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Mike Reinold

Entries by Mike Reinold

Rehabilitation Protocol Following Arthroscopic Rotator Cuff Repair

There continues to be great debate over the most appropriate rehabilitation progression following rotator cuff repair. Although our surgical techniques have gradually progressed from full open repairs, to smaller mini-open repairs, to the current standard all-arthroscopic repairs, many clinicians continue to utilize the same rehabilitation guidelines from past invasive procedures. And more confusing is the lack of consensus among surgeons regarding the optimal postoperative rehabilitation protocol following arthroscopic rotator cuff repair. Protocols can vary as drastically as beginning gentle passive range of motion and isometric exercises post-operative week 1 to delaying 12 weeks for the initiation of similar exercises. I want to share the postoperative protocol that I have developed with Kevin Wilk and James Andrews to give you some guidance on how we are progressing patients.

Is it Time to Finally Ditch Using Rehabilitation Protocols?

The use of rehabilitation protocols in physical therapy continues to be common practice. However, a recent trend on social media has been to criticize these guidelines and those that follow them. Students are even coming out of college shunning the use of protocols. We should be using our brains and individualizing programs based on each person. But rehabilitation protocols can actually help us do this better if used properly. To highlight this, it helps to break down exactly what rehabilitation protocols are, and are not, in physical therapy to best understand how we should be using them in our practices.

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