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2024;12 e17395.

The effect of rehabilitation time on functional recovery after arthroscopic rotator cuff repair: a systematic review and meta-analysis.

Yang Chen, Hui Meng, Yuan Li, Hui Zong, Hongna Yu, HaiBin Liu, Shi Lv, Liang Huai
Author Information
  1. Yang Chen: Department of Rehabilitation, Taian Maternal and Child Health Hospital, Taian, Shandong, China.
  2. Hui Meng: Department of Joint and Sports Medicine, Second Affiliated Hospital of Shandong First Medical University, Taian, Shandong, China.
  3. Yuan Li: Department of Rehabilitation, Taian Maternal and Child Health Hospital, Taian, Shandong, China.
  4. Hui Zong: Department of Rehabilitation, Taian Maternal and Child Health Hospital, Taian, Shandong, China.
  5. Hongna Yu: Department of Rehabilitation, Taian Maternal and Child Health Hospital, Taian, Shandong, China.
  6. HaiBin Liu: School of Sports Medicine and Rehabilitation, Shandong First Medical University, Taian, Shandong, China.
  7. Shi Lv: Department of Rehabilitation, Second Affiliated Hospital of Shandong First Medical University, Taian, Shandong, China.
  8. Liang Huai: School of Sports Medicine and Rehabilitation, Shandong First Medical University, Taian, Shandong, China.
PMID: 38784392 DOI: 10.7717/peerj.17395

Abstract

Objective: We compared the effects of early and delayed rehabilitation on the function of patients after rotator cuff repair by meta-analysis to find effective interventions to promote the recovery of shoulder function.
Methods: This meta-analysis was registered in PROSPERO (CRD42023466122). We manually searched the randomized controlled trials (RCTs) in the Cochrane Library, Pubmed, Cochrane Library, EMBASE, the China National Knowledge Infrastructure (CNKI), the China VIP Database (VIP), and the Wanfang Database to evaluate the effect of early and delayed rehabilitation after arthroscopic shoulder cuff surgery on the recovery of shoulder joint function. Review Manager 5.3 software was used to analyze the extracted data. Then, the PEDro scale was employed to appraise the methodological quality of the included research.
Results: This research comprised nine RCTs and 830 patients with rotator cuff injuries. According to the findings of the meta-analysis, there was no discernible difference between the early rehabilitation group and the delayed rehabilitation group at six and twelve months after the surgery in terms of the VAS score, SST score, follow-up rotator cuff healing rate, and the rotator cuff retear rate at the final follow-up. There was no difference in the ASES score between the early and delayed rehabilitation groups six months after the operation. However, although the ASES score in the early rehabilitation group differed significantly from that in the delayed rehabilitation group twelve months after the operation, according to the analysis of the minimal clinically important difference (MCID), the results have no clinical significance.
Conclusions: The improvement in shoulder function following arthroscopic rotator cuff surgery does not differ clinically between early and delayed rehabilitation. When implementing rehabilitation following rotator cuff repair, it is essential to consider the paradoxes surrounding shoulder range of motion and tendon anatomic healing. A program that allows for flexible progression based on the patient's ability to meet predetermined clinical goals or criteria may be a better option.

Keywords

Arthroscopy Exercise rehabilitation Meta analysis Rehabilitation Rotator cuff injury Rotator cuff injury rehabilitation

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MeSH Term

Humans
Arthroscopy
Rotator Cuff Injuries
Recovery of Function
Rotator Cuff
Range of Motion, Articular
Time Factors
Randomized Controlled Trials as Topic
Treatment Outcome
Journal Article Meta-Analysis Systematic Review

Word Cloud

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