Postoperative Rehabilitation Following Arthroscopic Rotator Cuff Repair

Abstract

Although the arthroscopic techniques described in the previous chapters have altered our approach to rotator cuff repairs and have improved upon the open procedures previously considered the gold standard, the principles of rehabilitation have not changed as dramatically. As Neer stated, “It is not enough to perform a technically perfect, clean shoulder reconstruction. The shoulder surgeon must have an equal fervor for preventing adhesions and strengthening muscles while preserving the integrity of his or her repair.”1 In addition, “because a good rehabilitation program is critical … in restoring optimum function in this complex joint, the shoulder surgeon must not only understand this type of rehabilitation but also remain actively involved with the patient and therapist to make it work.” There is now more science available to guide the shoulder surgeon and physical therapist, but there remains an art to the process.