The Effectiveness of Telerehabilitation in Patients With Subacromial Pain Syndrome: a Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Subacromial Pain Syndrome
- Sponsor
- Bezmialem Vakif University
- Locations
- 2
- Primary Endpoint
- Change from Baseline Pain Intensity at 1 and 3 months
- Status
- Withdrawn
- Last Updated
- 3 years ago
Overview
Brief Summary
The main hypothesis of the study is that telerehabilitation is an effective treatment method and it is not inferior than standard physiotherapy.The aim of this study is to evaluate the effectiveness of telerehabilitation in patients with subacromial pain syndrome by comparing it with standard physiotherapy.
Detailed Description
Subacromial pain syndrome formerly known as subacromial impingement syndrome is the cause of approximately 44% to 65% of pain complaints related to the shoulder. Methods such as immobilization, drug therapy, injection techniques, physical therapy modalities and therapeutic exercises, manual therapy, acupuncture and surgery can be used in the treatment of the disease. Due to the Coronavirus disease 2019 (COVID-19) pandemic that started in Wuhan province of China in December 2019, the problems in patients' access to hospitals and rehabilitation services caused telerehabilitation to be on the agenda. Telerehabilitation can be summarized as the delivery of rehabilitation services to those in need by using communication technologies. This method covers the steps of evaluation, monitoring, prevention, intervention, control, training, and consultation. Although there are many studies on the effectiveness of telerehabilitation in the literature, there is no study on the superiority of telerehabilitation, physical therapy under supervision and home exercise program over each other.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Having subacromial pain for at least 2 weeks
- •Positive result of Hawkins-Kennedy, painful arc or infraspinatus muscle strength tests .
- •To have internet access and equipment to participate in videoconference .
- •Being literate and not having cognitive dysfunction.
Exclusion Criteria
- •Positive drop arm test
- •Signs of adhesive capsulitis (restriction in range of motion-especially in abduction and external rotation)
- •Grade 3 or full thickness rotator cuff tear
- •Labral tears and other intraarticular structural pathologies
- •History of shoulder surgery
Outcomes
Primary Outcomes
Change from Baseline Pain Intensity at 1 and 3 months
Time Frame: Baseline, one and three month after the randomisation
Patients will be asked to mark their pain by giving a score between zero (no pain) and 10 (the most severe pain) on a 10 cm long visual analog scale (VAS) during each visits.
Secondary Outcomes
- Change from Baseline SPADI total score at 1 and 3 months(Baseline, one and three month after the randomisation)