دورية أكاديمية
أعرض في EDS

Early versus delayed mobilization for arthroscopic rotator cuff repair (small to large sized tear): a meta-analysis of randomized controlled trials.

التفاصيل البيبلوغرافية
العنوان: Early versus delayed mobilization for arthroscopic rotator cuff repair (small to large sized tear): a meta-analysis of randomized controlled trials.
المؤلفون: Ching-Wei H; Department of Orthopaedic Surgery, Keelung branch, Bone and Joint Research Center, Chang Gung Memorial Hospital, Chang Gung University, F7, No 222 Mai-King Road, Keelung, Taiwan., Tsai SLH; Department of Orthopaedic Surgery, Keelung branch, Bone and Joint Research Center, Chang Gung Memorial Hospital, Chang Gung University, F7, No 222 Mai-King Road, Keelung, Taiwan., Chen CH; Department of Orthopaedic Surgery, Keelung branch, Bone and Joint Research Center, Chang Gung Memorial Hospital, Chang Gung University, F7, No 222 Mai-King Road, Keelung, Taiwan., Tang HC; Department of Orthopaedic Surgery, Keelung branch, Bone and Joint Research Center, Chang Gung Memorial Hospital, Chang Gung University, F7, No 222 Mai-King Road, Keelung, Taiwan., Su CY; Department of Orthopaedic Surgery, Keelung branch, Bone and Joint Research Center, Chang Gung Memorial Hospital, Chang Gung University, F7, No 222 Mai-King Road, Keelung, Taiwan., Tischler EH; Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.; Department of Orthopaedic Surgery and Rehabilitation Medicine, Downstate Medical Center, State University of New York, 450 Clarkson Ave, Brooklyn, NY, 11203, USA., Yang YC; Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei, Taiwan., Chan YS; Bone and Joint Research Center, Department of Orthopedic Surgery, Chang Gung Memorial Hospital-Linkou & University College of Medicine, Taoyuan City, Taiwan.; Comprehensive Sports Medicine Center, Chang Gung Memorial Hospital Taiwan, Taoyuan City, Taiwan., Chiu CH; Bone and Joint Research Center, Department of Orthopedic Surgery, Chang Gung Memorial Hospital-Linkou & University College of Medicine, Taoyuan City, Taiwan. joechiu0115@gmail.com.; Comprehensive Sports Medicine Center, Chang Gung Memorial Hospital Taiwan, Taoyuan City, Taiwan. joechiu0115@gmail.com.; Department of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan City, Taiwan. joechiu0115@gmail.com., Chen ACY; Bone and Joint Research Center, Department of Orthopedic Surgery, Chang Gung Memorial Hospital-Linkou & University College of Medicine, Taoyuan City, Taiwan. alvinchen@cgmh.org.tw.; Comprehensive Sports Medicine Center, Chang Gung Memorial Hospital Taiwan, Taoyuan City, Taiwan. alvinchen@cgmh.org.tw.
المصدر: BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2023 Dec 04; Vol. 24 (1), pp. 938. Date of Electronic Publication: 2023 Dec 04.
نوع المنشور: Meta-Analysis; Systematic Review; Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968565 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2474 (Electronic) Linking ISSN: 14712474 NLM ISO Abbreviation: BMC Musculoskelet Disord Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2000-
مواضيع طبية MeSH: Rotator Cuff Injuries*/surgery , Shoulder Joint*/surgery, Humans ; Rotator Cuff/surgery ; Arthroscopy/adverse effects ; Arthroscopy/methods ; Treatment Outcome ; Randomized Controlled Trials as Topic ; Range of Motion, Articular
مستخلص: Background: The timing to start passive or active range of motion (ROM) after arthroscopic rotator cuff repair remains unclear. This systematic review and meta-analysis evaluated early versus delayed passive and active ROM protocols following arthroscopic rotator cuff repair. The aim of this study is to systematically review the literature on the outcomes of early active/passive versus delayed active/passive postoperative arthroscopic rotator cuff repair rehabilitation protocols.
Methods: A systematic review and meta-analysis of randomized controlled trials (RCTs) published up to April 2022 comparing early motion (EM) versus delayed motion (DM) rehabilitation protocols after arthroscopic rotator cuff repair for partial and full-thickness tear was conducted. The primary outcome was range of motion (anterior flexion, external rotation, internal rotation, abduction) and the secondary outcomes were Constant-Murley score (CMS), Simple Shoulder Test Score (SST score) and Visual Analogue Scale (VAS).
Results: Thirteen RCTs with 1,082 patients were included in this study (7 RCTs for early passive motion (EPM) vs. delayed passive motion (DPM) and 7 RCTs for early active motion (EAM) vs. delayed active motion (DAM). Anterior flexion (1.40, 95% confidence interval (CI), 0.55-2.25) and abduction (2.73, 95%CI, 0.74-4.71) were higher in the EPM group compared to DPM. Similarly, EAM showed superiority in anterior flexion (1.57, 95%CI, 0.62-2.52) and external rotation (1.59, 95%CI, 0.36-2.82), compared to DAM. There was no difference between EPM and DPM for external rotation, retear rate, CMS and SST scores. There was no difference between EAM and DAM for retear rate, abduction, CMS and VAS.
Conclusion: EAM and EPM were both associated with superior ROM compared to the DAM and DPM protocols. EAM and EPM were both safe and beneficial to improve ROM after arthroscopic surgery for the patients with small to large sized tears.
(© 2023. The Author(s).)
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فهرسة مساهمة: Keywords: Arthroscopy rotator cuff tear; Early mobilization; Early motion; Early rehabilitation
تواريخ الأحداث: Date Created: 20231204 Date Completed: 20231206 Latest Revision: 20231207
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10694899
DOI: 10.1186/s12891-023-07075-5
PMID: 38049792
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2474
DOI:10.1186/s12891-023-07075-5