Study | Subjects number | Degree and Tear size | Surgery type | Treatment | Duration & frequency |
Rom elevation (early/late) |
Re-tear rate (early/late) | Outcome |
---|---|---|---|---|---|---|---|---|
Garofalo et al. 2010 [40] | 100 (average age = 60) | 100% Partialthickness tear (C2-3) | Arthroscopic (no detailed technique) |
Group A: Control group protocol combined continuous passive motion (CPM) Group B: Pendulum movements and progressive passive ABD, ER, flexion |
Both groups 0 to 4 weeks: Different protocols 5 to 28 weeks: Same protocols |
158.1°/151.7° 12 mo: 165.2°/158° |
not applicable | CPM reduces joint pain and improves ROM at short-term follow-up |
Lee et al. 2012 [18] | 64 (average age = 55) | 100% Full-thickness tear (medium to large) | Arthroscopic Single row |
Group A: Aggressive early passive ROM (flexion >90° and ER to 30° before week 3) Group B: Minimum passive ROM (flexion<90° until week 3) |
Both groups 0~6 weeks: different passive ROM protocol 6 weeks~: start active ROM |
mo: group A, 157.3°; group B, 151.9°. 12 mo: group A, 155.3°; group B, 153° |
Group A, 23.3%. GroupB 8.8%. |
Limited self-directed rehabilitation best. More aggressive rehabilitation increases the re-tear rate. |
Düzgün et al. 2011 [41] | 29 (average age = 56) | 100% Partial-thickness tear Phase 2~3 | Side-to-side |
Group A: Early active movement combinedpreoperative rehabilitation Group B: Classical rehabilitation |
Group A: 8 weeks protocol (4 weeks preoperative treatment) Group B: 22 weeks protocol |
Not applicable | not applicable | Accelerated protocol led to less pain and more rapid recovery of func- tional level |
Kim et al. 2012 [42] |
95 (average age = 60) | 100% Full-thickness tear (small to medium) | Arthroscopic Single row Double row Suture bridge |
Group A: Controlled early passive motion 1 day after surgery Group B: No passive ROM until brace removal (4~5 weeks) |
Group A: From day 1 Group B: From 4 weeks |
6 mo: 150.57°/147.14°. 12 mo: 159.75°/ 153.67° |
Group A 12% GroupB18% |
Beginning early passive ROM <4 wk postoperatively had no effect |
Cuff et al. 2012 [43] |
68 (average age = 63) | 100% Full-thickness tear Crescent type | Arthroscopic Suture bridge |
Group A: Early passive motion 2 days after surgery (Start: flexion<120° and ER<30°) Group B: Passive forward flexion and ER 6 weeks after surgery |
Group A: 3 times/week of PT+ 3 times/day for pendulum Group B: 3 times/week PT after 6 weeks+3 times/day for pendulum |
6 mo: 158.1°/151.7° 12 mo: 165.2°/158° |
Group A 15% GroupB9% |
Slight improvement in early ROM but very similar outcomes at 1 y. Slightly better healing observed in the de- layed ROM group |