Evidence map›Paper›PMID 37442778›Full record

ArticleClinics in shoulder and elbow2023

Does physiotherapy after rotator cuff repair require supervision by a physical therapist?: a meta-analysis.

Masaki Karasuyama, Masafumi Gotoh, Takuya Oike, Kenichi Nishie, Manaka Shibuya, Hidehiro Nakamura, Hiroki Ohzono, Junichi Kawakami

Open access · diamondAbstract read
In one paragraph

Article in Clinics in shoulder and elbow, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Masaki KarasuyamaDepartment of Rehabilitation, Minamikawa Orthopedic Hospital, Fukuoka, Japan.
Masafumi GotohDepartment of Orthopedic Surgery, Kurume University Medical Center, Kurume, Japan.
Takuya OikeDepartment of Rehabilitation, Tahara Orthopedic Clinic, Kitakyushu, Japan.
Kenichi NishieDepartment of Respiratory Medicine, Iida Municipal Hospital, Nagano, Japan.
Manaka ShibuyaDepartment of Rehabilitation, Kitasato University Hospital, Sagamihara, Japan.
Hidehiro NakamuraDepartment of Orthopedic Surgery, Kurume University Medical Center, Kurume, Japan.
Hiroki OhzonoDepartment of Orthopedic Surgery, Kurume University Medical Center, Kurume, Japan.
Junichi KawakamiDepartment of Physical Therapy, Kyushu Nutrition Welfare University, Kitakyushu, Japan.
Kurume University Medical Center · JPKitasato University Hospital · JPKurume University · JPKyushu Nutrition Welfare University · JPNagano Municipal Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA supervised physiotherapy program (SPP) is a standard regimen after surgical rotator cuff repair (RCR); however, the effect of a home-based exercise program (HEP), as an alternative, on postoperative functional recovery remains unclear. Therefore, the purpose of this meta-analysis was to compare the functional effects of SPP and HEP after RCR.

methodsWe searched electronic databases including Central, Medline, and Embase in April 2022. The primary outcomes included the Constant score, American Shoulder and Elbow Surgeons score, University of California Los Angeles shoulder score, and pain score. Secondary outcomes included range of motion, muscle strength, retear rate, and patient satisfaction rate. A meta-analysis using random-effects models was performed on the pooled results to determine the significance.

resultsThe initial database search yielded 848 records, five of which met our criteria. Variables at 3 months after surgery were successfully analyzed, including the Constant score (mean difference, -8.51 points; 95% confidence interval [CI], -32.72 to 15.69; P=0.49) and pain score (mean difference, 0.02 cm; 95% CI, -2.29 to 2.33; P=0.99). There were no significant differences between the SPP and HEP. Other variables were not analyzed owing to the lack of data.

conclusionsOur data showed no significant differences between SSP and HEP with regard to the Constant and pain scores at 3 months after RCR. These results suggest that HEP may be an alternative regimen after RCR. Level of evidence: I.

Indexed as

Physical therapy modalitiesRehabilitationRotator cuff

Identifiers

PMID37442778
PMCPMC10497919
OpenAlexW4382929681

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

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.