Investigation of the Effect of Motor Control Exercises in Patients Undergoing Rotator Cuff Surgery

Not Applicable

Recruiting

• Conditions: Rotator Cuff Tears

• Registration Number: NCT06156423
• Lead Sponsor: Pamukkale University

Brief Summary

The aim of the study is to examine the effect of motor control exercises given through telerehabilitation on shoulder function and quality of life in patients undergoing rotator cuff surgery.

Detailed Description

Treatment of rotator cuff tears can be conservative or surgical. The aim of rehabilitation postoperative period, is to reduce pain, increase joint range of motion (ROM), and enable the patient to return to normal functional activities as soon as possible while preventing the repaired tissue from tearing again.

Motor control training based on motor control theory reorganizes the cerebral cortex. In people with shoulder pain, a scapulothoracic posture retraining program reduces shoulder pain and improves scapulothoracic movement and muscle activation patterns and shoulder function. Therefore, rehabilitation should include correct positioning of the scapulothoracic joint through active muscle activation (motor control training) and retraining. However, the evidence is still limited and the effect of motor control exercises is not yet fully understood. Over the last 15 years, telerehabilitation in the broader field of telehealth has been used to help patients in rural areas improve healthcare and access services to reduce cost and transportation issues. Studies on the upper extremity have also begun to increase in recent years. The aim of the study is to examine the effect of motor control exercises given through telerehabilitation on shoulder function and quality of life in patients undergoing rotator cuff surgery.

Study Timeline

• Study Start: 2023-09-10
• Study First Submitted: 2023-11-26
• Study First Submitted QC: 2023-11-26
• Status Verified: 2023-12
• Last Update Submitted: 2023-12-04
• Study First Posted: 2023-12-05
• Last Update Posted: 2023-12-11
• Primary Completion: 2025-04
• Study Completion: 2025-08

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 34

Inclusion Criteria

• Undergone rotator cuff surgery
• being 18 years of age
• agree to participate in the study,
• allowed early rehabilitation after surgery,
• can speak and understand Turkish
• can make video conferences and phone calls.

Exclusion Criteria

• have had previous surgery on the affected shoulder,
• have neurological deficits and motor control disorders,
• have systemic rheumatological disease,
• have developed any complications that may affect rehabilitation in the shoulder,
• have had revision surgery on the affected shoulder.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Active Internal Rotation Assessment	Preoperative, postoperative 6th week and postoperative 12th week	In active internal rotation of the shoulder, the distance between the thumb and the T5 spinous process will be measured with a tape measure.
Pain Assessment	Preoperative, postoperative 6th week and postoperative 12th week	Pain assessment will be evaluated with the Visual Analog Scale (VAS) before surgery, at the 6th week and at the 12th week after surgery, during activity, rest and sleep. As the score increases, it indicates that the pain increases.
Shoulder function assessment	Preoperative, postoperative 6th week and postoperative 12th week	Other shoulder function assessment will be evaluated with American Shoulder and Elbow Surgeons Scale (ASES). A combination of these scores will yield an ASES score ranging from 0 (absence of function) to 100 (normal function).
Shoulder Range of Motion Assessment	Preoperative, postoperative 6th week and postoperative 12th week	Range of motion of the shoulder will be evaluated with a electrogoniometer. Evaluations will be made actively for shoulder flexion, abduction, internal and external rotation and active total elevation
Scapular Dyskinesis Assessment	Preoperative, postoperative 6th week and postoperative 12th week	Scapular dyskinesis will be evaluated with the lateral scapular glide test.
Shoulder muscle strength assessment	Preoperative and postoperative 12th week	Shoulder abduction, flexion, internal and external rotation and scaption muscle strength will be measured with a dynamometer.
Kinesiophobia Assessment	Preoperative, postoperative 6th week and postoperative 12th week	Kinesiophobia assessment will be evaluated with Tampa Scale of Kinesiophobia. The total score varies between 17-68. A high score on the scale indicates that the person has a high level of kinesiophobia.
Grip strength assessment	Preoperative and postoperative 12th week	Grip strength will be evaluated with a Jamar hand dynamometer.
Sleep quality assessment	Preoperative, postoperative 6th week and postoperative 12th week	Sleep quality will be evaluated with Pittsburgh Sleep Quality Index (PSQI). The overall score ranges from 0 to 21. Lower scores indicate better sleep quality.
Quality of Life Assessment	Preoperative, postoperative 6th week and postoperative 12th week	Quality of life will be evaluated with the Western Ontario Rotator Cuff Index (WORC), specific to rotator cuff injuries. The total score ranges from 0 to 2100, with lower scores indicating higher quality of life.

Trial Locations

Locations (1)

Sinem Yenil; 🇹🇷 Denizli, Turkey