Early versus delayed active range of motion after rotator cuff repair

The timing of postoperative rehabilitation after rotator repair is important for tendon healing, however there is no consensus regarding the appropriate timing of active range of motion after surgery. The aim of this review was to provide a summary of the available evidence regarding the appropriate timing of active range of motion following rotator cuff repair. There is limited evidence that at less than one year after rotator cuff repair, early active range of motion is associated with less pain, better function and range of motion, but worse structural healing compared to delayed active range of motion. Early active range of motion may be contraindicated in patients at increased risk of structural failure after rotator cuff repair.