Rotator Cuff Rehabilitation: A Survey of Practice in India

Ameya Kakodkar, Kavitha Vishal, Ranganath Gangavelli
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Abstract

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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肩袖康复:印度实践调查
背景--肩袖相关性疼痛(RcRSp)和肩袖撕裂在肩关节疾病的病例中占很大比例。肩袖手术修复后的康复治疗是根据愈合阶段设计的,对其进展情况的研究也很广泛,但意见不一。本研究旨在描述印度肩袖修复后的康复治疗实践。研究设计--横断面描述性调查研究 方法--制定了一份内容经过验证的调查问卷,用于描述 RC 修复后的康复实践,并将其转化为在线调查。结果 - 我们分析了物理治疗师的 125 份回复。大多数参与者在第一周开始进行被动活动范围(ROM)和肩胛骨锻炼,4-6周后开始进行主动活动范围锻炼。在开始进行盂肱关节强化训练方面存在很大差异。结论-康复训练的做法存在差异,与其他国家的做法有某些相似之处,但与现有指南的一致性并不统一。
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