Criteria, Timing, and Factors Associated With Return to Competitive Sport After Rotator Cuff Surgery

Background: Rotator cuff injuries are common among athletes, especially those participating in overhead sports, leading to pain and functional limitations. Surgical intervention is often necessary for severe tears or degenerative conditions. Understanding the criteria and timing for returning to competitive sports after rotator cuff surgery is essential for athletes aiming to regain their pre-injury performance level. The decision to return involves evaluating various factors, including surgical outcomes, rehabilitation progress, and the patient's individual characteristics. Methods: This study reviews the existing literature on return-to-sport criteria after rotator cuff surgery. It documents studies related to return rates, timing, and factors affecting recovery. This review includes data from clinical trials, cohort studies, and expert recommendations, focusing on postoperative rehabilitation protocols, shoulder performance assessment tools, and psychological readiness for returning to competitive activities. Results: Findings indicate that most athletes (approximately ۷۰-۹۰%) successfully return to competitive sports after rotator cuff surgery; however, timing varies significantly based on individual circumstances. Key factors associated with successful return include the severity of the rotator cuff tear, the athlete's age, adherence to rehabilitation protocols, and shoulder function prior to surgery. Athletes who undergo early mobilization and structured rehabilitation programs tend to return sooner than those with delayed recovery processes. Additionally, psychological readiness plays a significant role. Athletes who are confident in their shoulder stability are likely to resume competitive activities within ۶ to ۱۲ months post-surgery. This study emphasizes that thorough evaluations using performance scoring systems and patient-reported outcomes are essential in determining readiness for return. Conclusion: Returning to competitive sports after rotator cuff surgery is common but varies based on multiple factors, including injury severity, surgical technique, adherence to rehabilitation, and psychological readiness. Establishing clear criteria for return and individualized rehabilitation plans can enhance recovery outcomes. Furthermore, ongoing research is necessary to refine these criteria and improve strategies for facilitating a safe and effective return to sports.

کلیدواژه ها:

Rotator cuff surgery ، return to sport ، rehabilitation ، competitive athletes ، postoperative recovery ، shoulder function