PloS one · 2021 · 系統性回顧＋統合分析（依標題推測）

Effectiveness of Early Versus Delayed Rehabilitation Following Rotator Cuff Repair: Systematic Review and Meta-Analyses

肩 · 旋轉肌袖撕裂

中文閱讀摘要

肩袖修復後早期與延遲復健之系統性回顧與統合分析，早期組活動範圍顯著較佳，但疼痛、功能及修復完整性無顯著差異。

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原始摘要

Objective

To investigate the effectiveness of early rehabilitation compared with delayed/standard rehabilitation after rotator cuff repair for pain, function, range of movement, strength, and repair integrity.

Design

Systematic review and meta-analyses.

Methods

We searched databases and included randomised controlled trials (RCTs) comparing early with delayed/standard rehabilitation for patients undergoing rotator cuff repair surgery. We assessed risk of bias of the RCTs using the Cochrane RoB 2 tool.

Results

Twenty RCTs, with 1841 patients, were included. The majority of the RCTs were of high or unclear risk of overall bias. We found substantial variations in the rehabilitation programmes, time in the sling and timing of exercise progression. We found no statistically significant differences for pain and function at any follow-up except for the outcome measure Single Assessment Numeric Evaluation at six months (MD: 6.54; 95%CI: 2.24-10.84) in favour of early rehabilitation. We found statistically significant differences in favour of early rehabilitation for shoulder flexion at six weeks (MD: 7.36; 95%CI: 2.66-12.06), three (MD: 8.45; 95%CI: 3.43-13.47) and six months (MD: 3.57; 95%CI: 0.81-6.32) and one year (MD: 1.42; 95%CI: 0.21-2.64) and similar differences for other planes of movement. In terms of repair integrity, early mobilisation does not seem to increase the risk of re-tears (OR:1.05; 95%CI: 0.64-1.75).

Discussion

Current approaches to early mobilisation, based largely on early introduction of passive movement, did not demonstrate significant differences in most clinical outcomes, although we found statistically significant differences in favour of early rehabilitation for range of movement. Importantly, there were no differences in repair integrity between early and delayed/standard rehabilitation. Most rehabilitation programmes did not consider early active movement as soon as the patient feels able. With ongoing variation in rehabilitation protocols there remains a need for large high quality RCT to inform the optimal approach to rehabilitation after rotator cuff repair surgery.

至 Europe PMC 閱讀完整來源 ↗ · 擷取日期 2026-10-19

書目、來源與全文狀態

DOI: 10.1371/journal.pone.0252137
PMID／PMCID: 34048450 / PMC8162656
作者: Mazuquin B, Moffatt M, Gill P, Gill P, Selfe J, Rees J, Drew S, Littlewood C
首次發表日期: 2021-05-28Europe PMC 提供，部分日期可能依年份或月份推定。
卷／期／頁碼或文章編號: 16 ／ 5 ／ e0252137
書目來源與查核日期: Europe PMC · 2026-10-19僅核對書目欄位與來源連結；不代表已評讀研究品質。
全文與授權: 來源列有免費全文（查核 2026-10-19），未逐篇測試 PDF 下載。來源授權標示：cc by。

可回溯引用

Mazuquin B, Moffatt M, Gill P, Gill P, Selfe J, Rees J, Drew S, Littlewood C. Effectiveness of Early Versus Delayed Rehabilitation Following Rotator Cuff Repair: Systematic Review and Meta-Analyses. PloS one. 2021;16(5):e0252137. PMID: 34048450. PMCID: PMC8162656. doi:10.1371/journal.pone.0252137

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