Prognostic factors for recovery after rotator cuff repair
Scientific research has identified a number of factors that determine recovery after an arthroscopic rotator cuff repair. Insight into these factors and the expected recovery allows for a more accurate indication for surgery and a more custom-tailored approach in rehabilitation.
Therefore, a systematic review of the available literature was conducted according to the PRISMA guidelines. After the results of the literature search, abstracts and full texts were assessed for eligibility, ten articles were included in the final review.
Twelve prognostic factors were identified and classified as either direct, indirect or fixed: direct factors (preoperative ROM, obesity, sports participation) can be influenced preoperatively to improve the outcome after surgery. Age, size of the lesion and degree of retraction, fatty infiltration of the rotator cuff are indirect factors: they are patient-specific and lesion-specific, and may be affected indirectly by the timing of surgery. Fixed factors (gender, bone mass density, diabetes mellitus, concomitant AC/ biceps procedures) represent those characteristics that can’t be altered but have to be taken into account in the clinical reasoning process.
> From: Fermont et al., J Orthop Sports Phys Ther 44 (2014) 153-162. All rights reserved to the Journal of Orthopaedic & Sports Physical Therapy. Click here for the Pubmed summary.