Does immobilization after arthroscopic rotator cuff repair increase tendon healing? A systematic review and meta-analysis

Shen, Chong; Tang, Zhi-hong; Hu, Jun-zu; Zou, Guoyao; Xiao, Rongchi; Yan, Dongxue

doi:10.1007/s00402-014-2028-2

Cited by 54 publications

(43 citation statements)

References 30 publications

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“…For instance, Chan et al 16 found no differences between groups for all aforementioned outcomes, which was similar to the founds from Littlewood et al 17. In contrast, the reviews from Chang et al ,18 Huang et al ,20 Riboh and Garrigues21 and Shen et al 15 found differences for ROM which favours the early management, especially of shoulder flexion.…”

Section: Resultssupporting

confidence: 53%

“…These were: van der Meijden et al ,12 as the primary objective was not to compare the influence of the rehabilitation time during the recovery process; Ross et al ,13 which used a non-systematic review method and Shen et al ,14 which was published in Chinese. It is noteworthy that another review from Shen et al ,15 in the same topic, was published in English in the same year, which might indicate that the same review has been published in two different journals.…”

Section: Resultsmentioning

confidence: 99%

“…The item with lowest scores was 10, which considered publication bias and the use of statistical tests such as Egger regression to address this issue; only the studies by Chang et al 18 and Chen et al 23 fulfilled these criteria. The item with the highest score was 6, with all reviews apart from Shen et al 15 and Chen et al 23 scoring the maximum of 4; this item assess whether the characteristics of primary studies (ie, sample size, rehabilitation, outcomes) were described.…”

Section: Resultsmentioning

confidence: 99%

“…For instance, Kluczynski et al 19 and Huang et al 20 used search terms and key words, but did not have a structured search strategy. In contrast, Chan et al ,16 Chang et al 18 and Shen et al 15 organised different strategies for each database.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Effectiveness of early compared with conservative rehabilitation for patients having rotator cuff repair surgery: an overview of systematic reviews

Mazuquin,

Wright,

Russell

et al. 2016

Br J Sports Med

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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.

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Section: Resultssupporting

confidence: 53%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness of early compared with conservative rehabilitation for patients having rotator cuff repair surgery: an overview of systematic reviews

Mazuquin,

Wright,

Russell

et al. 2016

Br J Sports Med

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“…Parallel dazu erfolgt eine progrediente passive Mobilisierung, die in Zusammenschau der Studienlage risikoärmer und daher empfehlenswerter zu sein scheint als eine frühe aktive Mobilisation [8,19,22,29].…”

Section: Dauer Der Immobilisationunclassified

Aktuelle Entwicklungen und Einsatzgebiete von Schulterorthesen

et al. 2016

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Which is better? Early versus delayed rehabilitation after arthroscopic rotator cuff repair

Yoo,

Kang,

Kim

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeThis study aimed to compare the 5‐year clinical and functional outcomes, including repaired tendon healing status, between early and delayed rehabilitation after arthroscopic rotator cuff repairMethodsA total of 75 patients with rotator cuff tears (less than 5 cm) underwent arthroscopic repairs over a 60‐month period. Participants were randomly assigned to early and delayed postoperative rehabilitation groups with distinct protocols. Clinical and functional outcome measures included Constant score, University of California at Los Angeles (UCLA) score, visual analogue scale for pain and isokinetic dynamometer test for muscle strength recovery. Clinical and functional scores were compared between baseline and 5 years postoperatively. Radiologic assessment via magnetic resonance imaging was performed at a minimum of 12 months postoperatively for evaluations of tendon integrity and recurrent tears.ResultsBaseline characteristics showed no statistically significant differences between groups. Both groups demonstrated equivalent improvement in range of motion and pain scores with no statistical differences. Clinical scores improved significantly in both groups by postoperative 12 months and plateaued. At the postoperative 5‐year mark, the early group showed better improvement in the visual analogue scale and UCLA score, while the delayed group had superior Constant scores. Postoperative magnetic resonance imaging revealed six recurrent tears, two in the early group and four in the delayed group, with no statistical differences. Muscle strength recovery showed no differences between the two groups.ConclusionBoth the early and the delayed rehabilitation groups showed similar outcomes in postoperative range of motion, functional scores, muscle strength recovery and tendon healing in the short‐ and mid‐term follow‐ups.Level of EvidenceLevel III.

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Does immobilization after arthroscopic rotator cuff repair increase tendon healing? A systematic review and meta-analysis

Abstract: Level II; systematic review of levels I and II studies.

Cited by 54 publications

References 30 publications

Effectiveness of early compared with conservative rehabilitation for patients having rotator cuff repair surgery: an overview of systematic reviews

Effectiveness of early compared with conservative rehabilitation for patients having rotator cuff repair surgery: an overview of systematic reviews

Aktuelle Entwicklungen und Einsatzgebiete von Schulterorthesen

Which is better? Early versus delayed rehabilitation after arthroscopic rotator cuff repair

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