Evidence map›Paper›PMID 38049792›Full record

SynthesisBMC musculoskeletal disorders2023

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

Ching-Wei Hu, Sung Huang Laurent Tsai, Chien-Hao Chen, Hao-Che Tang, Chun-Yi Su, Eric H Tischler, Yi-Chiang Yang, Yi-Sheng Chan, Chih-Hao Chiu, Alvin Chao Yu Chen

Erratum issuedOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 8 citations in OpenAlex.

  1. Postoperative rehabilitation and pain control after arthroscopic rotator cuff repair in South Korea: A web-based survey.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 2 countries.

Ching-Wei Hu *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.
Sung Huang Laurent Tsai *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.
Chien-Hao ChenDepartment 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.
Hao-Che TangDepartment 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.
Chun-Yi SuDepartment 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.
Eric H TischlerJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Yi-Chiang YangDepartment of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei, Taiwan.
Yi-Sheng ChanBone and Joint Research Center, Department of Orthopedic Surgery, Chang Gung Memorial Hospital-Linkou & University College of Medicine, Taoyuan City, Taiwan.
Chih-Hao ChiuBone and Joint Research Center, Department of Orthopedic Surgery, Chang Gung Memorial Hospital-Linkou & University College of Medicine, Taoyuan City, Taiwan. joechiu0115@gmail.com.
Alvin Chao Yu ChenBone and Joint Research Center, Department of Orthopedic Surgery, Chang Gung Memorial Hospital-Linkou & University College of Medicine, Taoyuan City, Taiwan. alvinchen@cgmh.org.tw.
Chang Gung Memorial Hospital · TWChang Gung University · TWLinkou Chang Gung Memorial Hospital · TWState University of New York · USTaipei Veterans General Hospital · TWTaoyuan Chang Gung Memorial Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 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.

methodsA 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).

resultsThirteen 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.

conclusionEAM 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.

Indexed as

Rotator Cuff InjuriesShoulder JointArthroscopyHumansRandomized Controlled Trials as TopicRange of Motion, ArticularRotator CuffTreatment OutcomeArthroscopy rotator cuff tearEarly mobilizationEarly motionEarly rehabilitation

Identifiers

PMID38049792
PMCPMC10694899
OpenAlexW4389310865

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.