No Clinical Benefit of Supervised Physiotherapy vs Home Exercise After Rotator Cuff Reconstruction .
Effectiveness of supervised physiotherapy after arthroscopic rotator cuff reconstruction: a randomized controlled trial.
J Shoulder Elbow Surg.2020 Sep;29(9):1765-1774Seventy patients with full-thickness supraspinatus tendon tears who underwent arthroscopic rotator cuff reconstruction were randomized to receive either supervised physiotherapy (n=35) or home exercises alone (n=35). The primary outcome of interest was the Constant Shoulder score at 1 year follow-up. The secondary outcomes of interest included the Visual Analogue Scale (VAS) for pain and the Subjective Shoulder Value (SSV), measured at 3 months and 1 year follow-up. Other outcomes included the size of the supraspinatus tear, and the incidence of tenotomy, tenodesis, acromioclavicular resection, and acromioplasty, which were all measured peri-operatively. The results revealed that Constant shoulder scores were not statistically significantly different between the 2 groups at both 3 months and 1 year follow up. VAS pain scores was statistically significantly different in favour of the supervised physiotherapy group at 3 months follow-up (p=0.0053), but not at 1 year follow-up (p=0.3547). Additionally, the SSV scores were not statistically significantly different between the 2 groups at all follow-up periods. All peri-operative measures were not statistically significantly different between the supervised physiotherapy group and the home exercise group.
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics