Conservative vs accelerated rehabilitation after rotator cuff repair: A systematic review and meta-analysis
BMC Musculoskeletal Disorders Jul 29, 2021
Longo UG, Ambrogioni LR, Berton A, et al. - A systematic review and meta-analysis were conducted to compare the conservative and accelerated rehabilitation protocols in patients who had undergone arthroscopic rotator cuff repair in terms of clinical outcomes and range of motions at 3, 6, 12, and 24-month follow-up. A systematic review of the literature was conducted according to PRISMA guidelines. Researchers conducted a meta-analysis to compare accelerated vs conservative rehabilitation protocols after arthroscopic rotator cuff repair. The retear rate, postoperative Constant-Murley score, and range of motions at 3, 6, 12, and 24 months of follow-up were the outcomes measured. The study enrolled a total of 1,424 patients, with 732 patients and 692 in the accelerated and conservative group. There were no statistically significant differences in the retear rate among the accelerated and conservative groups. The results revealed statistically and clinically significant differences in terms of external rotation at 3 and 6 months of follow-up in favor of the accelerated group. Nevertheless, there were no differences between the two groups at 24 months follow-up.
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