Does Early Versus Delayed Active Range of Motion Affect Rotator Cuff Healing After Surgical Repair? A Systematic Review and Meta-analysis

This report has been verified by one or more authors of the original publication.

この研究はハイインパクトの可能性があります。 OEのAI駆動型ハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文が持つ可能性の高い影響力を推定します。 最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。 これにより、臨床的に意義のある研究をより早く認識することが可能になり、読者は将来の診療を形成する可能性が最も高い論文に集中することができます。

37 studies (n=2251 repairs) investigating either early or delayed initiation of active range of motion exercises in patients who had undergone rotator cuff repairs were included in this meta-analysis. As postoperative rehabilitation has been suggested to influence the structural integrity of the repair, the present analysis was conducted in order to determine if retear rates were affected by the timing of active ROM initiation. Early initiation of active range of motion exercises displayed a higher risk of retear when tears were 3cm or less and repaired with transosseous and single-row suture anchor techniques, 3cm or greater overall and among those repaired with a double-row suture bridge technique, or 5cm or greater and repaired with a double-row suture bridge technique.