Paolucci, T.; Agostini, F.; Conti, M.; Cazzolla, S.; Mussomeli, E.; Santilli, G.; Poso, F.; Bernetti, A.; Paoloni, M.; Mangone, M. Comparison of Early Versus Traditional Rehabilitation Protocol after Rotator Cuff Repair: An Umbrella-Review. J. Clin. Med.2023, 12, 6743.
Paolucci, T.; Agostini, F.; Conti, M.; Cazzolla, S.; Mussomeli, E.; Santilli, G.; Poso, F.; Bernetti, A.; Paoloni, M.; Mangone, M. Comparison of Early Versus Traditional Rehabilitation Protocol after Rotator Cuff Repair: An Umbrella-Review. J. Clin. Med. 2023, 12, 6743.
Paolucci, T.; Agostini, F.; Conti, M.; Cazzolla, S.; Mussomeli, E.; Santilli, G.; Poso, F.; Bernetti, A.; Paoloni, M.; Mangone, M. Comparison of Early Versus Traditional Rehabilitation Protocol after Rotator Cuff Repair: An Umbrella-Review. J. Clin. Med.2023, 12, 6743.
Paolucci, T.; Agostini, F.; Conti, M.; Cazzolla, S.; Mussomeli, E.; Santilli, G.; Poso, F.; Bernetti, A.; Paoloni, M.; Mangone, M. Comparison of Early Versus Traditional Rehabilitation Protocol after Rotator Cuff Repair: An Umbrella-Review. J. Clin. Med. 2023, 12, 6743.
Abstract
Rehabilitation after rotator cuff repair is crucial for functional recovery and for minimizing the risk of retear. There are two rehabilitation protocols (early and traditional) and the debate about which is the best is still open. This umbrella review aimed to compare the effect of these rehabilitation protocols in terms of reduction of pain, functional recovery and retear risk. We selected systematic reviews and meta-analyses published between 2012 to 2022 dealing with the aim. Nineteen systematic reviews were included. No significant differences were found between early and traditional protocols in terms of pain reduction. Early rehabilitation provided better short-term results regarding Range of Motion improvement, but long-term functional outcomes were similar. Retear risk remains a significant concern for the early protocol. We found major differences between the analyzed protocols. This review suggests that both protocols are useful to recover global shoulder function, but the standard protocol has a greater safety profile for larger tears. On the other hand, the early protocol may be preferable for smaller lesions, allowing a faster recovery and having less impact on medical costs. Further research is needed to identify optimal rehabilitation strategies tailored to the individual patient's needs and characteristics.
Medicine and Pharmacology, Orthopedics and Sports Medicine
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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