Effect Of Extracorporeal Shock Wave Therapy On Functional Recovery After Rotator Cuff Repair

background: rotator cuff injury is very common in clinical practice,which has a great impact on the quality of life of patients.Arthroscopic rotator cuff repair is often used for patients who have not responded to conventional treatment.At the same time,the efficacy of extracorporeal shock wave in tendon and bone healing has been gradually confirmed.Therefore,the clinical efficacy of extracorporeal shock wave in patients undergoing rotator cuff repair under shoulder arthroscopy combine with postoperative rehabilitation exercise remains to be further observed.Methods: In this study sixty-eight cases with rotator cuff injury were randomly divided into a treatment group and a control group,and 34 cases in each group.According to the histology and biodynamics of rotator cuff healing and the patient's condition,the rehabilitation training of braking was carried out in 0-6 weeks,protective rehabilitation training in 6-12 weeks,and enhanced rehabilitation training after 12 weeks.Both groups were treated with the above treatment regimen,and the treatment group was treated with the extracorporeal shock wave therapy.The plan combined low-energy(0.08-0.28mJ/mm2) with 1200-1500 times of shock.Visual Analogue Scale(VAS),University of California at Los Angeles shoulder scores(UCLASS),Constant and Murley score(Constant),range of motion(ROM)were assessed preoperation,and 3,6 and 12 weeks later to evaluate the recovery of shoulder function.Results: After the operation,the difference was statistically significant(P<0.05),and the significant improvements in all the measurements were observed in the treatment group.Improvements in VAS scores observed in the treatment group were significant more than the control group,and the improvement of clinical symptoms was significantly better than the control group at the same time.Conclusions: The regular extracorporeal shock wave therapy should be used in patients undergoing arthroscopic rotator cuff repair and postoperative rehabilitation training early.The way can improve the recovery of shoulder joint function and relieve pain significantly.