Effects of Early Rehabilitation on Shoulder Joint Stiffness and Functional Recovery Following Arthroscopic Rotator Cuff Repair.

IF 3.4 2区医学 Q1 ORTHOPEDICS

Journal of Shoulder and Elbow Surgery Pub Date : 2026-10-09 DOI:10.1016/j.jse.2026.10.003

Shengyun Shou, Lijiang He, Peng Liu, Jia Zhi, Li Xu

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引用次数: 0

Abstract

Objective: To investigate the association between rehabilitation initiation timing and shoulder stiffness and functional recovery after arthroscopic rotator cuff repair (ARCR).

Methods: Patients who underwent ARCR between January 2019 and January 2023 were retrospectively identified. Based on documented rehabilitation initiation time, patients were classified post hoc into early (n = 64) or delayed rehabilitation groups (n = 71). The primary outcome was shoulder stiffness at 3 months. Secondary outcomes included Constant and American Shoulder and Elbow Surgeons (ASES) scores, visual analog scale (VAS) pain scores, and passive forward flexion. Inverse probability of treatment weighting (IPTW) was used for sensitivity analysis. Subgroup analyses assessed whether the observed association varied by patient characteristics.

Results: Among 135 patients, early rehabilitation was associated with less shoulder stiffness at 3 months and more favorable outcomes during follow-up, including higher Constant and ASES scores, lower VAS pain scores, and greater passive forward flexion. Linear mixed-effects models demonstrated significant improvements over time in all outcomes, although the overall group-by-time interactions were not statistically significant. The estimated between-group difference in passive forward flexion was greatest at 3 months. IPTW analysis generally supported the primary findings.

Conclusion: Early rehabilitation was associated with less shoulder stiffness and earlier recovery of shoulder function and passive forward flexion after ARCR. These observational findings do not establish causality. Randomized trials with systematic monitoring of repair integrity and adverse events are needed to determine the effectiveness and safety of early rehabilitation.

查看原文本刊更多论文

关节镜下肩袖修复术后早期康复对肩关节僵硬度和功能恢复的影响。

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来源期刊

Journal of Shoulder and Elbow Surgery 医学-外科

CiteScore

6.50

自引率

23.30%

发文量

604

审稿时长

11.2 weeks

期刊介绍： The official publication for eight leading specialty organizations, this authoritative journal is the only publication to focus exclusively on medical, surgical, and physical techniques for treating injury/disease of the upper extremity, including the shoulder girdle, arm, and elbow. Clinically oriented and peer-reviewed, the Journal provides an international forum for the exchange of information on new techniques, instruments, and materials. Journal of Shoulder and Elbow Surgery features vivid photos, professional illustrations, and explicit diagrams that demonstrate surgical approaches and depict implant devices. Topics covered include fractures, dislocations, diseases and injuries of the rotator cuff, imaging techniques, arthritis, arthroscopy, arthroplasty, and rehabilitation.