No Functional Difference Between Three and Six Weeks of Immobilization After Arthroscopic Rotator Cuff Repair: A Prospective Randomized Controlled Non-Inferiority Trial

Jenssen, Kjersti Kaul; Lundgreen, Kirsten; Madsen, Jan Erik; Kvakestad, Rune; Pripp, Are Hugo; Dimmen, Sigbjørn

doi:10.1016/j.arthro.2018.05.036

Cited by 36 publications

(35 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The CS is one of the most widely used instruments in clinical trials for shoulder disorders, with almost 130 clinical trials reported up to December 2015 (2). Examples of trials that have used the CS as an outcome measure in the last 5 years include various surgical interventions for conditions including rotator cuff tears (156), proximal humeral fracture (157), and osteoarthritis (158); physical therapies (including heat therapy for shoulder pain) (159); and other interventions, including suprascapular nerve blocks (160) and platelet‐rich plasma injections (161) for rotator cuff tears and glucocorticoid injections for adhesive capsulitis (162).…”

Section: Constant (Murley) Shoulder Scalementioning

confidence: 99%

Measures of Adult Shoulder Function

Buchbinder

Smolen

Huang

et al. 2020

Arthritis Care & Research

View full text Add to dashboard Cite

Section: Constant (Murley) Shoulder Scalementioning

confidence: 99%

Measures of Adult Shoulder Function

Buchbinder

Smolen

Huang

et al. 2020

Arthritis Care & Research

View full text Add to dashboard Cite

“…The most common complication, reported in five RCTs (19, 20, 22, 23, 34), was related to limited shoulder range of movement. Jenssen, Lundgreen (34) reported two cases of capsulitis in the early group and none in the delayed group. Sheps, Silveira (20) found one case of frozen shoulder in the early group and two cases in the delayed group.…”

Section: Resultsmentioning

confidence: 97%

“…The method of immobilisation after rotator cuff repair was variable. The majority of the RCTs (3, 19, 20, 23-30)(11/20, 55%) reported the use of a standard sling, six RCTs (18, 21, 22, 31-33) used a sling with an abduction component and one RCT (34) used a standard sling for the early group and a sling with an abduction component for the delayed group. The time in the sling was also variable; eight RCTs (40%) (18, 21, 23-26, 29, 32) used a six-week period for both groups.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness of early versus delayed rehabilitation following rotator cuff repair: systematic review and meta-analyses

Mazuquin

Moffatt

Gill

et al. 2021

Preprint

View full text Add to dashboard Cite

Objective: To investigate the effectiveness of early rehabilitation compared with delayed/standard rehabilitation after rotator cuff repair for pain, function, range of movement, strength, and repair integrity. Design: Systematic review and meta-analyses. Methods: We searched databases and included randomised controlled trials (RCTs) comparing early with delayed/standard rehabilitation for patients undergoing rotator cuff repair surgery. We assessed risk of bias of the RCTs using the Cochrane RoB 2 tool. Results: Twenty RCTs, with 1841 patients, were included. The majority of the RCTs were of high or unclear risk of overall bias. We found substantial variations in the rehabilitation programmes, time in the sling and timing of exercise progression. We found no statistically significant differences for pain and function at any follow-up except for the outcome measure Single Assessment Numeric Evaluation at six months (MD: 6.54; 95%CI: 2.24-10.84) in favour of early rehabilitation. We found statistically significant differences in favour of early rehabilitation for shoulder flexion at six weeks (MD: 7.36; 95%CI: 2.66-12.06), three (MD: 8.45; 95%CI: 3.43-13.47) and six months (MD: 3.57; 95%CI: 0.81-6.32) and one year (MD: 1.42; 95%CI: 0.21-2.64) and similar differences for other planes of movement. In terms of repair integrity at one year, regarding early mobilisation, the number needed to harm was 651. Discussion: Current approaches to early mobilisation, based largely on early introduction of passive movement, did not demonstrate significant differences in most clinical outcomes, although we found statistically significant differences in favour of early rehabilitation for range of movement. Importantly, there were no differences in repair integrity between early and delayed/standard rehabilitation. Most rehabilitation programmes did not consider early active movement as soon as the patient feels able. With ongoing variation in rehabilitation protocols there remains a need for large high quality RCT to inform the optimal approach to rehabilitation after rotator cuff repair surgery.

show abstract

“…Our team of Associate Editors has evolved, and as initiated 1 year ago, 4 the Associate Editors', Assistant Editors', and Editor-in-Chief's disclosure of potential conflicts of interest have been updated as supplemental material to this editorial. Our Editorial Board has been expanded in terms of both numbers and rightfully, in listing their names, size of font!…”

Section: Most Downloaded Publication and Most Cited Publicationmentioning

confidence: 99%

Arthroscopy Announces Annual Awards

Brand¹,

Rossi²,

Lubowitz³

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

View full text Add to dashboard Cite

Social media has transformed the way we communicate, including truncating the manner in which we converse. A positive result is that we are mindfully succinct as we acclaim our annual research prize winners. Just as investigations have limitations, we are limited in the number of publications that we can recognize. We are excited to celebrate our outstanding papers. S ocial media has transformed the way we communicate in many ways, and one of the unintended consequences is truncation in the manner in which we now converse. Twitter and it's character limit may force us to get to the core of our message. 1 A positive result is that we get right to the point as we recognize research excellence. The odds of having a submission accepted for publication in Arthroscopy are long; winning an award even more so. 2 Congratulations are thus much in order for our winners and runners up.

show abstract

No Functional Difference Between Three and Six Weeks of Immobilization After Arthroscopic Rotator Cuff Repair: A Prospective Randomized Controlled Non-Inferiority Trial

Cited by 36 publications

References 40 publications

Measures of Adult Shoulder Function

Measures of Adult Shoulder Function

Effectiveness of early versus delayed rehabilitation following rotator cuff repair: systematic review and meta-analyses

Arthroscopy Announces Annual Awards

Contact Info

Product

Resources

About