Back to Search
Start Over
Move It or Lose It? The Effect of Early Active Movement on Clinical Outcomes Following Rotator Cuff Repair: A Systematic Review With Meta-analysis
- Source :
- The Journal of orthopaedic and sports physical therapy. 51(7)
- Publication Year :
- 2021
-
Abstract
- To assess the effect of early active shoulder movement after rotator cuff repair, compared to delayed active shoulder movement, on clinical outcomes, rotator cuff integrity, and return to work.Intervention systematic review.We searched 14 databases in November 2017 and updated the search in December 2018 and February 2020.We included comparative studies that assessed the effect of early active shoulder movement versus delayed active shoulder movement following rotator cuff repair.Means and SDs were used to calculate weighted mean differences and 95% confidence intervals for outcomes of interest. The sensitivity analysis included only randomized controlled trials and was performed when heterogeneity among studies was statistically significant.Eight studies with a total of 756 participants (early active shoulder movement, n = 379; delayed active shoulder movement, n = 377) were included. There was high-certainty evidence favoring early active movement for forward flexion (6 weeks), abduction (6 weeks), and external rotation (6 weeks and 3 and 6 months) postsurgery. There was moderate-certainty evidence of worse Western Ontario Rotator Cuff Index score (6 weeks) for the early active movement group, and no difference in rotator cuff integrity between the early and delayed active movement groups. There were no group differences for all other outcomes.Patients who commenced active shoulder movement early after rotator cuff repair had greater shoulder range of motion and worse shoulder-specific quality of life after surgery than patients who delayed active shoulder movement. However, the group differences did not appear to be clinically important, and rotator cuff integrity was similar.
- Subjects :
- musculoskeletal diseases
medicine.medical_specialty
Rehabilitation
business.industry
medicine.medical_treatment
Active movement
Physical Therapy, Sports Therapy and Rehabilitation
Shoulder movement
General Medicine
musculoskeletal system
Exercise Therapy
Rotator Cuff Injuries
Physical medicine and rehabilitation
medicine.anatomical_structure
Meta-analysis
Surveys and Questionnaires
Quality of Life
Medicine
Humans
Rotator cuff
Range of Motion, Articular
business
human activities
Subjects
Details
- ISSN :
- 19381344
- Volume :
- 51
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- The Journal of orthopaedic and sports physical therapy
- Accession number :
- edsair.doi.dedup.....34f4ff6eb2158d33847b6f54d72fef92