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Type: Thesis
Title: Management of Full-thickness Rotator Cuff Tears in the Elderly: A Systematic Review
Author: Nganga, Michael
Issue Date: 2020
School/Discipline: School of Public Health
Abstract: Introduction: Full-thickness rotator cuff tears are increasingly becoming more prevalent in the elderly community. The management of this condition in this age group may be different from the approach used for the younger population due to differences in aetiology and pathogenesis. The objective of the systematic review described in this thesis was to systematically review the best available evidence on the effectiveness of non-surgical and surgical treatment on the clinical and functional outcomes of elderly patients (60 years of age and over) with full-thickness rotator cuff tears. Methods: A systematic review using the JBI methodology for quantitative systematic reviews was applied in this study. The review considered randomised controlled trials and cohort studies that investigated the effectiveness of non-surgical and/or surgical treatment in elderly patients (60 and older) with confirmed full-thickness rotator cuff tear. Outcomes considered included pain, range of motion, muscle strength, rotator cuff integrity, shoulder function, patient satisfaction with treatment and health-related quality of life. The search for relevant published studies was conducted in CINAHL, Scopus, MEDLINE, EMBASE, Web of Science and PEDro; for unpublished studies, the following databases were searched: ProQuest Dissertations and Theses,, Cochrane Central Register of Controlled Trials, ANZCTR and ICTRP. Eligible studies for inclusion in the review were critically appraised using standardised JBI critical appraisal instruments; studies were included regardless of their methodological quality. Data were extracted from included studies using the JBI standardised data extraction tool. Meta-analysis, where appropriate, was conducted in addition to a narrative synthesis.
Advisor: Lizarondo, Lucylynn
Stephenson, Matthew
Krishnana, Jegan
Dissertation Note: Thesis (MClinSc) -- University of Adelaide, School of Public Health, 2020
Keywords: Full-thickness
rotator cuff
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