This systematic review evaluated seven studies that discussed the effectiveness of physical therapy (PT) intervention on outcomes of shoulder pain, range of motion (ROM), strength and function for individuals following rotator cuff repair (RCR). The following databases were utilized for study selection: MEDLINE; Evidence Based Medicine Reviews; Physiotherapy Evidence Database; CINAHL; and EMBASE. Three reviewers evaluated the methodological quality of each study using a standardized assessment form which includes Sackett's Level of Evidence. Three studies, two 2b and one 2c study, demonstrated that continuous passive motion and an individualized PT intervention program based on the Guide to Physical Therapist Practice were effective at reducing pain and increasing ROM. This is the first study to summarize the best evidence for selection of effective PT treatment strategies in individuals following RCR. Lack of differences among methods of delivery has meaningful clinical implications for determining the most convenient and cost effective treatment strategies. |