Investigation of the Effectiveness of Core Stabilization Exercises in Patients With Rotator Cuff Tear
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
- 否
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
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
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
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
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
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
Süleyman DALAR
Principal Investigator
Ahi Evran University Education and Research Hospital