Efetividade dos exercícios terapêuticos sobre a dor e função no pós-operatório de ruptura de manguito: revisão sistemática

Abstract

ABSTRACT Contextualization: Rotator cuff rupture has become highly prevalent with increasing age, affecting up to 50% of the population over 60 years old. Systematic reviews have addressed that therapeutic exercises should be the first-line treatment for improving pain and function in various pathological shoulder conditions, but few evidences have addressed the effectiveness of this treatment in the postoperative period of rotator cuff rupture. Objective: The objective was to investigate the effectiveness of therapeutic exercise on pain and function in the postoperative period of rotator cuff rupture. Methods: The articles were searched in PubMed databases, considering articles published up to February 2023, using the main search terms: throwing athletes or overhead athletes or adults or non-athletes individuals, rotator cuff tears or rotator cuff disease or rotator cuff rupture. Included in this review were only clinical trials and randomized clinical trials that used pain and function as outcome measures and that were conducted with people with surgically corrected rotator cuff tears, of both sexes and over 18 years of age, who were rehabilitated after surgery through physical exercises, were included in this review. Results: The search terms yielded a total of 883 clinical trials and randomized controlled trials. After title screening, 59 studies remained. During abstract analysis, 35 studies were identified, of which only 9 were selected for a full review. After full analysis, 2 studies were excluded due to insufficient score on the PEDro scale, resulting in the inclusion of 7 clinical trials in this review. Conclusion: The rehabilitation method centered on therapeutic exercises for postoperative rotator cuff rehabilitation has been shown to be highly effective in reducing pain, improving function, muscle strengthening, increasing ROM, and, above all, promoting quality of life.