Rehabilitation of Reconstructed Shoulder Rotator Cuff : Optimizing Physical Therapy Dosage and Effect of Aquatic Physical Therapy - A Randomized, Factorial Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 14
- 试验地点
- 2
- 主要终点
- strength
研究概览
简要总结
The aim of this study to define the optimal rehabilitation for clients with full thickness rotator cuff reconstruction, with two goals: 1. Finding the optimal physical therapy dosage in enhancing post-operative outcomes of shoulder pain, shoulder joint range of motion, shoulder muscle strength, upper extremity function; and 2. Finding the effect of aquatic physical therapy in enhancing the post-operative outcomes.
详细描述
Measurement devices:
Biodex: Biodex system is a muscle strength testing and rehabilitation instrument used in the testing and rehabilitation services for shoulder, elbow, wrist, hip, knee and ankle. Modes of operation for exercise and testing include isokinetic, passive, isometric, isotonic, and reactive eccentric. Patients are tested for their muscle performance for the required number of repetitions in the required mode. The muscle performance is measured by calculating the average peak torque (in Nm) and analyzed across the group of patients.
Goniometer: A manual devise used to measure joint range of motion. Visual Analogue Scale: A scale with 0 to 10, with 0 being no pain, and 10 being severe pain.
Measurement procedure:
All the subjects posted for surgery will be tested prior to and again 6 weeks following surgery for:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •full thickness rotator cuff tear treated by arthroscopic or mini-open repair by a specialized upper extremity surgeons
- •mentally competent
- •able to read and write
- •able to return for follow-up
- •18-65 years old
排除标准
- •associated surgical procedures (Concomitant fractures, capsular releases surgical decompression)
- •nerve injury
- •neurological conditions
- •irreparable massive rotator cuff tear, and
- •comorbid health problems that limit rehabilitation potential (Rheumatoid arthritis, Diabetes).
研究组 & 干预措施
standard care
aquatic physical therapy
aquatic physical therapy program which will be conducted twice weekly for 10 weeks and will include a 40-50 minute hydrotherapy session emphasizing range of motion and light resistive exercises of the arm, primarily focussing on the shoulder.
干预措施: Standard physical therapy program PLUS aquatic physical therapy (Procedure)
aquatic physical therapy
aquatic physical therapy program which will be conducted twice weekly for 10 weeks and will include a 40-50 minute hydrotherapy session emphasizing range of motion and light resistive exercises of the arm, primarily focussing on the shoulder.
干预措施: standard care (Other)
结局指标
主要结局
strength
时间窗: 3 month after the surgery
次要结局
- patient satisfaction(3 and 6 months after the surgery)
研究者
Joy MacDermid
Co-Director HULC Clinical Research lab
London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's