Effectiveness of early exercise on rehabilitation after arthroscopic rotator cuff repair: an overview of systematic review
10.3760/cma.j.cn115682-20210203-00554
- VernacularTitle:早期锻炼对关节镜下肩袖修补术后康复影响的系统评价再评价
- Author:
Zhudan YIN
1
;
Qi ZHONG
;
Nirong BAO
;
Yun LIU
Author Information
1. 南京医科大学第一附属医院（江苏省人民医院）神经外科ICU，南京 210029
- Keywords:
Rehabilitation;
Rotator cuff repair;
Early exercise;
Overview of systematic review
- From:
Chinese Journal of Modern Nursing
2022;28(7):886-892
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the methodological quality and reliability of the conclusions of systematic reviews on the effectiveness of early exercise on rehabilitation after arthroscopic rotator cuff repair.Methods:Systematic reviews related to early exercise after rotator cuff repair were retrieved by computer from China National Knowledge Infrastructure (CNKI) , WanFang, Cochrane Library, Embase and PubMed. The retrieval time limit was from the establishment of the database to October 31, 2020. Two reviewers independently screened the articles, extracted data, and used A Measurement Tool to Assess Systematic Reviews (AMSTAR) 2 and the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) to evaluate the methodology and quality of evidence of the included studies, respectively.Results:A total of 8 systematic reviews were included. The evaluation results of the AMSTAR 2 showed that 3 articles were of low methodological quality, and 5 articles were of very low methodological quality. The GRADE was used to evaluate the quality of evidence for 51 outcome indicators, and the results showed that 52.94% (27/51) were moderate evidence, 21.57% (11/51) were low-level evidence, 25.49% (13/51) were very low-level evidence, and no evidence quality was shown as high.Conclusions:Current evidence shows that early exercise can promote early recovery of joint range of motion in patients with arthroscopic rotator cuff repair, while also increasing the risk of rotator cuff tendon re-tear to a certain extent. In terms of long-term effects, no significant difference is seen between early exercise and delayed exercise. However, the methodological quality and the reliability of the evidence level of the systematic reviews are low, and high-quality original studies are needed to be further confirmed.
