Efficiency of an Ambulatory Rehabilitation Program in Patients With Shoulder Degenerative Rupture of the Rotator Cuff Tendons
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Shoulder Pain
- Sponsor
- Assistance Publique - Hôpitaux de Paris
- Enrollment
- 134
- Primary Endpoint
- Shoulder Pain
- Status
- Not Yet Recruiting
- Last Updated
- 3 years ago
Overview
Brief Summary
The main objective of the research is to study the effectiveness of an ambulatory rehabilitation program based on mobilization and muscular solicitation, during painful shoulders by full-thickness degenerative rupture of the tendons of the rotator cuff. , with the algo-functional state, ie pain and activity limitation, as judgment criteria, at 3 months.
Detailed Description
Our hypothesis is that rehabilitation based on mobilization and muscular solicitation is effective in painful shoulder due to degenerative rupture of the tendons of the rotator cuff; that it reduces pain, functional limitation and the need for surgery. Research Excluding health products: Experimental group: Ambulatory rehabilitation program based on mobilization and muscular solicitation Control group: Ambulatory rehabilitation program using of ultrasound physiotherapy
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age ≥ 55 years old,
- •Painful shoulder for at least 1 month,
- •Shoulder treated with at least one cortisone infiltration one month or more before inclusion,
- •Pain ≥ 40/100 on visual analog scale,
- •Pain reproduced by at least one clinical test of rotator cuff tendons or subacromial impingement (Jobe, Patte, Neer, Yocum test, Hawkins),
- •Full-thickness tear of at least one tendon of the rotator cuff attested by imaging,
- •Affiliation to social security
Exclusion Criteria
- •Passive glenohumeral mobility of the shoulder limited,
- •Calcifying tendinopathy on standard radiography,
- •Glenohumeral arthropathy;
- •Painful acromioclavicular arthropathy;
- •History of shoulder fracture;
- •Neurogenic pain or neurogenic motor deficit of the upper limb;
- •Cortisone infiltration of the shoulder in the month preceding inclusion;
- •Operated shoulder;
- •Systemic pathologies including inflammatory rheumatism or neoplastic pathology;
- •Patient participating in another experimental research;
Outcomes
Primary Outcomes
Shoulder Pain
Time Frame: At 3 month follow-up
algo-functional scorec SPADI, measured with Visual Analog Score
Shoulder disability
Time Frame: At 3 month follow-up
algo-functional score SPADI, measured with Visual Analog Score
Secondary Outcomes
- Shoulder active mobility(3, 6, 12 months)