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Effectiveness of Video-Based Rehabilitation Program on Pain, Functionality and Quality of Life in the Treatment of Rotator Cuff Tears

Not Applicable
Completed
Conditions
Pain, Shoulder
Rotator Cuff Tear
Interventions
Other: Physiotherapist-Supervised Rehabilitation Program
Other: Video-Based Rehabilitation Program
Registration Number
NCT03373799
Lead Sponsor
Istanbul University
Brief Summary

The aim of this study was to investigate the efficacy of the video-based rehabilitation program on pain, functionality and quality of life in the conservative treatment of partial tears of the rotator cuff whether it was as successful as the physiotherapist-supervised rehabilitation program.

Detailed Description

In our study a common exercise program, which can be used in conservative treatment of a partial rotator cuff tear, is applied with two different methods; a video-based rehabilitation program and physiotherapist-supervised rehabilitation program. Video-based rehabilitation program was developed to investigate whether this program is effective on pain, functionality and quality of life and as successful as a physiotherapist-supervised rehabilitation program.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Forty years of age or older patients that had been diagnosed for a partial rotator cuff tear that was unrelated to trauma by a specialist orthopedist with MRI and physical examination and no other shoulder problems on the diagnosed shoulder were included into this study.
Exclusion Criteria
  • Patients that had been diagnosed for a full-thickness or massive rotator cuff tear, operated previously, had frozen shoulder or glenohumeral instability
  • Younger than 40-year-old, and athletic patients with acute tear symptom were excluded from this study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Group 2Physiotherapist-Supervised Rehabilitation ProgramPhysiotherapist-Supervised Rehabilitation Group
Group 1Video-Based Rehabilitation ProgramVideo-Based Rehabilitation Group
Primary Outcome Measures
NameTimeMethod
Shoulder Range of Motion (ROM)Shoulder range of motion evaluation was performed first time at baseline and second time after 6 weeks rehabilitation program. After treatment "change" was assessed.

The shoulder flexion, abduction, internal and external rotation ROM were evaluated with goniometer while the patient was in supine position.

Secondary Outcome Measures
NameTimeMethod
Short Form 12 (SF-12)Evaluation was performed before treatment and after 6 weeks rehabilitation program.

SF-12 was used to assess physical and mental health-related quality of life. The total score is at least 0 and at most 100, and the high scores are positively correlated with high quality of life.

Visual Analogue Scale (VAS)Evaluation was performed before treatment and after 6 weeks rehabilitation program. Patients were asked to evaluate their pain status with a 10-point scale and high scores are positively correlated with pain.

The levels of pain felt at rest / activity / night were measured using visual analogue scale (VAS).

Disabilities of the Arm, Shoulder and Hand (DASH) QuestionnaireEvaluation was performed before treatment and after 6 weeks rehabilitation program.

DASH questionnaire inquires about the activities of a person in daily life, the degree of participation in recreational activities, the symptom and psychosocial state that affects their pain, emotional state and sleep quality. The total score is at least 0 and at most 100, and the high scores are positively correlated with the increased functional impairment.

ASES (The American Shoulder and Elbow Surgeons Standardized Shoulder Assessment) FormEvaluation was performed before treatment and after 6 weeks rehabilitation program.

ASES is an assessment form prepared by shoulder and elbow surgeons with objective and subjective sections. The total score is at least 0 and at most 100, and the high scores are positively correlated with the normal function.

Global Rating of Change (GRC) ScaleEvaluation was performed after 6 weeks rehabilitation program.

Global Rating of Change (GRC) scale was used to assess the overall satisfaction levels of the patients. Patients were asked to evaluate their post-treatment status with a 5-point likert scale and high scores are positively correlated with satisfaction.

Trial Locations

Locations (1)

Istanbul University

🇹🇷

Istanbul, Bakırkoy, Turkey

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