{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T07:31:43Z","timestamp":1777534303622,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,12,11]],"date-time":"2020-12-11T00:00:00Z","timestamp":1607644800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"national institute for health research","doi-asserted-by":"publisher","award":["PB-PG-0816-20009"],"award-info":[{"award-number":["PB-PG-0816-20009"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the feasibility of a multi-centre randomised controlled trial to compare the clinical and cost-effectiveness of early patient-directed rehabilitation versus standard rehabilitation following surgical repair of the rotator cuff of the shoulder.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Two-arm, multi-centre pilot and feasibility randomised controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Five National Health Service hospitals in England.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Adults ( n\u2009=\u200973) with non-traumatic rotator cuff tears scheduled for repair were recruited and randomly allocated remotely prior to surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>Early patient-directed rehabilitation ( n\u2009=\u200937); advised to remove their sling as soon as able and move as symptoms allow. Standard rehabilitation ( n\u2009=\u200936); sling immobilisation for four weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measures:<\/jats:title>\n                    <jats:p>(1) Randomisation of 20% or more eligible patients. (2) Difference in time out of sling of 40% or more between groups. (3) Follow-up greater than 70%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>73\/185 (39%) potentially eligible patients were randomised. Twenty participants were withdrawn, 11 due to not receiving rotator cuff repair. The between-group difference in proportions of participants who exceeded the cut-off of 222.6\u2009hours out of the sling was 50% (80% CI\u2009=\u200929%, 72%), with the early patient-directed rehabilitation group reporting greater time out of sling. 52\/73 (71%) and 52\/53 (98%) participants were followed-up at 12\u2009weeks when withdrawals were included and excluded respectively. Eighteen full-thickness re-tears were reported (early patient-directed rehabilitation\u2009=\u20097, standard rehabilitation\u2009=\u200911). Five serious adverse events were reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A main randomised controlled trial is feasible but would require allocation of participants following surgery to counter the issue of withdrawal due to not receiving surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215520978859","type":"journal-article","created":{"date-parts":[[2020,12,11]],"date-time":"2020-12-11T20:47:42Z","timestamp":1607719662000},"page":"829-839","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Rehabilitation following rotator cuff repair: A multi-centre pilot &amp; feasibility randomised controlled trial (RaCeR)"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7703-727X","authenticated-orcid":false,"given":"Chris","family":"Littlewood","sequence":"first","affiliation":[{"name":"Primary Care Centre Versus Arthritis, School of Primary, Community and Social Care, Keele University, Staffordshire, UK"},{"name":"Department of Health Professions, Faculty of Health, Psychology & Social Care, Manchester Metropolitan University, Manchester, Greater Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus","family":"Bateman","sequence":"additional","affiliation":[{"name":"Derby Shoulder Unit, University Hospitals Derby & Burton NHS Foundation Trust, Derby, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Butler-Walley","sequence":"additional","affiliation":[{"name":"Keele Clinical Trials Unit, School Medicine, Keele University, Staffordshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Bathers","sequence":"additional","affiliation":[{"name":"Keele Clinical Trials Unit, School Medicine, Keele University, Staffordshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kieran","family":"Bromley","sequence":"additional","affiliation":[{"name":"Keele Clinical Trials Unit, School Medicine, Keele University, Staffordshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martyn","family":"Lewis","sequence":"additional","affiliation":[{"name":"Keele Clinical Trials Unit, School Medicine, Keele University, Staffordshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lennard","family":"Funk","sequence":"additional","affiliation":[{"name":"Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean","family":"Denton","sequence":"additional","affiliation":[{"name":"The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry, Shropshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Moffatt","sequence":"additional","affiliation":[{"name":"Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Winstanley","sequence":"additional","affiliation":[{"name":"Royal Stoke University Hospital, University Hospitals of North Midlands NHS Trust, Stoke, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saurabh","family":"Mehta","sequence":"additional","affiliation":[{"name":"Royal Stoke University Hospital, University Hospitals of North Midlands NHS Trust, Stoke, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9373-0026","authenticated-orcid":false,"given":"Gareth","family":"Stephens","sequence":"additional","affiliation":[{"name":"The Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Dikomitis","sequence":"additional","affiliation":[{"name":"School of Medicine, Keele University, Keele, Staffordshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadine E","family":"Foster","sequence":"additional","affiliation":[{"name":"Primary Care Centre Versus Arthritis, School of Primary, Community and Social Care, Keele University, Staffordshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,12,11]]},"reference":[{"key":"bibr1-0269215520978859","doi-asserted-by":"publisher","DOI":"10.1111\/sae.12028"},{"key":"bibr2-0269215520978859","unstructured":"American Academy of Orthopaedic Surgeons. 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