Prehabilitation Before Surgery: A Strategy To Accelerate Recovery After Rotator Cuff Repair? A Randomized Pilot Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Western Ontario Rotator Cuff (WORC)
研究概览
简要总结
A rotator cuff tear is a structural injury to one or more tendons of the rotator cuff, ranging from degenerative changes to partial or complete tears. Rotator cuff tears are among the most common causes of shoulder pain and disability, particularly in middle-aged and older adults, and their prevalence increases with age. Population studies report a prevalence of complete tears around 20% to 22%, while in cohorts of individuals over 70 years of age, it can exceed 50%. The risk of tearing is associated with advanced age, dominant arm involvement, trauma, heavy labor, and male sex.
详细描述
Physiological stress and adverse psychological factors can negatively interfere with postoperative recovery. To address this challenge, prehabilitation emerges as a comprehensive strategy that actively prepares patients before surgery, aiming to improve physical condition, optimize nutritional status, and implement cognitive interventions to reduce stress and anxiety. However, the application of prehabilitation in musculoskeletal injuries remains controversial. The main interventions in musculoskeletal injuries are based on strengthening exercises, balance and proprioceptive work, combined to a lesser extent with preoperative education and the use of neuromuscular electrical stimulation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 50 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Men or women
- •Over 50 years of age
- •Awaiting arthroscopic surgery for rotator cuff repair of one or more tendons
- •Signed informed consent.
排除标准
- •Patients with a history of previous shoulder surgery ( in the contralateral shoulder)
- •Patients with a massive irreparable rotator cuff tears
- •Patientes with a history of infiltration in an injured shoulder
- •Uncontrolled or undiagnosed sleep disorders
- •The presence of mental or neurological illness, inability to read or follow instructions.
研究组 & 干预措施
Prehabilitation
2 prehabilitation sessions before surgery + standard postoperative ohysiotherapy rehabilitation
干预措施: Prehabilitation (Other)
Control group
Received a standard ohysical therapy program alone, Following arthroscopic surgery, all participants were immobilized with a sling and abduction cushion for 3 weeks. Participants attended physical therapy 2 to 3 times per week, with each session consisting of 60 minutes of intervention. The same exercise protocol based on the consensus guidelines of The American Society of Shoulder and Elbow Therapists was followed.
结局指标
主要结局
Western Ontario Rotator Cuff (WORC)
时间窗: 4,8 and 12 week
It consists of 21 questions, addressing physical symptoms, sports and recreation, work and recreation, work, life studies and emotions. All dimensions were calculated and will be reported as a percentage. The WORC (Western Ontario Rotator Cuff Index) has an absolute maximum score of 2100 points, representing the worst possible symptoms or the highest level of shoulder disability.
次要结局
- Grip Strength(4,8 and 12 week)
- Pain intensity(4,8 and 12 week)
- Kinesiophobia (TSK-11)(4,8 and 12 week)
- Catastrophizing (PCS)(4,8 and 12 week)
- Disability (QUICKDASH)(4,8 and 12 week)
- Mobility (ROM)(4,8 and 12 week)
- Sleep quality (PSQI)(4,8 and 12 week)
研究者
Laura Castillo Vejar
Msc
Clinica Redsalud