Zhongguo linchuang yanjiu (Apr 2024)
Summary of best evidence for rehabilitation timing in patients undergoing arthroscopic rotator cuff repair surgery
Abstract
"Objective To search，organize,and summarize the best evidence of rehabilitation timing for patients after arthroscopic rotator cuff repair surgery, providing reference for clinical practice. Methods Databases and websites such as UpToDate, USC, AHQR, Cochrane Library, JBI Library, Embase, PubMed, China Biomedical Literature Database, CNKI, VIP, Wanfang, and the National Institute of Health and Care Extellence (NICE) were searched systematically. The types of literature retrieval included clinical decision-making, clinical practice guidelines, expert consensus, best evidence summary, and systematic evaluation/meta-analysis. The search period was from January 1, 2013 to January 1, 2023, and relevant literature on the timing of rehabilitation for patients undergoing arthroscopic rotator cuff repair surgery was collected. Two researchers independently conducted literature screening and methodological quality evaluation, extracted and summarized literature that met the standards, and formed the best evidence. Results A total of 11 articles were included, including 3 guidelines, 2 expert consensus, and 6 systematic evaluations. By summarizing and refining the evidence, a total of 5 aspects were formed, including the definition of early/delayed plans, fixed time, rehabilitation timing, exercise methods, and functional outcomes, with a total of 25 pieces of evidence. Conclusion This study summarizes the best evidence for rehabilitation timing after arthroscopic rotator cuff repair surgery. Clinical staff can intervene with patients based on the best evidence, choose the best timing for targeted rehabilitation plans, and adjust rehabilitation strategies in a timely manner to improve patients adaptability and promote rapid recovery."
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