Effectiveness of physical therapy in treating atraumatic full-thickness rotator cuff tears: a multicenter prospective cohort study
In atraumatic full-thickness rotator cuff tears, there are no clearly established indications for different treatments available yet. Failure rates reported for surgical repair vary from 25 up to 90%; nevertheless, in cases of failed repairs, the patient satisfaction levels and functional outcome scores do not differ from intact repairs. Post-operative physiotherapy may be responsible for this phenomenon. This study examined the effectiveness of physiotherapy as treatment for atraumatic rotator cuff tears.
Physiotherapy proved to be an effective treatment for this condition: the rate of surgery (i.e. failure of conservative therapy) within the cohort was surprisingly low, 26%. In the majority of cases presenting failure of nonoperative treatment, this occurred in the first 12 weeks of rehabilitation. Besides the low surgery rate, there were significant improvements on patient satisfaction and functional outcome scores. Data from this study confirms that physiotherapy is effective in the majority of cases with atraumatic rotator cuff tears. > From: Kuhn et al., J Shoulder Elbow Surg 22 (2013) 1371-1379. All rights reserved to the Journal of Shoulder and Elbow Surgery Board of Trustees.
Visit the PubMed summary for more information or your article access.