Exploring the effects of TECAR with routine physiotherapy on pain, Muscle Strength, and self-reported function in patients with rotator cuff repair: A Pilot Randomized Controlled Trial.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Pain on NPRS (Numerical pain rating scale)
研究概览
简要总结
Patients with rotator cuff repair will be included in this study, and those aged 45 to 70 will be taken according to inclusion and exclusion criteria. Before collection of the data informed written consent will be taken from all the participants. The subjects will be interviewed, and the information about the demographic data of patients will be gathered and documented. Baseline values will be established, and patients will be allotted into 2 groups randomly—group A- The control group, and group B, the intervention group—via opaque sealed envelopes. Patients will be asked to rate their pain intensity on the Numerical Pain Rating Scale (NPRS) and fill out the Shoulder Pain and Disability Index (SPADI) Questionnaire, and rotator cuff muscle strength will be evaluated by Microfet 2.0 Dynamometer before the commencement of physiotherapy treatment. The treatment protocol will be conducted for 6 weeks after the stitches of the subject are removed.
The treatment protocol will be week-wise.
1-2 weeks
Reduce pain and inflammation
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Ice Therapy (15 mins) 3 x a day.
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Pendulum exercises. (10 repetitions, 2 sets)
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PROM (internal/external rotation, flexion, abduction <90,) (10 repetitions, 2 sets).
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AROM: elbow, hand, wrist (10 repetitions, 2 sets).
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Scapular retraction, chin tucks (10 repetitions, 5-second hold,2 sets).
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Shoulder Isometrics (Internal and external rotation.) (10 repetitions, 5-second hold,2 sets).
3-4 week
Improve ROM, Enhance scapular stability.
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PROM: Seated GH flexion table slide, horizontal table slide Forward elevation < 120.
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AAROM and AROM exercises, (Wand exercises) (10 repetitions, 2 sets).
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Resisted elbow and wrist exercises. (10 repetitions, 2 sets).
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Pectoral stretches/Cross arm and sleeper posterior capsule stretches, wall slides. (10 repetitions, 2 sets).
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Pectoral stretches/Cross arm and sleeper posterior capsule stretches, Wall slides. (10 repetitions, 2 sets).
5-6 week
Restore strength, Improve function, Improve endurance, Gradual return to activity and Gradually introduce overhead activities.
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Progressive resistive training (TheraBand/ Light dumbbells. (flexion, extension, abduction, internal, external rotation) (10 repetitions, 2 sets).
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Scapular stabilization (Prone T, Y, W exercises), (10 repetitions, 2 sets).
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Closed-chain Proprioception exercises- wall ball rolls, Weight shifts, wall push-ups. (10 repetitions, 2 sets)
For group B, TECAR will be applied for 20 mins (both resistive and capacitive mode). Patients will be asked to fill same scales, questionnaires and will be evaluated for strength 6 weeks after providing the respective treatments to both the control and intervention groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
- 盲法
- Outcome Assessor Blinded
入排标准
- 年龄范围
- 45.00 Year(s) 至 70.00 Year(s)（—）
- 性别
- All
入选标准
- •Age 45-70 years.
- •Both males and females.
- •The rotator cuff Repair patients whose stitches have been taken out following surgery.
- •Patient willing to participate in the study and ready to give consent.
排除标准
- •Patients who had undergone previous upper limb surgery in the last 6 months.
- •Preoperative evidence of fractures, glenohumeral arthritis, or primary adhesive capsulitis.
- •Inflammatory Condition, e.g.: Rheumatoid Arthritis
- •Cognitive or psychiatric disorders.
- •Pregnant and lactating women.
结局指标
主要结局
Pain on NPRS (Numerical pain rating scale)
时间窗: Pre- and post Intervention (6 weeks)
次要结局
- Self-reported function(Pre- and post Intervention (6 weeks))
- Strength(Pre- and post Intervention (6 weeks))