The rehabilitative protocol with Fisiotek HP2 for rotator cuff injury



The rotator cuff injury

 

 

Post-operative protocol with Fisiotek HP2

 

 

 

This rehabilitative protocol for rotator cuff injury is the second* part of a clinical study made by Prof. Carlo Mammarella and C. Sarti, from A.S.L. S. Camillo - Forlanini in Rome (Italy), who they have analysed the clinical evidences and the rehabilitative value of Fisiotek HP2 for the rehabilitation of surgical pathologies of the shoulder.

 

The study has been made on 19 cases  (7 women and 12 men), with an average of age around 45 years: these cases have been divided in two groups, the first one of 10 people treated with Fisiotek HP2, the second one of 9 people treated with the traditional mobilization.

 

Group A (10 people) have been treated with Fisiotek HP2, and Group B (9 people) have been treated with the traditional mobilization.

 

As datas of reference for shoulder's mobility, it has been taken ROM values of Kapandji:
 

 

Movement	ROM
Abduction	0° à 180°
Flexion	0° à 180°
Extension	0° à 50°
External Rotation	0° à 80°
Internal Rotation	0° à 110°

 

 

 People of  group A, have been treated in seated position (on bed and on a chair), in spite of

people from group B which have been treated by the physiotherapist in sessions of 15 minutes each one.

Here below in the chart is explained the rehabilitative program carried out for group A:

  

Period	Treatment – modalities – timetables – R.O.M.
Up to 15th day	shoulder brace in abduction (from 15° to 30° depending to the pain felt), with or without the pillow for leaning the arm
From 15th to 25th day	2 sessions per day  of 40 minutes each; Abduction 0° -> 40° ROM increase of 10° every 4 days
From 25th to 45th day	Addition of internal  ad external rotation (30° - 30°) ROM increase of 10° every 5 days; Beginning of active assisted mobilization and isometrics exercises with stretching

 

 

As conclusions of this study, we summarize the results in the chart:

Movement	Group	Periods and R.O.M. reached
Adduction		15 days	30 days	45 days
	Group A	40°	90°	135°
	Group B	40°	70°	100°
Flexion – Extension		15 days	30 days	45 days
	Group A	60°-20°	90°-30°	130°-35°
	Group B	65°-25°	80°-30°	120°-30°
Internal – External rotation		15 days	30 days	45 days
	Group A	20°-20°	40°-45°	65°-65°
	Group B	15°-20°	45°-40°	50°-60°

 

 

Having a look to the chart, we can say that especially for adduction and abduction movements, Fisiotek HP2 can reach good results in terms of recovery of the ROM, compared with the traditional mobilization.

 

In this case, the protocol starts only from the 15th day and over, because after the intervention the patient is strictly recommended to wear a shoulder brace in abduction fromn 15° to 30°, depending to what the doctor suggests.

 

 

 

*for the first article of the protocol, please refer to another article of this blog "The fracture of humerus's head"