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Rehabilitation Practice and Science

Translated Title

早期復健介入對於旋轉肌腱撕裂修補手術住院日之影響－簡介復健內容

Abstract

Currently, there is no standardized rehabilitation protocol for postoperative rotator cuff repair, particularly at acute stage. The purpose of the study was to evaluate the efficiency of preoperative patient education and acute stage rehabilitation, which may contribute in constructing a suitable rehabilitation protocol. The prospective observational study was conducted in a local teaching hospital over a period of 3 months. Twenty patients including 11 men and 9 women with a history of supraspinatus tear were enrolled in this study. The rehabilitation protocol involved preoperative patient education, postoperative proper positioning, passive range of motion exercises, and the usage of continuous passive motion device. The average preoperative pain (VAS) was 5.65 ± 1.39, and postoperative pain (VAS) was 1.76 ± 0.85 with average pain difference (VAS) of 3.81 ± 1.50. A total of 18 patients showed remarkable improvement of shoulder disability scale, and 2 patients showed marked shoulder stiffness. Sonography performed at a 3-month postoperative follow-up period showed tendon retear in 2 patients. The admission duration diminished for nearly 1 day after the preoperative patient education and acute stage rehabilitation. However, the percentage of patients visiting physiatrist's OPD remained the same. Our study suggested that combination of preoperative patient education and acute stage rehabilitation could diminish the admission duration for nearly 1 day, without jeopardizing the tendon healing. All patients were satisfied with the program and showed improvement in their shoulder range of motion and daily activities.

Language

Traditional Chinese

First Page

129

Last Page

136

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