The clinical effect of rehabilitation following arthroscopic rotator cuff repair: A meta-analysis of early versus delayed passive motion

Medicine
Shuxiang LiXiaoliang Sun

Abstract

The argument on the recommended rehabilitation protocol following arthroscopic rotator cuff repair remains to be resolved. So this meta-analysis was presented to evaluate the differences of clinical effects between the 2 distinct rehabilitation protocols after arthroscopic rotator cuff repair. The PubMed, Cochrane Library, Web of Science, and EMBASE were systematically searched. Only randomized controlled trials (RCTs) published up to July 25, 2017, comparing early passive motion (EPM) versus delayed passive motion (DPM) rehabilitation protocols following arthroscopic rotator cuff repair were identified. The primary outcomes included range of motion and healing rate, while the secondary outcomes were Constant score, American Shoulder and Elbow Society (ASES) score, and Simple Shoulder Test (SST) score. The exclusion criteria contained biochemical trials, reviews, case reports, retrospective studies, without mention about passive motion exercise, no assessment of outcomes mentioned above, and no comparison of EPM and DPM rehabilitation protocols. Eight RCTs with 671 patients were enrolled in this study. The EPM resulted in improved shoulder forward flexion at short term, mid-term, and long-term follow-ups. The EPM group was supe...Continue Reading

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Citations

Jun 8, 2018·Connective Tissue Research·Elisabeth A LemmonMegan L Killian
Jan 4, 2020·JBJS Reviews·Luciano Andrés RossiMaximiliano Ranalletta
Nov 24, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Ian GaoGeoffrey D Abrams
Apr 23, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Arjun K ReddyMatt Vassar
May 22, 2021·Journal of Shoulder and Elbow Surgery·Fabrizio BrindisinoTiziano Innocenti
Jul 26, 2021·BMC Musculoskeletal Disorders·Umile Giuseppe LongoVincenzo Denaro
Sep 2, 2021·BMC Musculoskeletal Disorders·Umile Giuseppe LongoVincenzo Denaro

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