Littlewood, C., Bateman, M., Clark, D. et al. (4 more authors) (2015) Rehabilitation following rotator cuff repair: A systematic review. Shoulder & Elbow. Published Online 29 January 2015. ISSN 1758-5732
Abstract
Background: The aim of this systematic review was to evaluate the effectiveness of rehabilitation programmes following surgical repair of the rotator cuff with emphasis upon length of immobilisation and timing of introduction of load. Methods: An electronic search of CENTRAL, MEDLINE and PEDro was undertaken to August 2014 and supplemented by hand searching. Randomised controlled trials were included, quality appraised using the PEDro scale and synthesised via meta-analysis or narrative synthesis, based upon levels of evidence, where appropriate. Results: Twelve studies were included. There is strong evidence that early initiation of rehabilitation does not adversely affect clinical outcome but there is a marginally higher, statistically non-significant, incidence of tendon re-tear (OR 1.3; 95% CI 0.72 to 2.2). There is strong evidence that initiation of functional loading early in the rehabilitation programme does not adversely affect clinical outcome. Discussion: Concern about early initiation of rehabilitation and introduction of gradual functional load does not appear warranted but this should be considered in a context of potential for Type II error. There is further need to evaluate approaches that foster early initiation of rehabilitation and gradual introduction of functional load as well as considering key outcomes such as return to work.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Editors: |
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Copyright, Publisher and Additional Information: | © 2015 Wiley. This is an author produced version of a paper subsequently published in Shoulder and Elbow. Uploaded in accordance with the publisher's self-archiving policy. |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 05 Feb 2015 11:17 |
Last Modified: | 08 Mar 2016 13:47 |
Published Version: | http://dx.doi.org/10.1177/1758573214567702 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1177/1758573214567702 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:83203 |