Early versus delayed rehabilitation following arthroscopic rotator cuff repair: A systematic review

The Physician and Sportsmedicine
Brian P GallagherKevin B Freedman

Abstract

Early passive range of motion (ROM) following arthroscopic cuff repair is thought to decrease postoperative stiffness and improve functionality. However, early aggressive rehabilitation may compromise repair integrity. Our purpose was to perform a systematic review to determine if there are differences between early and delayed rehabilitation after arthroscopic rotator cuff repair in terms of clinical outcomes and healing. We performed a literature search with the terms 'arthroscopic rotator cuff', 'immobilization', 'early', 'delayed', 'late', and 'rehabilitation' using PubMed, Cochrane Central Register of Controlled Trials, and EMBASE. Selection criteria included: level I/II evidence ≤ 6 months in duration, comparing early versus delayed rehabilitation following arthroscopic repair. Data regarding demographics, sample sizes, duration, cuff pathology, surgery, rehabilitation, functional outcomes, pain, ROM and anatomic assessment of healing were analyzed. PRIMSA criteria were followed. We identified six articles matching our criteria. Three reported significantly increased functional scores within the first 3-6 months with early rehabilitation compared to the delayed group, only one of which continued to observe a difference at...Continue Reading

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Citations

Apr 4, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Siddharth A MahureAndrew S Rokito
Nov 27, 2018·Journal of Back and Musculoskeletal Rehabilitation·Ali Çağdaş YörükoğluKhaled Yahya Abdullah Alsayani
Mar 21, 2019·The Journal of Bone and Joint Surgery. American Volume·Jérôme TirefortAlexandre Lädermann
Jan 24, 2018·JBJS Reviews·Vishal S DesaiBrian Grawe
Jul 17, 2020·The Journal of Clinical Investigation·Amanda K HuberBenjamin Levi
Jun 28, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Murat Gurger, Ayse Belin Ozer
Oct 16, 2018·Orthopaedic Journal of Sports Medicine·Jeffrey JancuskaLeslie J Bisson
Sep 17, 2020·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Hongbin LuJianzhong Hu

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