Rubén Fernández-Matías, Fernando García-Pérez, Néstor Requejo-Salinas, Carlos Gavín-González, Javier Martínez-Martín, Homero García-Valencia, Mariano Tomás Flórez-García
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引用次数: 0
摘要
背景:大量肩袖撕裂(MRCT)占60岁以上撕裂的很大一部分。然而，在治疗性运动治疗中，没有明确的处方参数标准。本研究的目的是评估治疗性运动治疗在MRCT患者中的效果和特点。方法:系统检索自建站至2022年8月的MEDLINE/PubMed、Web of Science、SPORTDiscus、SciELO、Scopus和EMBASE数据库。如果研究评估了运动对MRCT患者的影响，则将其纳入研究。评估偏倚风险，并使用运动报告模板共识(CERT)。不进行meta分析的叙事综合。结果:纳入1项随机对照研究、2项非随机对照研究、6项非对照研究、1项病例系列研究和4项回顾性研究。他们的偏倚风险从严重到中度不等。CERT反映了对演习计划的糟糕描述。研究显示，大多数患者报告的结果测量(PROM)的改善模式超过了MCID，并且主动升高运动范围。结论:基于一项没有荟萃分析的系统综述，有限的证据表明运动和联合干预对一些MRCT患者的管理是有效的。未来的研究应该改进内容报告。证据等级:四级。
Content reporting and effectiveness of therapeutic exercise in the management of massive rotator cuff tears: A systematic review with 490 patients.
Background: Massive rotator cuff tears (MRCT) account for a substantial fraction of tears above the age of 60 years. However, there are no clear criteria for prescription parameters within therapeutic exercise treatments. The aim of this study was to evaluate the effects and characteristics of therapeutic exercise treatments in patients with MRCT.
Methods: A systematic search was conducted in MEDLINE/PubMed, Web of Science, SPORTDiscus, SciELO, Scopus and EMBASE from inception to August 2022. Studies were included if they evaluated the effects of exercise on patients with MRCT. The risk of bias was evaluated and the Consensus on Exercise Reporting Template (CERT) was also used. A narrative synthesis without meta-analysis was performed.
Results: One randomized controlled trial, two non-randomized studies, six non-controlled studies, one case series and four retrospective studies were included. They ranged from serious to moderate risk of bias. The CERT reflected a poor description of the exercise programmes. Studies showed a pattern of improvements in most patient-reported outcome measures (PROM) surpassing the MCID, and active elevation range of motion.
Conclusions: There is limited evidence that exercise and co-interventions are effective in the management of some patients with MRCT, based on a systematic review without meta-analysis. Future research should improve content reporting.
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