Mar;27(3):572–6.

Moosmayer S, Lund G, Seljom U, Svege I, Hennig T, Tariq R, et al. Comparison between surgery and physiotherapy in the treatment of small and medium-sized tears of the rotator cuff: A randomised controlled study of 103 patients with one-year follow-up. J Bone Joint Surg Br. 2010 Jan;92(1):83–91.

Colvin AC, Egorova N, Harrison AK, Moskowitz A, Flatow EL. National trends in rotator cuff repair. J Bone Joint Surg Am. 2012 Feb 1;94(3):227–33.

Ensor KL, Kwon YW, DiBeneditto MR, Zuckerman JD, Rokito AS. The rising incidence of rotator cuff repairs. J Shoulder Elbow Surg. 2013 Dec 1;22(12):1628–32.

Sgroi TA, Cilenti M. Rotator cuff repair: post-operative rehabilitation concepts. Curr Rev Musculoskelet Med. 2018 Mar;11(1):86–91.

Tokish JM, Hawkins RJ. Current concepts in the evolution of arthroscopic rotator cuff repair. JSES Rev Rep Tech. 2021 May 1;1(2):75–83.

Funk L. Arthroscopic shoulder surgery has progressed, has the rehabilitation? Int Musculoskelet Med. 2012 Dec;34(4):141–5.

Littlewood C, Mazuquin B, Moffatt M, Bateman M. Rehabilitation following rotator cuff repair: A survey of current practice (2020). Musculoskeletal Care. 2021 Jun;19(2):165–71.

Mazuquin B, Moffatt M, Gill P, Selfe J, Rees J, Drew S, et al. Effectiveness of early versus delayed rehabilitation following rotator cuff repair: Systematic review and meta-analyses. Saul K, editor. PLOS ONE. 2021 May 28;16(5):e0252137.

Mazuquin B, Bateman M, Realpe A, Drew S, Rees J, Littlewood C. Rehabilitation following rotator cuff repair: A survey exploring clinical equipoise among surgical members of the British Elbow and Shoulder Society. Shoulder Elb. 2021 Dec 1;175857322110598.

Brindisino F, De Santis A, Rossettini G, Pellicciari L, Filipponi M, Rollo G, et al. Post-surgery rehabilitation following rotator cuff repair. A survey of current (2020) Italian clinical practice. Disabil Rehabil. 2021 May 4;1–11.

Harman B, Olds M. Rotator cuff repair protocols: a survey of current New Zealand practice. N Z J Physiother [Internet]. 2017 Mar 28 [cited 2022 Jul 13];45(1). Available from: https://12218-console.memberconnex.com/Folder?Action=View%20File&Folder_id=386&File=45.1.04.pdf

Eysenbach G. Improving the quality of Web surveys: the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). J Med Internet Res. 2004 Sep 29;6(3):e34.

Littlewood C, Bateman M. Rehabilitation following rotator cuff repair: a survey of current UK practice. Shoulder Elb. 2015 Jul;7(3):193–204.

Brindisino F, Salomon M, Giagio S, Pastore C, Innocenti T. Rotator cuff repair vs. nonoperative treatment: a systematic review with meta-analysis. J Shoulder Elbow Surg. 2021 Nov;30(11):2648–59.

Zamanzadeh V, Ghahramanian A, Rassouli M, Abbaszadeh A, Alavi-Majd H, Nikanfar AR. Design and Implementation Content Validity Study: Development of an instrument for measuring Patient-Centered Communication. J Caring Sci. 2015 Jun 1;4(2):165–78.

Gore S, Goldberg A, Huang MH, Shoemaker M, Blackwood J. Development and validation of a quality appraisal tool for validity studies (QAVALS). Physiother Theory Pract. 2021 May;37(5):646–54.

Department of Medical Education, School of Medical Sciences, Universiti Sains Malaysia, MALAYSIA, Yusoff MSB. ABC of Content Validation and Content Validity Index Calculation. Educ Med J. 2019 Jun 28;11(2):49–54.

Kjaer BH, Magnusson SP, Henriksen M, Warming S, Boyle E, Krogsgaard MR, et al. Effects of 12 Weeks of Progressive Early Active Exercise Therapy After Surgical Rotator Cuff Repair: 12 Weeks and 1-Year Results From the CUT-N-MOVE Randomized Controlled Trial. Am J Sports Med. 2021 Feb;49(2):321–31.

Oliva F, Piccirilli E, Bossa M, Via AG, Colombo A, Chillemi C, et al. I.S.Mu.L.T - Rotator Cuff Tears Guidelines. Muscles Ligaments Tendons J. 2015 Dec;5(4):227–63.

Published

2024-05-02

Issue

Vol. 18 No. 2 (2024): Indian Journal of Physiotherapy & Occupational Therapy

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

How to Cite

Rotator Cuff Rehabilitation: A Survey of Practice in India. (2024). Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 18(2), 1-7. https://doi.org/10.37506/0dx38f34