Telerehabilitation post arthroscopic rotator cuff repair A production thesis

Details

Supervisors

Lebleu, Julien

Faculty

Faculté des sciences de la motricité

Degree label

Master [60] en kinésithérapie et réadaptation

Abstract

Introduction: Arthroscopic rotator cuff repair (ARCR) is a common surgery, where rehabilitation is essential. Utilizing telerehabilitation (TR) for post ARCR recovery offers advantages for both patients and therapists. This study aims to develop a home exercise program using TR with video-based exercises for full thickness tears, facilitating daily activity and enhancing therapy accessibility and patient engagement. Method: A literature review was conducted to identify relevant studies about rehabilitation post ARCR and guide the development of this program. Additionally, interviews were held with experts; surgeons and physical therapists; to gather practical insights on the rehabilitation program and their perspectives on TR. Results: The 24-week TR program developed in this study is divided into three phases. The initial phase involves protecting the shoulder through immobilization for 4 to 6 weeks depending on the tear size. Following this, the active mobilization phase lasts from 7 to 13 weeks for small to medium tears, and from 7 to 16 weeks for large to massive tears. Finally, the program transitions to the strengthening phase after 13 weeks for small to medium tears, and after 16 weeks for large to massive tears. Conclusion: Based on literature and experts’ opinion, this TR program post ARCR for full thickness tears was developed. Further research is needed to explore TR program benefits, challenges, and effectiveness in improving patient outcomes and healthcare delivery accessibility.