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Physical Therapist Management Following Rotator Cuff Repair for a Patient With Postpolio Syndrome

M Carlson, PT, PhD, is Associate Professor, Physical Therapy Program, University of Texas at El Paso, 1101 N Campbell, El Paso, TX 79902 (USA)
T Hadlock, MA, OTR, is Instructor, Occupational Therapy Program, Yamaguchi Health and Welfare College, Ube City, Yamaguchi Prefecture, Japan

Address all correspondence to Dr Carlson at: mcarlson{at}utep.edu

Background and Purpose: Postpoliomyelitis sequelae, such as gait instability and progressive weakness, predispose people with postpolio syndrome to secondary disabilities. With aging, people who depend on their upper extremities to accommodate lower-extremity deficits may anticipate overuse injuries. The purpose of this case report is to describe the use of mobilization and exercise in postoperative rehabilitation of rotator cuff surgery on a patient with postpolio syndrome.

Case Description: A 48-year-old woman with postpolio syndrome had rotator cuff surgical repair followed by physical therapy intervention. Maitland mobilization and mild functional exercises were chosen to avoid triggering fatigue.

Outcomes: Measurements taken preoperatively, before and after physical therapy intervention, and 2 years after intervention showed return to independent status with excellent retention.

Discussion: No fatigue or overuse weakness was encountered. This is the first case report to document physical therapy following rotator cuff repair in a patient with postpolio syndrome.