Supervised Physiotherapy vs Home Exercise After Rotator Cuff Repair: A Meta-Analysis.
Arch Phys Med RehabilMay 19, 2026 (epub)
Marc Boutros, Guy Awad, Jean-Pierre Saad et al.
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In 30 seconds
This meta-analysis compared the effectiveness of supervised physiotherapy versus home exercise programs following rotator cuff repair. Analyzing six studies, it found no significant differences in postoperative pain or functional outcomes. However, supervised physiotherapy showed a modest advantage in forward flexion range of motion (MD=5.87°, 95% CI, 2.92-8.81; P<.001).
Key findings
- No significant difference in postoperative pain between supervised physiotherapy and home exercise (P=.41).
- Functional outcomes, including subjective shoulder value and ASES score, were comparable (P=.73 and P=.07, respectively).
- Supervised physiotherapy showed a significant advantage in forward flexion ROM (MD=5.87°, P<.001).
Why it matters
Understanding the effectiveness of rehabilitation strategies after rotator cuff repair is crucial for optimizing patient recovery. This study suggests that home exercise programs can be a viable alternative to supervised physiotherapy, potentially improving accessibility and patient adherence.