PMID- 37608119
OWN - NLM
STAT- MEDLINE
DCOM- 20231027
LR  - 20240104
IS  - 1432-5195 (Electronic)
IS  - 0341-2695 (Linking)
VI  - 47
IP  - 11
DP  - 2023 Nov
TI  - Early versus late physiotherapy following arthroscopic repair of small and medium 
      size rotator cuff tear: a randomized clinical trial.
PG  - 2795-2807
LID - 10.1007/s00264-023-05924-5 [doi]
AB  - PURPOSE: We compared early and late physiotherapy for patients with small and 
      medium size rotator cuff tears following arthroscopic repair. METHODS: A 
      single-centre, single-blinded, prospective parallel RCT was performed with two 
      arms: early physiotherapy (start within the first week) versus late physiotherapy 
      (start 4 weeks after surgery). Patients with small- to medium-sized isolated 
      full-thickness superior rotator cuff tears were included and followed for 12 
      months. The primary outcome measures were shoulder function and range of motion 
      (ROM) measured by the Constant-Murley score (CMS) at three months, six months, 
      and 12 months. The other outcomes were the visual analog scale (VAS) pain and the 
      rotator cuff ultrasound (US) evaluation by the Sugaya classification. RESULTS: In 
      three and six month follow-ups, CMS was significantly superior in the 
      intervention group compared to controls (P < 0.05). However, only at the 
      three month follow-up between-group difference met the minimal clinically 
      important difference (MCID) (MCID = 10.4) (59.8 vs. 48.9). The intervention group 
      experienced less pain than controls in the first six months (P < 0.001), and only 
      the three month follow-up was clinically meaningful based on MCID (MCID = 1.4). 
      Moreover, in the first six months, the shoulder ROM favoured the intervention 
      group (P < 0.05). US grading of the supraspinatus and infraspinatus was similar 
      between groups (P = 0.07). One retear occurred in the intervention group and 
      another in the controls, detected by examination and US evaluation. CONCLUSION: 
      Following the arthroscopic repair of a small- to medium-sized rotator cuff tear, 
      early physiotherapy showed promising results for pain, function, and range of 
      motion. LEVEL OF EVIDENCE: Level I therapeutic.
CI  - (c) 2023. The Author(s) under exclusive licence to SICOT aisbl.
FAU - Guity, Mohammad Reza
AU  - Guity MR
AUID- ORCID: 0000-0001-9911-5243
AD  - Joint Reconstruction Research Center, Tehran University of Medical Sciences, 
      Tehran, Iran.
FAU - Mirghaderi, Peyman
AU  - Mirghaderi P
AUID- ORCID: 0000-0002-3522-8772
AD  - Joint Reconstruction Research Center, Tehran University of Medical Sciences, 
      Tehran, Iran.
AD  - Surgical Research Society (SRS), Students' Scientific Research Center, Tehran 
      University of Medical Sciences, Tehran, Iran.
FAU - Mortazavi, S M Javad
AU  - Mortazavi SMJ
AUID- ORCID: 0000-0003-4189-7777
AD  - Joint Reconstruction Research Center, Tehran University of Medical Sciences, 
      Tehran, Iran.
FAU - Malek, Mahrooz
AU  - Malek M
AUID- ORCID: 0000-0003-4347-6546
AD  - Advanced Diagnostic and Interventional Radiology Research Center (ADIR), 
      Radiology Department, Imam Khomeini Hospital Complex (IKHC), Tehran University of 
      Medical Sciences (TUMS), Tehran, Iran.
FAU - Moharrami, Alireza
AU  - Moharrami A
AUID- ORCID: 0000-0002-8457-8197
AD  - Joint Reconstruction Research Center, Tehran University of Medical Sciences, 
      Tehran, Iran.
FAU - Bagheri, Nima
AU  - Bagheri N
AUID- ORCID: 0000-0002-6458-1700
AD  - Joint Reconstruction Research Center, Tehran University of Medical Sciences, 
      Tehran, Iran. nimab1360@gmail.com.
AD  - Shoulder and Elbow Fellowship, Joint Reconstruction Research Center, Tehran 
      University of Medical Sciences, Tehran, Iran. nimab1360@gmail.com.
FAU - Sharifpour, Sadula
AU  - Sharifpour S
AUID- ORCID: 0000-0001-8344-056X
AD  - Joint Reconstruction Research Center, Tehran University of Medical Sciences, 
      Tehran, Iran. Sadulasharifpour@gmail.com.
LA  - eng
SI  - IRCT/IRCT20210526051412N1
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20230822
PL  - Germany
TA  - Int Orthop
JT  - International orthopaedics
JID - 7705431
SB  - IM
CIN - Int Orthop. 2023 Sep 9;:. PMID: 37688605
MH  - Humans
MH  - *Rotator Cuff Injuries/surgery
MH  - Prospective Studies
MH  - Treatment Outcome
MH  - Magnetic Resonance Imaging
MH  - Arthroscopy/adverse effects/methods
MH  - Physical Therapy Modalities
MH  - Pain
MH  - Range of Motion, Articular
OTO - NOTNLM
OT  - Arthroscopy
OT  - Musculoskeletal manipulations
OT  - Physical therapy modalities
OT  - Rehabilitation
OT  - Rotator cuff injuries
EDAT- 2023/08/23 00:41
MHDA- 2023/10/27 06:42
CRDT- 2023/08/22 23:51
PHST- 2023/04/18 00:00 [received]
PHST- 2023/08/02 00:00 [accepted]
PHST- 2023/10/27 06:42 [medline]
PHST- 2023/08/23 00:41 [pubmed]
PHST- 2023/08/22 23:51 [entrez]
AID - 10.1007/s00264-023-05924-5 [pii]
AID - 10.1007/s00264-023-05924-5 [doi]
PST - ppublish
SO  - Int Orthop. 2023 Nov;47(11):2795-2807. doi: 10.1007/s00264-023-05924-5. Epub 2023 
      Aug 22.