Overview
The study investigates the effect of accelerate rehabilitation protocol(adding scapular strengthen exercises (lower trapezius and serratus anterior) from week 1) after arthroscopic rotator cuff repair on scapular upward rotation during shoulder elevation.
Description
the study will consist of 2 group Both groups will participate in an accelerated rehabilitation program starting the first week after surgery till week 12, but they will follow different protocols. Accelerated rehabilitation protocol with Early Strengthening of Scapular stabilizer muscle (LT and SA) and GH Active range of motion protocol will be starting gradual active ROM for GH from week 3 post operative till week 12 and gradual scapular muscles strengthening exercises (serratus anterior, lower trapezius) from day 1 while Accelerated rehabilitation protocol with Delay strengthening of Scapular stabilizer muscles and Active GH range of motion protocol will start active ROM for GH and scapular activation exercises (protraction, retraction, and depression) from week 6 till week 12. Patients will wear the sling for the first 6 weeks or as the physician recommends and remove it only during the session and home program.
7 The outcomes will be measured 3 times, at week 3 as a baseline for assessment, then reassess at weeks 6, and 12
Eligibility
Inclusion Criteria:
- Patients after arthroscopic rotator cuff repair.
- Both gender between age 30 to 50 years
- Small and medium supraspinatus tear