The effect of systematic rehabilitation in promoting rehabilitation in patients with massive rotator cuff in-jury after arthroscopic repairi
Objective:To explore the effectiveness of systematic rehabilitation training in promoting the recovery of pa-tients with massive rotator cuff injury after arthroscopic repair.Method:A total of 90 cases with massive rotator cuff injury undergoing arthroscopic rotator cuff repair were retrospectively included from May 2018 to May 2022.Patients who could adhere to weekly postoperative sys-tematic rehabilitation therapy were selected as the treatment group(n=47),utilizing the rehabilitation program from Beijing Jishuitan Hopsital.Those who only received routine rehabilitation guidance postoperatively were se-lected as the control group(n=43).General data were analyzed and patients were compared for psychological state scores,Constant-Murley shoulder scale and satisfaction levels 6 months after surgery.The range of mo-tion(ROM)of active forward flexion,abduction and extemal rotation of shoulder were tested at 7 weeks,3 months and 6 months after operation in both group.Result:There was no significant difference between two groups in Constant Murley scores before operation(P>0.05).There were significant differences 6 months after operation(P<0.05),the treatment group had higher scores than the control group in Constant Murley scores(P<0.05).At 7 weeks,3 months and 6 months after operation,ROM of shoulder in the treatment group were better than that in the control group(P<0.05).Conclusion:Systematic and individual rehabilitation training for patients after arthroscopic repair of massive ro-tator cuff can effectively restore the function of shoulder joint,improve the psychological states and increases treatment satisfaction.