Rehabilitation Protocols for Superior Capsular Reconstruction Are Variable: A Systematic Review

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Rehabilitation Science

Background:

• Superior capsular reconstruction (SCR) is an emerging surgical technique for massive rotator cuff tears.
• The procedure is gaining popularity due to promising clinical outcomes.
• Standardized post-operative rehabilitation is crucial for optimal patient recovery and functional restoration.

Purpose of the Study:

• To systematically review existing literature on rehabilitation protocols following superior capsular reconstruction (SCR).
• To determine if a standardized rehabilitation algorithm exists for SCR patients.
• To identify variations and commonalities in current rehabilitation practices.

Main Methods:

• A systematic review adhering to PRISMA guidelines was performed.
• Searches were conducted in PubMed and Embase databases.
• Two independent reviewers assessed 14 included studies (editorials, case series, case reports) for rehabilitation protocols.

Main Results:

• Fourteen studies were included, all utilizing unique and highly variable rehabilitation algorithms.
• Key phases (sling use, passive/active range of motion, strengthening) showed significant differences in timing and progression.
• No consistent or standard rehabilitation protocol for SCR was identified across the reviewed literature.

Conclusions:

• Superior capsular reconstruction is a rapidly advancing procedure with positive outcomes.
• Currently, no evidence-based standard rehabilitation protocol can be recommended for SCR.
• Further research is needed to establish standardized, evidence-based rehabilitation guidelines.