CONSERVATIVE MANAGEMENT OF

Volume : VII, Issue : IV, April - 2018

Dr. Sanyal Kumar, Dr. Sanjay Kumar Pandey, Dr. Anjani Kumar, Dr. Amit Kumar Mallik, Dr. Ashish Srivastava, Dr. Swati Sinha

Introduction: Rotator cuff tear common condition produces gross impairment, hampering activity of daily living as also the earning of wages for

an individual who is a self sufcient active member of the society, suddenly becomes dependent.

Objective & Aim: Evaluate and Compare the effect of therapeutic exercise vs. therapeutic exercise and Ultrasound therapy on, Functional outcome,

Clinical outcome and Impact on activity of daily living.

Methodology: This open label prospective randomised comparative study was conducted over a period of one & a half year in a tertiary care

teaching institution. Age and sex matched, subjects with Rotator cuff tear were enrolled in this study. Subjects were assessed for Pain, ROM, and

Activity of daily living by CMS & ADL score. A good functional outcome was expected after the proposed rehabilitative measures as indicated by

improved CMS and ADL score.

Results: A total of 74 subjects were enrolled. The mean age was 49.46 (SD � 9.33), median age was 46 (QR � 16) yrs. There was a signicant

improvement over time at the end of study period in CMS score & ADL score. Comparison within a group between visits 1 & 3 and 1 & 5 by

Wilcoxon‘s matched pair signed rank test showing consistent improvement over time in CMS & ADL score. In the present study, statistical analysis

doesn‘t reveal any signicant difference in outcome between the two groups.

Conclusion: Therapeutic use of UST during early phase of rehabilitation doesn‘t prove to be of added advantage for improvement of function and

patient‘s symptoms. Therapeutic exercise schedule including early passive ROM and stretching ex. Progressing to strengthening ex. proved to be

benecial in producing consistent improvement in shoulder function (CMS Score) as well as Activity of Daily Living (ADL Score).