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.

Objective:To construct rehabilitation exercise program after rotator cuff repair under arthroscopic, so as to provide a reference for guiding the clinical orthopedic rehabilitation nursing practice and promoting the postoperative functional rehabilitation of patients.Methods:From January to December 2020, through literature review and group discussion, the first draft of the rehabilitation exercise program after rotator cuff repair under arthroscope was formulated. The Delphi method was used to conduct 2 rounds of consultation with 25 experts, and the final version of the rehabilitation exercise program after rotator cuff repair under arthroscope was determined according to the expert consultation.Results:The effective recovery rates of the 2 rounds of expert consultation questionnaires were 80% (20/25) , 85% (17/20) , the coefficients of expert authority were 0.853 and 0.850. The rehabilitation exercise program after rotator cuff repair under arthroscope included 5 basic rules (the significance of program construction, exercise principles, exercise methods, exercise time division, exercise objectives) and 39 specific implementation strategies.Conclusions:The rehabilitation exercise program after rotator cuff repair under arthroscope is scientific, reliable and feasible, which provides a basis for clinical nurses to guide postoperative rehabilitation.