NPOS Member Blog Post #2 - Written by Robert Sandmeier, MD
Kluczynski, Does Early Versus Delayed Active Range of Motion Affect Rotator cuff healing After Surgical Repair?

Interesting article in AJSM this month, Vol 14,No 3, 785-791, 2015.

The article is a meta-analysis of studies between 2004 and 2014 and breaks down the probability of a cuff structural tendon defect vs early ( 6 weeks) active rom and shows that defects are more frequent with early vs delayed range of motion.

That part did not seem too surprising, as I think most of us ask the therapists to work passive rom at first. The thing that was surprising is the number of patients with tendon defects even in the delayed groups, which average around 25%.

If 25% of our repairs basically fail to fix the problem we are there for and we know that many people have tears that don’t seem to hurt, you have to wonder what we are missing.