Bruno Fles Mazuquin1, Andrew Charles Wright2, Sarah Russell3, Puneet Monga3, James Selfe4, Jim Richards1. 1. Allied Health Research Unit, University Central of Lancashire, Preston, Lancashire, UK. 2. North West Deanery, Manchester, Lancashire, UK. 3. Upper Limb Unit, Wrightington Hospital, Wigan, UK. 4. Department of Health Professions, Manchester Metropolitan University, Manchester, UK.
Abstract
AIM/ OBJECTIVE: The aim is to critically analyse and discuss the current literature and determine the effectiveness of rehabilitation for patients after surgical repair of rotator cuff tears for range of motion (ROM), pain, functional status and retear rates; in addition, an update of new literature is included. DESIGN: Overview of systematic reviews. DATA SOURCES: A search was performed with no restrictions to date of publication and language in the following databases: EBSCO, AMED, CINAHL, SPORTDiscus, EMBASE, Cochrane, LILACS, MEDLINE, PEDro, Scielo, SCOPUS and Web of Knowledge. The PRISMA guideline was followed to develop this review and the R-AMSTAR tool was used for critical appraisal of included reviews. ELIGIBILITY CRITERIA: Only systematic reviews and randomised controlled trials (RCTs) comparing the effectiveness of early with conservative rehabilitation, after surgical repair of the rotator cuff, were included. Moreover, the studies should report ROM, pain, functional status and/or retears rates before and after 3-24 months of the surgery. RESULTS: 10 systematic reviews and 11 RCTs were included for the final analysis. Conflicting results and conclusions were presented by the systematic reviews, the use of primary studies varied; also the methodological quality of the reviews was diverse. This updated review, with new meta-analysis, showed no difference for function, pain, ROM or retears ratio between early and conservative rehabilitation. SUMMARY/ CONCLUSIONS: Early mobilisation may be beneficial, particularly for small and medium tears; however, more studies with higher quality are required, especially for patients with large tears who have been given less attention. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
AIM/ OBJECTIVE: The aim is to critically analyse and discuss the current literature and determine the effectiveness of rehabilitation for patients after surgical repair of rotator cuff tears for range of motion (ROM), pain, functional status and retear rates; in addition, an update of new literature is included. DESIGN: Overview of systematic reviews. DATA SOURCES: A search was performed with no restrictions to date of publication and language in the following databases: EBSCO, AMED, CINAHL, SPORTDiscus, EMBASE, Cochrane, LILACS, MEDLINE, PEDro, Scielo, SCOPUS and Web of Knowledge. The PRISMA guideline was followed to develop this review and the R-AMSTAR tool was used for critical appraisal of included reviews. ELIGIBILITY CRITERIA: Only systematic reviews and randomised controlled trials (RCTs) comparing the effectiveness of early with conservative rehabilitation, after surgical repair of the rotator cuff, were included. Moreover, the studies should report ROM, pain, functional status and/or retears rates before and after 3-24 months of the surgery. RESULTS: 10 systematic reviews and 11 RCTs were included for the final analysis. Conflicting results and conclusions were presented by the systematic reviews, the use of primary studies varied; also the methodological quality of the reviews was diverse. This updated review, with new meta-analysis, showed no difference for function, pain, ROM or retears ratio between early and conservative rehabilitation. SUMMARY/ CONCLUSIONS: Early mobilisation may be beneficial, particularly for small and medium tears; however, more studies with higher quality are required, especially for patients with large tears who have been given less attention. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
Entities:
Keywords:
Evidence based review; Rehabilitation; Rotator cuff; Shoulder
Authors: Birgitte Hougs Kjær; S Peter Magnusson; Susan Warming; Marius Henriksen; Michael Rindom Krogsgaard; Birgit Juul-Kristensen Journal: Trials Date: 2018-09-03 Impact factor: 2.279
Authors: Patrick Goetti; Patrick J Denard; Philippe Collin; Mohamed Ibrahim; Pierre Hoffmeyer; Alexandre Lädermann Journal: EFORT Open Rev Date: 2020-09-10
Authors: Reed G Coda; Sana G Cheema; Christina A Hermanns; Armin Tarakemeh; Matthew L Vopat; Meghan Kramer; John Paul Schroeppel; Scott Mullen; Bryan G Vopat Journal: Arthrosc Sports Med Rehabil Date: 2020-05-29