Rheumatology International

, Volume 29, Issue 6, pp 623–628

The efficacy of conservative treatment in patients with full-thickness rotator cuff tears

  • Meltem Baydar
  • Elif Akalin
  • Ozlem El
  • Selmin Gulbahar
  • Cigdem Bircan
  • Ozgur Akgul
  • Metin Manisali
  • Berna Torun Orhan
  • Ramazan Kizil
Original Paper

DOI: 10.1007/s00296-008-0733-2

Cite this article as:
Baydar, M., Akalin, E., El, O. et al. Rheumatol Int (2009) 29: 623. doi:10.1007/s00296-008-0733-2

Abstract

Rotator cuff tears are a common cause of shoulder pain and disability. Although many studies have reported about the surgical results of full-thickness tears of the rotator cuff, there are few studies about the efficacy of conservative treatment. The aim of this study was to investigate the efficacy of conservative treatment in patients with full-thickness rotator cuff tears by using objective and subjective measurements. Twenty patients with full-thickness rotator cuff tears were included in the study. Outcome measures were range of motion, pain and function according to the shoulder index of the American Shoulder and Elbow Surgeons (ASES), Constant score, Short-Form 36 Health Survey (SF-36), isokinetic shoulder strength, and patient response. Patients were assessed at baseline and after 6 months. In addition, patients were contacted by telephone at 1 year and at 3 years for functional assessment according to ASES, and patient response. The treatment protocol included activity modification, oral nonsteroidal antiinflammatory medications, physical modalities, and a specific exercise program. Statistically significant improvements were obtained in range of motion, pain and function scores according to ASES, Constant score, SF-36 scores, and isokinetic strength (P < 0.05). At the 6-month evaluation, 11 patients (55%) reported that they were “much better”, and 9 patients (45%) “better”. Conservative treatment of full-thickness rotator cuff tears yields satisfactory results both subjectively and objectively.

Keywords

Shoulder Rotator cuff Conservative treatment Exercise 

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Meltem Baydar
    • 1
  • Elif Akalin
    • 1
  • Ozlem El
    • 1
  • Selmin Gulbahar
    • 1
  • Cigdem Bircan
    • 1
  • Ozgur Akgul
    • 2
  • Metin Manisali
    • 3
  • Berna Torun Orhan
    • 4
  • Ramazan Kizil
    • 1
  1. 1.Department of Physical Medicine and Rehabilitation, Faculty of MedicineDokuz Eylul UniversityIzmirTurkey
  2. 2.Private PracticeBalıkesirTurkey
  3. 3.Department of Radiology, Faculty of MedicineDokuz Eylul UniversityIzmirTurkey
  4. 4.Private PracticeAnkaraTurkey

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