SynthesisMedicine2018
The clinical effect of rehabilitation following arthroscopic rotator cuff repair: A meta-analysis of early versus delayed passive motion.
Synthesis in Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- Early versus delayed mobilization for arthroscopic rotator cuff repair (small to large sized tear): a meta-analysis of randomized controlled trials.BMC musculoskeletal disorders · 2023Pooled it
- Retear rates after rotator cuff surgery: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2021Pooled it
- Conservative versus accelerated rehabilitation after rotator cuff repair: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2021Pooled it
- Exercise-Induced Hypoalgesia Following Blood Flow Restriction in Rotator Cuff Repair Rehabilitation: A Randomized Crossover Clinical Trial.Translational sports medicine · 2026Article
- Tendon stump change as a risk factor for structural failure of arthroscopic rotator cuff repair.JSES international · 2025Article
- The Reverse Fragility Index: Interpreting the Evidence for Arthroscopic Rotator Cuff Repair Healing Associated With Early Versus Delayed Mobilization.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- Patient Sex Is a Significant Factor in Arm Function Recovery After Arthroscopic Rotator Cuff Repair.Arthroscopy, sports medicine, and rehabilitation · 2024Article
- Arthroscopic treatment for rotator cuff injury and frozen shoulder with concomitant rotator cuff injury: analysis of efficacy and factors influencing prognosis.American journal of translational research · 2024Article
- The Effectiveness of Rehabilitation after Open Surgical Release for Trigger Finger: A Prospective, Randomized, Controlled Study.Journal of clinical medicine · 2023Article
- Comparison of Early versus Traditional Rehabilitation Protocol after Rotator Cuff Repair: An Umbrella-Review.Journal of clinical medicine · 2023Review
- Article
- Narrative review of gene modification: applications in three-dimensional (3D) bioprinting.Annals of translational medicine · 2021Review
- Healing rates after rotator cuff repair for patients taking either celecoxib or placebo: a double-blind randomized controlled trial.JSES international · 2021Article
- Arthroscopic superior capsular reconstruction of the shoulder: a narrative review.Annals of translational medicine · 2021Review
- Pre-Operative Scapular Rehabilitation for Arthroscopic Repair of Traumatic Rotator Cuff Tear: Results of a Randomized Clinical Trial.International journal of sports physical therapy · 2021Article
- The efficacy of platelet-rich plasma in arthroscopic rotator cuff repair: A protocol of randomized controlled trial.Medicine · 2020Article
- A Review of Online Rehabilitation Protocols Designated for Rotator Cuff Repairs.Arthroscopy, sports medicine, and rehabilitation · 2020Review
- Surgical or nonsurgical treatment for nontraumatic rotator cuff tears: Study protocol clinical trial.Medicine · 2020Article
- Evaluation of a New Rotator Cuff Trainer Based on Oscillating Hydraulic Damping.Healthcare (Basel, Switzerland) · 2020Article
- Partial-width injuries of the rat rotator cuff heal with fibrosis.Connective tissue research · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe argument on the recommended rehabilitation protocol following arthroscopic rotator cuff repair remains to be resolved. So this meta-analysis was presented to evaluate the differences of clinical effects between the 2 distinct rehabilitation protocols after arthroscopic rotator cuff repair.
methodsThe PubMed, Cochrane Library, Web of Science, and EMBASE were systematically searched. Only randomized controlled trials (RCTs) published up to July 25, 2017, comparing early passive motion (EPM) versus delayed passive motion (DPM) rehabilitation protocols following arthroscopic rotator cuff repair were identified. The primary outcomes included range of motion and healing rate, while the secondary outcomes were Constant score, American Shoulder and Elbow Society (ASES) score, and Simple Shoulder Test (SST) score. The exclusion criteria contained biochemical trials, reviews, case reports, retrospective studies, without mention about passive motion exercise, no assessment of outcomes mentioned above, and no comparison of EPM and DPM rehabilitation protocols.
resultsEight RCTs with 671 patients were enrolled in this study. The EPM resulted in improved shoulder forward flexion at short term, mid-term, and long-term follow-ups. The EPM group was superior to the DPM group in terms of external rotation (ER) at short-term and mid-term follow-ups. However, the DPM performed better long-term ASES score. These 2 protocols were equivalent in terms of ER at long term, ASES score at mid-term, SST score, Constant score, and healing rate. After excluding 2 RCTs that examined only small- and medium-sized tears, the pooled results of healing rate decreased from 82.4% to 76.6% in the EPM and 86.9% to 85.9% in the DPM.
conclusionThe meta-analysis suggests that the EPM protocol results in superior ROM recovery after arthroscopic rotator cuff repair but may adversely affect the shoulder function, which should be supported by further research. The healing rate at long-term follow-up is not clearly affected by the type of rehabilitation, but the EPM protocol might result in lower rates of tendon healing in the shoulder with large-sized tendon tears.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.