The Effectiveness of Graston Tecnique Compared to Traditional Physiotherapy to Improve Shoulder Range of Motion After Arthroscopic Cuff Repair.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 41
- 试验地点
- 1
- 主要终点
- Passive Range of Motion Recovery of the Shoulder
研究概览
简要总结
In shoulder rehabilitation after arthroscopic cuff repair, one of first objectives coincides with improving the range of passive movement: this process often requires considerable time of both patients and physiotherapists. This study aims to verify whether it is useful to add instruments assisted soft-tissue mobilization according to Graston Tecnique to the classic rehabilitation protocol in order to accelerate recovery times of passive range of motion.
详细描述
There is conflicting evidence about early versus delayed postoperative rehabilitation after arthroscopic cuff repair: early protocol seems to reduce the risk of stiffness but could increase the risk of rupture of the tendon in long time, especially for large tears; delayed protocol impose a period of shoulder immobilization (from 2 weeks to 40-day) that can promote tendons healing but could determine shoulder stiffness. Our research question is if after the delayed protocol used in our institute (40 -day immobilization period) it migh be useful to add soft-tissue mobilization assisted by instruments according to Graston Tecnique to the classic rehabilitation protocol of the shoulder in order to speed up recovery times of the passive movement range.
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)
盲法说明
outcome assessor doesn't know allocation concealment
入排标准
- 年龄范围
- 40 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •arthroscopic rotator cuff repair
- •partial lesion due to tendon degeneration (1 or 2 anchors reparation)
排除标准
- •traumatic tendon lesions
- •associated conditions as arthritis, loss of superficial sensitivity, loss of muscle tone, mental impairment, oncological conditions
- •shoulder stiffness before surgery due to calcific tendonitis, adhesive capsulitis
研究组 & 干预措施
control group
The treatment of control group will be organized according to the classic protocol currently in use in our Institute which consists of:
30 minutes of passive and active assisted mobilization guided by the therapist, 30 min of Continous passive movement in flexion and abduction and 30 minutes of electrostimulation.
干预措施: Conventional rehabilitation (Other)
experimental group
30 minutes of passive and active assisted mobilization guided by the therapist associated with instrument assisted soft tissue mobilization, 30 min of Continous passive movement in flexion and abduction and 30 minutes of electrostimulation.
干预措施: graston tecnique (Other)
结局指标
主要结局
Passive Range of Motion Recovery of the Shoulder
时间窗: after 2 weeks of treatment
Passive Range of Motion Recovery of the Shoulder in elevation and abduction measured by digital inclinometer
次要结局
- Reduction of pain measured by Visual Analogue Scale (VAS)(after 2 weeks of treatment)
- Shoulder function improvement measured by Constant Murley and Dash scales(after 2 weeks of treatment)