What Influences Rehabilitation Outcomes after Arthroscopic Rotator Cuff Repair? Investigation of Risk Factors for Prolonged Rehabilitation

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  • Ninomiya Haruo
    Department of Rehabilitation Medicine, Japan Community Healthcare Organization, Osaka Hospital
  • Fuji Takesi
    Department of Rehabilitation Medicine, Japan Community Healthcare Organization, Osaka Hospital
  • Nagatomi Takayuki
    Rehabilitation, Japan Community Healthcare Organization, Osaka Hospital
  • Nagafuchi Teruyoshi
    Rehabilitation, Japan Community Healthcare Organization, Osaka Hospital
  • Araki Naoya
    Rehabilitation, Japan Community Healthcare Organization, Osaka Hospital
  • Mizuta Noritaka
    Rehabilitation, Japan Community Healthcare Organization, Osaka Hospital

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Other Title
  • 鏡視下腱板修復（ARCR）術後のリハビリテーション期間延長に関与する因子の検討
  • キョウシ カケンバン シュウフク(ARCR)ジュツゴ ノ リハビリテーション キカン エンチョウ ニ カンヨ スル インシ ノ ケントウ

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Abstract

<p>Purpose：Good functional results have been reported for arthroscopic repair of rotator cuff tears (ARCR) by several orthopedic surgeons, but few studies have examined the factors affecting rehabilitation outcomes.</p><p>This study was conducted to identify the factors associated with clinical outcome and the duration of rehabilitation after ARCR.</p><p>Subjects and methods：This was a retrospective evaluation of 576 patients who underwent ARCR between January 2009 and December 2013 (Men：331, Women：245；mean age：63.9±12.3 years).</p><p>Patients were divided into groups based on the duration of rehabilitation：less than or more than 6 months. Preoperative and postoperative evaluations, including outcome assessments and physical examination parameters, were reviewed：</p><p>① type of insurance, ② duration of illness, ③ pain on motion, ④ Japanese Orthopaedic Association Score, ⑤ site of cuff tear, ⑥ thickness of cuff tear, ⑦ repair conditions, ⑧ range of motion (ROM) before surgery, ⑨ ROM at 3 months after surgery, ⑩ ROM at 6 months after surgery, ⑪ muscle strength before surgery, and ⑫ muscle strength at 6 months after surgery．</p><p>Results：Factors influencing the duration of rehabilitation included traffic accident and workman&apos;s compensation insurance coverage, thickness of tear, range of motion of flexion and external rotation at 3 months after surgery, and strength on abduction at 6 months after surgery.</p><p>Conclusions：When beginning rehabilitation, the type of insurance and thickness of tear must be considered；during rehabilitation, ROM at 3 months and strength at 6 months after surgery must be considered.</p>

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