PT  - JOURNAL ARTICLE
AU  - Bruno Fles Mazuquin
AU  - Andrew Charles Wright
AU  - Sarah Russell
AU  - Puneet Monga
AU  - James Selfe
AU  - Jim Richards
TI  - Effectiveness of early compared with conservative rehabilitation for patients having rotator cuff repair surgery: an overview of systematic reviews
AID  - 10.1136/bjsports-2016-095963
DP  - 2018 Jan 01
TA  - British Journal of Sports Medicine
PG  - 111--121
VI  - 52
IP  - 2
4099  - http://bjsm.bmj.com/content/52/2/111.short
4100  - http://bjsm.bmj.com/content/52/2/111.full
SO  - Br J Sports Med2018 Jan 01; 52
AB  - Aim/objective The aim is to critically analyse and discuss the current literature and determine the effectiveness of rehabilitation for patients after surgical repair of rotator cuff tears for range of motion (ROM), pain, functional status and retear rates; in addition, an update of new literature is included.Design Overview of systematic reviews.Data sources A search was performed with no restrictions to date of publication and language in the following databases: EBSCO, AMED, CINAHL, SPORTDiscus, EMBASE, Cochrane, LILACS, MEDLINE, PEDro, Scielo, SCOPUS and Web of Knowledge. The PRISMA guideline was followed to develop this review and the R-AMSTAR tool was used for critical appraisal of included reviews.Eligibility criteria Only systematic reviews and randomised controlled trials (RCTs) comparing the effectiveness of early with conservative rehabilitation, after surgical repair of the rotator cuff, were included. Moreover, the studies should report ROM, pain, functional status and/or retears rates before and after 3–24 months of the surgery.Results 10 systematic reviews and 11 RCTs were included for the final analysis. Conflicting results and conclusions were presented by the systematic reviews, the use of primary studies varied; also the methodological quality of the reviews was diverse. This updated review, with new meta-analysis, showed no difference for function, pain, ROM or retears ratio between early and conservative rehabilitation.Summary/Conclusions Early mobilisation may be beneficial, particularly for small and medium tears; however, more studies with higher quality are required, especially for patients with large tears who have been given less attention.