TY - JOUR
T1 - Effectiveness of supervised physiotherapy versus home exercise in subjects with rotator cuff disorders treated surgically
T2 - A systematic review and meta-analysis
AU - Gutiérrez-Espinoza, Héctor
AU - Araya-Quintanilla, Felipe
AU - Olguín-Huerta, Cristian
AU - Valdés-Orrego, Iván
AU - Sepúlveda-Osses, Oscar
N1 - Publisher Copyright:
© 2022 John Wiley & Sons Ltd.
PY - 2022
Y1 - 2022
N2 - Objective: The aim is to determine the effectiveness of supervised Physiotherapy (PT) versus a home exercise program for functional outcomes in patients with rotator cuff (RC) disorders treated surgically. Type: Systematic review and meta-analysis of randomized clinical trials. Methodology: An electronic search was performed in the MEDLINE, CENTRAL, EMBASE, PEDro, LILACS, CINAHL, SPORTDiscus, and Web of Science databases. The eligibility criteria for selecting studies included randomized clinical trials that compared supervised PT versus home exercises in functional outcomes, such as shoulder or upper limb function, pain intensity, and range of motion, in subjects older than 18 years with RC disorders treated surgically. Synthesis: Six trials met the eligibility criteria, and for the quantitative synthesis, five studies were included. At 3 months, the mean difference (MD) for the Constant-Murley questionnaire (0–100 points) was −0.76 points (95% confidence interval (CI) = −15.64 to 14.12, p = 0.92), while the MD for the visual analog scale (0–10 cm) was −0.87 cm (95% CI = −2.8 to 1.06, p = 0.38). These differences were neither clinically nor statistically significant. Conclusion: There was very low quality of evidence towards no better benefits in shoulder pain and function of supervised PT over home exercises programs in patients older than 18 years with RC disorders treated surgically. PROSPERO registration: CRD42020185805.
AB - Objective: The aim is to determine the effectiveness of supervised Physiotherapy (PT) versus a home exercise program for functional outcomes in patients with rotator cuff (RC) disorders treated surgically. Type: Systematic review and meta-analysis of randomized clinical trials. Methodology: An electronic search was performed in the MEDLINE, CENTRAL, EMBASE, PEDro, LILACS, CINAHL, SPORTDiscus, and Web of Science databases. The eligibility criteria for selecting studies included randomized clinical trials that compared supervised PT versus home exercises in functional outcomes, such as shoulder or upper limb function, pain intensity, and range of motion, in subjects older than 18 years with RC disorders treated surgically. Synthesis: Six trials met the eligibility criteria, and for the quantitative synthesis, five studies were included. At 3 months, the mean difference (MD) for the Constant-Murley questionnaire (0–100 points) was −0.76 points (95% confidence interval (CI) = −15.64 to 14.12, p = 0.92), while the MD for the visual analog scale (0–10 cm) was −0.87 cm (95% CI = −2.8 to 1.06, p = 0.38). These differences were neither clinically nor statistically significant. Conclusion: There was very low quality of evidence towards no better benefits in shoulder pain and function of supervised PT over home exercises programs in patients older than 18 years with RC disorders treated surgically. PROSPERO registration: CRD42020185805.
KW - exercise therapy
KW - home exercise program
KW - meta-analysis
KW - randomized clinical trial
KW - Rotator cuff
KW - supervised physiotherapy
UR - http://www.scopus.com/inward/record.url?scp=85124840550&partnerID=8YFLogxK
U2 - 10.1002/pri.1942
DO - 10.1002/pri.1942
M3 - Review article
AN - SCOPUS:85124840550
SN - 1358-2267
JO - Physiotherapy Research International
JF - Physiotherapy Research International
ER -