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临床试验/NCT07377292
NCT07377292
尚未招募
不适用

Investigation of the Effectiveness of Core Stabilization Exercises in Patients With Rotator Cuff Tear

Ahi Evran University Education and Research Hospital1 个研究点 分布在 1 个国家目标入组 69 人开始时间: 2026年2月25日最近更新:

概览

阶段
不适用
状态
尚未招募
发起方
Ahi Evran University Education and Research Hospital
入组人数
69
试验地点
1
主要终点
Visual Analog Scale

概览

简要总结

The aim of this study is to investigate the effectiveness of core stabilization exercises added to conventional physical therapy in patients aged 40-60 with rotator cuff tears, compared to classic trunk and abdominal muscle strengthening exercises.

详细描述

Rotator cuff tears are classified as full-thickness and partial tears. Partial tears are a clinical condition commonly seen in the early stages but can often be treated with conservative methods. Partial tears can develop as a result of repetitive microtraumas, postural abnormalities, muscle imbalances, and deficiencies in the biomechanical chain. This condition affects not only the local shoulder muscles but also the scapulothoracic rhythm and trunk control. Recent studies have shown that shoulder function is closely related not only to local muscle strength but also to the integrity of the kinetic chain. The trunk (core) muscles are particularly critical for maintaining posture, transferring force during upper extremity movements, and stabilizing the distal segments. Inadequate trunk stabilization can lead to increased loads on the shoulder joint and elevated stress on the rotator cuff. Therefore, the aim of this thesis study is to examine the effectiveness of core stabilization exercises applied to individuals diagnosed with rotator cuff partial tears on pain, shoulder function, and clinical recovery, and to contribute scientifically to conservative rehabilitation approaches.

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
40 Years 至 60 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Patients aged 40 to 60 years with a partial supraspinatus tear detected by MRI, reported by a radiologist, and confirmed by a physiatrist.
  • Patients who test positive for at least two of the Jobe, Hawkins and Neer tests during the physical examination
  • Patients with a visual analog scale (VAS) score between 3.5 and 7.4 millimeters (mm)

排除标准

  • Participants do not wish to continue treatment for any reason
  • Complete or massive rotator cuff tear
  • Use of non-steroidal or steroidal anti-inflammatory drugs
  • If they have received shoulder injections or physical therapy within the three months prior to the study
  • History of acute trauma
  • Presence of neurological disease
  • History of surgery on the treated shoulder
  • Symptomatic acromioclavicular joint arthritis
  • Frozen shoulder

研究组 & 干预措施

Core Stabilization Group

Active Comparator

Patients received conventional rehabilitation for the affected shoulder 5 days a week for 4 weeks and core stabilization exercises 3 days a week for 4 weeks.

干预措施: Core Stabilization Exercises (Other)

Core Stabilization Group

Active Comparator

Patients received conventional rehabilitation for the affected shoulder 5 days a week for 4 weeks and core stabilization exercises 3 days a week for 4 weeks.

干预措施: Conventional Rehabilitation (Other)

Classic Body Exercise Group

Active Comparator

Patients will receive conventional rehabilitation for the affected shoulder 5 days a week for 4 weeks, along with a classic trunk and abdominal strengthening program 3 days a week for 4 weeks.

干预措施: Classic Trunk and Abdominal Strengthening Program (Other)

Classic Body Exercise Group

Active Comparator

Patients will receive conventional rehabilitation for the affected shoulder 5 days a week for 4 weeks, along with a classic trunk and abdominal strengthening program 3 days a week for 4 weeks.

干预措施: Conventional Rehabilitation (Other)

Control Group

Placebo Comparator

Patients will receive conventional rehabilitation for the affected shoulder five days a week for four weeks.

干预措施: Conventional Rehabilitation (Other)

结局指标

主要结局

Visual Analog Scale

时间窗: Before Treatment (Week 0), at the end of treatment (Week 3) and after treatment (Week 12)

Pain intensity on the VAS (visual analog scale) is generally rated as "no pain" 0 points and "the most severe pain imaginable" 10 points (10 cm scale). Pain intensity scoring ranges are specified as \<3 mild pain, 3-6 moderate pain, \>6 severe pain.

次要结局

  • Tendon Thickness(Before Treatment (Week 0), at the end of treatment (Week 3) and after treatment (Week 12))
  • Shoulder Pain and Disability Index (SPADI)(Before Treatment (Week 0), at the end of treatment (Week 3) and after treatment (Week 12))
  • Range Of Motion (ROM)(Before Treatment (Week 0), at the end of treatment (Week 3) and after treatment (Week 12))
  • Core Muscle Strength(Before Treatment (Week 0), at the end of treatment (Week 3) and after treatment (Week 12))

研究者

发起方
Ahi Evran University Education and Research Hospital
申办方类型
Other
责任方
Principal Investigator
主要研究者

Süleyman DALAR

Principal Investigator

Ahi Evran University Education and Research Hospital

研究点 (1)

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