Hydrotherapy Versus Classical Rehabilitation After Surgical Rotator Cuff Repair
- Conditions
- Rotator Cuff Tears
- Interventions
- Other: HydrotherapyOther: Land-based Therapy
- Registration Number
- NCT05106842
- Lead Sponsor
- La Tour Hospital
- Brief Summary
Postoperative rehabilitation following rotator cuff repair is important to promote tendon healing, restore strength, and recover normal function. The aim of this study is to assess whether aquatic rehabilitation is more efficient than classical rehabilitation (land-based session) in term of range of motion, function, and pain than classical rehabilitation (land-based session) after an arthroscopic repair of the rotator cuff.
- Detailed Description
Introduction:
Postoperative rehabilitation following rotator cuff repair is important to promote tendon healing, restore strength, and recover normal function. Aquatic rehabilitation in hot water allows body relaxation and well-being that promote patient conditioning for efficient rehabilitation and is appreciated by patients. The aim of this study is to assess whether aquatic rehabilitation is more efficient than classical rehabilitation (land-based session) in term of range of motion, function, and pain after an arthroscopic repair of the rotator cuff.
Methods:
This prospective case-control clinical study is randomized 1:1 between rehabilitation with hydrotherapy and land-based (standard) rehabilitation. This superiority trial that included 84 patients that have benefited from an arthroscopic superior cuff repair. Patients were evaluated clinically at 6 weeks, 3, 6 and 24 months and using ultrasound at 6 months. Multivariable linear regressions were performed to determine if 2-year postoperative scores were associated with gender, body mass index (BMI), age at index operation, rehabilitation group (Hydrotherapy vs Standard), and baseline passive range of motion (PROM) Active range of motion (AROM).
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 84
- 18 years old or more
- Arthroscopic cuff repair of supraspinatus tendon (with potentially concomitant of infraspinatus tendon repair, tenodesis or tenotomy of brachial biceps tendon, acromioplasty, and distal clavicle removal).
- Lesion of subscapularis tendon;
- SLAP lesion;
- Second rotator cuff surgery;
- Frozen shoulder (i.e. Forward flexion reduced of 25% or more);
- Inability to follow the study protocol
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Hydrotherapy after Rotator Cuff Repair Hydrotherapy The participants will start with passive mobilization right after surgery for 4 weeks. Intervention in hydrotherapy will follow after that. Classical Land Based Rehabilitation after Rotator Cuff Repair Land-based Therapy The participants will start with passive mobilization right after surgery for 4 weeks. Intervention in classic dry land based rehabilitation will follow after that.
- Primary Outcome Measures
Name Time Method Passive forward flexion 1.5 months As primary outcome, we will evaluate if passive antepulsion is superior with balneotherapy than classical rehabilitation (land-based session). We consider the effective intervention with a 105 ° forward flexion.
- Secondary Outcome Measures
Name Time Method Pain (Visual Analogue Scale) 1.5 months Minimum score is 0 while maximum score is 10. The higher the score, the worse is the outcome.
Constant Score 1.5 months Minimum score is 0 while maximum score is 100. The higher the score, the better is the outcome.
Single Assessment Numeric Evaluation (SANE) score 1.5 months Minimum score is 0 while the maximum score is 100. The higher the score, the better the outcome.
Trial Locations
- Locations (1)
La Tour Hospital
🇨🇭Meyrin, Geneva, Switzerland