Early functional exercises after arthroscopic rotator cuff repairs: a meta-analysis

doi:10.3969/j.issn.2095-4344.2014.17.026

Abstract

Abstract:

BACKGROUND: At present, it remains unclear whether delayed functional exercises after arthroscopic rotator cuff repairs could elevate the healing rate of tendon. The opportunity of functional exercises after rotator cuff repairs is still controversial, and there is no relevant system evaluation.
OBJECTIVE: To systematically evaluate the differences in curative effects of early and delayed functional exercises after arthroscopic rotator cuff repairs.
METHODS: We searched the Pubmed, EMBASE, Cochrane Central Register of Controlled Clinical Trials, Chinese Biomedical Literature Database, Wanfang Data, China National Knowledge Infrastructure, and Chongqing VIP Database. The key words were “arthroscopy, rotator cuff, rehabilitation”. The references of the included literatures were re-retrieved. The deadline of retrieval was August 15, 2012. The included literatures were randomized controlled trials on early and delayed functional exercises after arthroscopic rotator cuff repairs. Methodological quality evaluation, screening and heterogeneous test were conducted. REVMAN5.1 software was utilized to analyze the extracted data.
RESULTS AND CONCLUSION: We included three randomized controlled trials, including 237 patients: 119 in the early movement group and 118 in the delayed movement group. During follow-up at 1 year after operation, no significant differences in range of motion, pain degree, American Shoulder and Elbow Surgeons Scale, Simple Should Test scores and re-tear rate of rotator cuff were detected between the two groups. Results confirmed that compared with delayed functional exercises, early functional exercises after arthroscopic rotator cuff repair did not have advantages on the improvement of joint function and range of motion, but also did not negatively affect cuff healing. Postoperative rehabilitation can be modified to ensure patient’s compliance.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

全文链接：

Key words: arthroscopes, meta-analysis, range of motion, articular, randomized controlled trial

CLC Number:

R318

Shen Chong, Tang Zhi-hong, Hu Jun-zu, Zou Guo-yao, Xiao Rong-chi, Yan Dong-xue, Liu Rui-duan. Early functional exercises after arthroscopic rotator cuff repairs: a meta-analysis[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(17): 2777-2782.

Figures/Tables 6

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