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. 2023 Jan 13;10(1):2.
doi: 10.1186/s40634-022-00554-z.

Aquatic therapy following arthroscopic rotator cuff repair enables faster improvement of Constant score than land-based therapy or self-rehabilitation therapy

Alec Cikes  1   2 , Fayssal Kadri  1   2 , Floris van Rooij  3 , Alexandre Lädermann  4   5   6
Affiliations

Aquatic therapy following arthroscopic rotator cuff repair enables faster improvement of Constant score than land-based therapy or self-rehabilitation therapy

Alec Cikes et al. J Exp Orthop. .

Erratum in

Abstract

Purpose: To compare the clinical and functional outcomes of arthroscopic rotator cuff repair over a period of 2 years using three postoperative rehabilitation modalities: aquatic therapy, land-based therapy, and self-rehabilitation therapy. The null hypothesis was that aquatic therapy would provide no difference in Constant score compared to land-based therapy and self-rehabilitation therapy.

Methods: A prospective study was performed on subjects scheduled for arthroscopic rotator cuff repair between 2012 and 2017 that complied with the following criteria: (i) small to medium sized symptomatic supraspinatus and/or infraspinatus tendon tears, (ii) low to moderate tendon retraction according to Patte, and (iii) fatty infiltration stage ≤2. Patients were allocated to perform either aquatic therapy, land-based therapy, or self-rehabilitation therapy for 2-4 months. Independent observers blinded to the study design collected Constant score, SSV, and patient satisfaction at 2 months, 3 months, 6 months, 1 year and 2 years.

Study design: Level III, cohort study RESULTS: At 2 months follow-up, patients performing aquatic therapy had significantly higher Constant scores (p < 0.001) and SSV (p < 0.001) compared to those performing land-based therapy or self-rehabilitation therapy. At 3 months follow-up, patients performing aquatic therapy had significantly higher Constant scores (p < 0.001), and SSV (p < 0.001), both of which exceeded the respective minimal clinically important differences (MCIDs) of 10.4 and 12. Patients performing aquatic therapy continued to have significantly higher Constant scores and SSV at 6 months, 1 year, and 2 years.

Conclusion: Aquatic therapy has a very limited positive effect on clinical outcomes at 3 months after surgery, but yields no relevant improvements on function or satisfaction at 1 to 2 years follow-up.

Keywords: Aquatic therapy; Arthroscopic rotator cuff repair; Land-based therapy; Self-rehabilitation therapy.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Fig. 1
Fig. 1
Flowchart
Fig. 2
Fig. 2
Constant score for aquatic therapy, land-based therapy, and self-rehabilitation therapy for 24 months following rotator cuff repair
Fig. 3
Fig. 3
SSV for aquatic therapy, land-based therapy, and self-rehabilitation therapy for 24 months following rotator cuff repair
Fig. 4
Fig. 4
Satisfaction for aquatic therapy, land-based therapy, and self-rehabilitation therapy for 24 months following rotator cuff repair
See this image and copyright information in PMC

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References

    1. Brady B, Redfern J, MacDougal G, Williams J. The addition of aquatic therapy to rehabilitation following surgical rotator cuff repair: a feasibility study. Physiother Res Int. 2008;13(3):153–161. doi: 10.1002/pri.403. - DOI - PubMed
    1. Burmaster C, Eckenrode BJ, Stiebel M. Early incorporation of an evidence-based aquatic-assisted approach to arthroscopic rotator cuff repair rehabilitation: prospective case study. Phys Ther. 2016;96(1):53–61. doi: 10.2522/ptj.20140178. - DOI - PubMed
    1. Chae CS, Jun JH, Im S, Jang Y, Park GY. Effectiveness of hydrotherapy on balance and paretic knee strength in patients with stroke: a systematic review and Meta-analysis of randomized controlled trials. Am J Phys Med Rehabil. 2020;99(5):409–419. doi: 10.1097/PHM.0000000000001357. - DOI - PubMed
    1. Cofield RH. Rotator cuff disease of the shoulder. J Bone Joint Surg Am. 1985;67(6):974–979. doi: 10.2106/00004623-198567060-00024. - DOI - PubMed
    1. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987;214:160–164. doi: 10.1097/00003086-198701000-00023. - DOI - PubMed