Rotator cuff tears negatively affect shoulder stability, range of motion, and performance in daily activities. Postoperative rehabilitation is essential for improving functional recovery and quality of life; however, conventional approaches may not directly target meaningful activity performance.

Task-oriented occupational therapy is a client-centered approach focusing on meaningful and goal-directed activities to enhance functional independence. This randomized controlled trial aims to investigate the effect of task-oriented occupational therapy on activity participation, occupational performance, satisfaction, and functional recovery after rotator cuff surgery.

A total of 30 participants will be randomly assigned to either a task-oriented occupational therapy group or a conventional rehabilitation group. The intervention will be conducted twice weekly for 10 weeks, with 40-minute sessions based on individually prioritized activities identified using the Canadian Occupational Performance Measure. Outcomes will include occupational performance and satisfaction, goal attainment, shoulder function, quality of life, and patient satisfaction.

Inclusion Criteria:

• Individuals aged 18 years and older
• Individuals who have undergone rotator cuff surgery
• Medically stable and cleared for participation in a rehabilitation program
• Ability to understand and follow instructions
• Voluntary agreement to participate in the study

Exclusion Criteria:

• - Presence of severe neurological disorders affecting upper extremity function
• Severe cognitive impairment limiting participation
• Additional musculoskeletal conditions affecting the upper extremity
• Postoperative complications that may interfere with rehabilitation
• Participation in another rehabilitation program during the study period

The outcome assessor will be blinded to group allocation to minimize assessment bias. Participants and therapists cannot be blinded due to the nature of the intervention.