{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T00:53:40Z","timestamp":1792716820094,"version":"4.5.0"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T00:00:00Z","timestamp":1720396800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T00:00:00Z","timestamp":1720396800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T00:00:00Z","timestamp":1720396800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T00:00:00Z","timestamp":1720396800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","arthroscopyjournal.org","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare postoperative clinical outcomes at the 3\u2010month, 6\u2010month, 12\u2010month, and latest follow\u2010up in patients undergoing supervised physical therapy (PT) or a home\u2010based exercise program after arthroscopic repair (ARCR) of massive rotator cuff tears (MRCTs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review was conducted on a prospectively maintained database of patients who underwent either supervised PT or home\u2010based therapy after ARCR of MRCTs between January 2015 and December 2018 at a single center with a minimum 24\u2010month follow\u2010up. At their 2\u2010week postoperative routine follow\u2010up, patients were allowed to choose between home\u2010based and supervised PT. Patient\u2010reported outcomes (PROs) and range of motion (ROM) were collected and compared between cohorts preoperatively and at the 3\u2010month, 6\u2010month, 12\u2010month, and latest follow\u2010up. The percentage of patients reaching or exceeding the minimal clinically important difference (MCID) and patient accepted symptomatic state (PASS) for visual analog scale for pain, American Shoulder and Elbow Surgeon (ASES) score, and Subjective Shoulder Value was recorded for both cohorts at each time point. Complications, healing, satisfaction, and return to work were reported. Healing was evaluated via ultrasound at the latest follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ninety\u2010nine patients met the study criteria: 61 in the supervised PT cohort and 38 in the home\u2010based cohort. The supervised PT and home\u2010based cohorts returned to the clinic for their most recent follow\u2010up at 53 \u00b1 20 and 55 \u00b1 16 months (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .496) after surgery, respectively. There was no difference when comparing tendon involvement (supraspinatus,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .574; infraspinatus,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .288; subscapularis,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .592), tear retraction (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .603), or high\u2010grade fatty infiltration (supraspinatus,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .684; infraspinatus,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .397; subscapularis,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .473) based on preoperative magnetic resonance imaging assessment and surgery\u2010related factors, including anterior (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .473) or posterior (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .386) slides, fixation constructs (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .829), or complete repair (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .912). Both cohorts showed similar PROs and ROM at baseline. Postoperative PROs and ROM were similar among groups at the 3\u2010month, 6\u2010month, 12\u2010month, and latest follow\u2010up. However, ASES (71.4 vs 61.2;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .013) and forward flexion (135\u00b0 vs 118\u00b0;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .023) were significantly higher at 3\u2010month follow\u2010up in the home\u2010based cohort. Both groups comparably achieved MCID and PASS for PROs at the 3\u2010month, 6\u2010month, and 12\u2010month follow\u2010up. At the latest follow\u2010up, the supervised PT and home\u2010based cohort achieved MCID and PASS for visual analog scale (75% vs 81%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .573; 70% vs 72%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .911), ASES (76% vs 74%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .777; 72% vs 72%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .873), and Subjective Shoulder Value (82% vs 84%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .734; 72% vs 66%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .489), respectively. Satisfaction, healing, complication, and return\u2010to\u2010work rates were similar.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients undergoing rehabilitation using a home\u2010based protocol showed largely similar functional scores and healing to those with supervised PT after ARCR of MRCTs at the latest follow\u2010up. Although patients with home\u2010based therapy achieved higher forward flexion and ASES at the 3\u2010month follow\u2010up, these became comparable starting at the 6\u2010month postoperative mark. MCID and PASS were achieved similarly for PROs at each time point.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective case series comparison.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2024.06.037","type":"journal-article","created":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T13:58:05Z","timestamp":1720447085000},"page":"896","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Home\u2010Based or Supervised Physical Therapy Shows Similar Functional Outcomes and Healing After Massive Rotator Cuff Repair"],"prefix":"10.1002","volume":"41","author":[{"given":"Javier","family":"Ardebol","sequence":"first","affiliation":[{"name":"Oregon Shoulder Institute Medford Oregon U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"Gonzalez\u2010Morgado","sequence":"additional","affiliation":[{"name":"Oregon Shoulder Institute Medford Oregon U.S.A."},{"name":"Hospital Universitari Vall d\u2019Hebron Universitat Autonoma de Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew B.","family":"Noble","sequence":"additional","affiliation":[{"name":"Oregon Shoulder Institute Medford Oregon U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa A.","family":"Galasso","sequence":"additional","affiliation":[{"name":"Oregon Shoulder Institute Medford Oregon U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariano E.","family":"Menendez","sequence":"additional","affiliation":[{"name":"Oregon Shoulder Institute Medford Oregon U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick J.","family":"Denard","sequence":"additional","affiliation":[{"name":"Oregon Shoulder Institute Medford Oregon U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,8]]},"reference":[{"issue":"3","key":"e_1_2_4_2_2","article-title":"Treatment options for massive rotator cuff tears: a narrative review","volume":"92","author":"Di Benedetto P.","year":"2021","journal-title":"Acta Biomed"},{"key":"e_1_2_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jseint.2020.10.020"},{"key":"e_1_2_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2022.11.019"},{"key":"e_1_2_4_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-020-09660-w"},{"key":"e_1_2_4_6_2","first-page":"179","article-title":"Rotator cuff repair rehabilitation considerations and respective guidelines: A narrative review","volume":"1","author":"Ezell D.J.","year":"2021","journal-title":"JSES Rev Rep 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