Investigation of the Effect of Respiratory Exercises on Pain and Functionality in Individuals With Rotator Cuff Syndrome

Not Applicable

Completed

• Conditions: Rotator Cuff Syndrome
• Interventions: Other: Conventional Treatment; Other: Respiratory Exercises

• Registration Number: NCT05584345
• Lead Sponsor: Istanbul Medipol University Hospital

Brief Summary

As it causes pain and disability in individuals with rotator cuff lesions, which is one of the most common causes of shoulder pain, it affects performance in activities of daily living. Shoulder pain significantly affects the quality of life of individuals. The aim of conventional treatment in Rotator Cuff injuries is to reduce the inflammation in the area and to enable the shoulder to perform its normal functions. Conventional treatment is to restore muscle balance in the shoulder area. Muscle balance is achieved by strengthening the teres minor, infraspinatus, and subscapularis, which are also the humeral head depressors, and by strengthening the serratus anterior, levator scapula. For strengthening, the shoulder must have a full range of motion. In our study, stretching exercises, cold pack, Ultrasound, TENS, wand, and Codman exercises, which are classical physiotherapy methods, will be applied to all three groups. There are also studies in the literature investigating the effects of traditional physiotherapy methods on individuals with shoulder Rotator Cuff syndrome. The benefits of breathing exercises on pain, shoulder joint range of motion, and balance have all been researched in the literature. Increased diaphragm activity also guarantees that posture and body positions are maintained healthily. Diaphragm activity generally alters how an individual perceives pain. Diaphragmatic breathing is a therapeutic approach for musculoskeletal disorders.

Detailed Description

Breathing techniques have been demonstrated to reduce shoulder pain and increase ROM at the literature. However, no study has been found on the effectiveness of breathing exercises applied in addition to conventional physiotherapy in individuals with Rotator Cuff syndrome.

Based on all of this knowledge, it was designed for this study to examine the efficacy of breathing exercises used in combination with traditional physiotherapy in patients with Rotator Cuff syndrome.

Study Timeline

• Study First Submitted: 2022-09-20
• Study First Submitted QC: 2022-10-17
• Study First Posted: 2022-10-18
• Study Start: 2022-10-30
• Status Verified: 2023-07
• Primary Completion: 2023-07-03
• Study Completion: 2023-07-03
• Last Update Submitted: 2023-07-03
• Last Update Posted: 2023-07-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

1. Restricted shoulder joint range of motion
2. Having Rotator Cuff Syndrome
3. Not having had any shoulder surgery
4. Being between the ages of 18 - 65

Exclusion Criteria

1. Major trauma to the shoulder
2. Anatomical deformities and skeletal system fractures
3. Diagnosed orthopedic or rheumatological diseases
4. Being included in a physiotherapy program in the last 6 months
5. Having a cardiac pacemaker
6. Presence of active infection
7. Myocardial infarction in the last 6 months
8. Participants who have any illness that prevents them from doing the exercises will be excluded from the study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
CONTROL	Conventional Treatment	Traditional physiotherapy applications will be applied.
RESPIRATORY EXERCISES GROUP	Respiratory Exercises	In addition to traditional physiotherapy and respiratory exercises wiil be applied.

Primary Outcome Measures

Name	Time	Method
Numerical Rating Scale (NRS)	from pre-interventional time to post-interventional about 1st week	NRS is widely used in research and clinical settings to represent pain intensity. NRS is stated as the absence of pain as 0 and the worst possible pain as 10.

Secondary Outcome Measures

Name	Time	Method
Goniometric Measurement	from pre-interventional time to post-interventional about 1st week	In our study, the degrees of flexion, extension, abduction, internal rotation, and external rotation of the affected shoulder will be measured by means of a universal goniometer. Flexion and abduction 0-180 degrees, extension 45 degrees, internal and external rotation 0-90 degrees will be taken as reference.
The Disabilities of the Arm, Shoulder and Hand (DASH)	from pre-interventional time to post-interventional about 1st week	Introduced by the American Academy of Orthopedic Surgeons and other organizations, DASH is a scale that evaluates physical limitations and function in upper extremity problems. The DASH questionnaire includes three sub-parameters. The first part contains 30 questions; 21 questions measure the patient's difficulty in daily life functions, 5 questions measure symptoms, and the other 4 questions measure social function, work, sleep, and self-confidence. A 4-question section (optionally answered Business Model (DASHFS)) measures the patient's disability in working life.

Trial Locations

Locations (1)

Istanbul Medipol University; 🇹🇷 Istanbul, Turkey