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Postoperative immobilization after rotator cuff repair is intended to protect the repair, but prolonged restriction can increase stiffness. This randomized trial compared early active mobilisation with a conventional rehabilitation strategy after mini-open rotator cuff repair. At six weeks, the early-mobilisation group had better abduction and elevation. By three months and beyond, the early advantage disappeared, and at two years the groups had similar clinical outcomes. The study provides reassurance that carefully controlled early movement does not necessarily compromise longer-term recovery. For HCPs, the practical message is to individualise rehabilitation according to tear size, tissue quality and repair security rather than applying prolonged immobilization universally. Early movement should remain pain-free and controlled, with progression guided by the surgeon and physiotherapist. The trial also highlights the difference between an early range-of-motion benefit and a durable patient-reported advantage: faster early motion did not translate into dramatically different two-year outcomes. Rehabilitation should therefore aim to balance tendon protection with prevention of stiffness and restoration of function.
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Postoperative immobilization after rotator cuff repair is intended to protect the repair, but prolonged restriction can increase stiffness. This randomized trial compared early active mobilisation with a conventional rehabilitation strategy after mini-open rotator cuff repair. At six weeks, the early-mobilisation group had better abduction and elevation. By three months and beyond, the early advantage disappeared, and at two years the groups had similar clinical outcomes. The study provides reassurance that carefully controlled early movement does not necessarily compromise longer-term recovery. For HCPs, the practical message is to individualise rehabilitation according to tear size, tissue quality and repair security rather than applying prolonged immobilization universally. Early movement should remain pain-free and controlled, with progression guided by the surgeon and physiotherapist. The trial also highlights the difference between an early range-of-motion benefit and a durable patient-reported advantage: faster early motion did not translate into dramatically different two-year outcomes. Rehabilitation should therefore aim to balance tendon protection with prevention of stiffness and restoration of function.
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