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Table 1 Patient Characteristics in the Included Studies

From: Early versus delayed mobilization for arthroscopic rotator cuff repair (small to large sized tear): a meta-analysis of randomized controlled trials

Study

LOE

Country

Study design

Patient

(male/

female)

Tear size (cm)/

Surgical

technique

Mean

age (range/SD)

Immobilized

device/ (removal timing of EM, DM group)

Rehabilitation protocol

Image method/

follow-up

Outcome

evaluation

Early motion timing)

Delayed motion (timing)

Arndt

2012 [2]

1

France

RCT

92

(34/58)

Partial and full-thickness

tear (NA)/ Single or double row

55.3

Sling/

(POW 6, POW 6)

*EPM

(POD 1)

*DPM

(POW 6)

CT/ 3, 6, 12, > 12 months

Constant score/ forward flexion / external rotation/ retear rate

Cuff

2012 [11]

1

USA

RCT

68

(38/30)

full-thickness

tear/ Transosseousequivalent suture-bridge

technique

63.2

Shoulder immobilizer /

(POW 6, POW 6)

EPM

(POD 2)

EAM

(POW 6)

DPM

(POW 6)

DAM

(POW 7)

Ultrasound /6, 12 months

ASES score/ SST/ forward flexion/ external rotation/ internal rotation/ cuff healing rate

Kim

2012 [23]

1

South

Korea

RCT

105

(44/61)

full-thickness

tear (< 3)/Single or double

row or suture bridge

60

Brace/

(POW4 ~ 5, POW4 ~ 5)

#EPM

(POD 1)

#DPM

(POW 4 ~ 5)

Ultrasound, CT, MRI/

3, 6, 12 months

VAS/ constant score/ SST/ ASES/ forward flexion/ external rotation/ Internal rotation/ detachment rate

Lee

2012 [28]

1

South

Korea

RCT

64

(41/23)

Full-thickness tear (1–5)/ Single row

54.87

(39–66)

Sling/

(POW 6, POW 6)

*EPM

(POD 1)

*%DPM

(POW 3)

MRI/ 3, 6, 12 months

VAS/ UCLAS/ active strength/ forward flexion/ external rotation/ retear rate/healing rate

Düzgün

2014 [13]

1

Turkey

RCT

40

(6/34)

Full-thickness tear (1–5)/ Side-to-side repair

57.43 (8.97)

N/A

EPM

(POW2)

EAM

(POW 3)

DPM

(POW4)

DAM

(POW 6)

NA/ 1, 3, 5, 8, 12, 16, 24 months

Active Elevation / forward flexion/ external rotation/ internal rotation

Keener

2014 [22]

1

USA

RCT

124

(73/51)

Full-thickness tear (< 3) / Double row

< 65

Sling/

(POW 6, POW 6)

EPM

(POW 1)

EAM

(POW 6)

DPM

(POW 6)

DAM

(POW 12)

Ultrasound/ 6, 12, > 12 months

VAS/ ASES/ SST/ constant score/ abduction strength/ external rotation strength/healing and retear rate

De Roo

2015 [12]

1

Belgium

RCT

130

(59/71)

Full-thickness tear (< 5)/ Single or double

Row

64.8

(9.85)

Brace/ (POW 6, POW 6)

EPM

(POD 1)

EAM

(POW 5)

DPM

(POW 5)

DAM

(POW 6)

Ultrasound/ 6 weeks,4 months

SST, SPADI, constant score/ UCLAS/ active strength/ forward flexion/ external rotation

Sheps

2015 [42]

1

Canada

RCT

189

(115/74)

Full-thickness tear (< 5)/ mini-open

rotator cuff repair

55.16

(35–86)

Sling/

(as needed, POW 6)

EAM

(POD 1)

DAM

(POW 6)

Ultrasound, MRI/ 6 weeks, 3, 6, 12, 24 months

VAS/ forward flexion/ external rotation/ internal rotation/abduction/ Scapular plane elevation

Mazzocca

2017 [35]

1

USA

RCT

58

(40/18)

Full-thickness tear (NA)/ Transosseouse quivalent suture-bridge

technique

54.53

(7.5)

Sling/

(POW 6, POW 6)

EAM

(POD 2)

DAM

(POW 5)

MRI/ 1, 3, 6, 12, 24 weeks

VAS/ WORC/ ASES/SST/SANE/ constant score/ forward flexion/ external rotation/ failure rate

Zhang

2017 [47]

1

China

RCT

132

(69/63)

Full-thickness tear (3–5)/NA

51.38

(11.84)

Brackets/

(POW 6, POW 6)

EAM

(POD 3)

DAM

(POW 6)

X-ray/ 3, 6, 12 months

VAS/ UCLAS/ constant score/ forward flexion/ external rotation/ re-tear rate

Jenssen

2018 [19]

1

Norway

RCT

118

(69/49)

Full-thickness tear (< 3) / Single row

55.5

(34–73)

Sling, brace/ (POW3, POW6)

#EAM

(POW3)

#DAM

(POW 6)

MRI/ 6 weeks, 3, 6, 12 months

VAS for satisfaction/ forward flexion/ external rotation/abduction /healing/ atrophy/fatty infiltration/ WORC/ constant score

Tirefort

2019 [44]

1

Switzerland

RCT

80

(37/43)

Full-thickness tear (< 3)/double row

54.1

(27–78/9.87)

Sling/

(NA, POW 5)

EPM

(POD 1)

EAM

(POD 1)

DPM

(POD1)

DAM

(POW 5)

Ultrasound / 10 days, 1.5, 3, 6 months

VAS/ SANE/ ASES/ forward flexion/ external rotation

Sheps

2019 [43]

1

Canada

RCT

206

(131/75)

Full-thickness tear (1–5)/ single row or double row/ Transosseouse

55.9

(26–79)

Sling/

(as needed, POW 6)

EAM

(POD 1)

DAM

(POW 6)

Ultrasound/ 6 weeks, 3, 6, 12, 24 months

VAS/ forward flexion/ external rotation/ internal rotation/abduction/ scaption/ strength/ WORC/ SF-36 Scores

  1. RCT: randomized control trial; POD: postoperative day; POW: postoperative week; EM: early motion; DM: delayed motion; EAM: early active motion or early active-assist motion; DAM: delayed active motion; EPM: early passive motion; DPM: delayed passive motion; ASES: American Shoulder and Elbow Surgeons Score; SST: Simple Shoulder Test; UCLAS: University of California at Los Angeles Score; SPADI: Shoulder Pain And Disability Index; WORC: Western Ontario Rotator Cuff index; SANE: Single Assessment Numeric Evaluation; DASH: Disabilities of The Arm Shoulder and Hand; SF-36 Scores: 36-Item Short Form
  2. +: median; *: active motion start POW 6; #: active motion start after removal of sling/brace; %: anterior elevation only and external rotation start from POW 3