To explore the effect of enhanced recovery after surgery (ERAS) nursing combined with limbs training on shoulder joint range of motion and neurological function of patients with rotator cuff injury after surgery. 60 patients who underwent arthroscopic rotator cuff repair were randomly divided into experimental group and control group, with 30 cases in each group. The experimental group received ERAS nursing combined with rehabilitation training, while the control group received routine nursing. The prognostic effects of nursing care and shoulder joint range of motion between the two groups were compared. There were differences in general indicators between the two groups (p = 0.001). There was no significant difference in the evaluation indexes of the two groups of patients (p > 0.05). The visual analog scale score and the degree of swelling of the affected limb of the experimental group were lower than those of the control group (p = 0.001; 0.001). After 1, 6, 12 weeks of treatment, the Constant-Murley, American Shoulder and Elbow Surgeons and University of California-Los Angeles scores of the experimental group were higher than those of the control group (p = 0.001; 0.001; 0.001). After 2, 4 weeks of treatment, the National Institutes of Health Stroke Scale scores of the experimental group were lower than those of the control group (p = 0.001). The self-efficacy evaluation of the experimental group was significantly better than that of the control group (p = 0.001); the complication rate was lower than that of the control group (p = 0.006). Compared with simple postoperative nursing recovery, ERAS nursing combined with limbs training can improve the exercise capacity of the shoulder joint and the recovery of neurological function, reduce the occurrence of complications.

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