Rehabilitation of Reconstructed Shoulder Rotator Cuff

Not Applicable

Completed

• Conditions: Full Thickness Rotator Cuff Tear
• Interventions: Procedure: Standard physical therapy program PLUS aquatic physical therapy; Other: standard care

• Registration Number: NCT01499992
• Lead Sponsor: Lawson Health Research Institute

Brief Summary

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.

Detailed Description

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:

Shoulder Pain is measured using a visual analog scale. Shoulder Range of motion is measured using a standard goniometer. Shoulder Muscle performances are measured using Biodex.

Study Timeline

• Study First Submitted: 2011-12-19
• Study First Submitted QC: 2011-12-23
• Study First Posted: 2011-12-26
• Status Verified: 2012-01
• Study Start: 2012-01
• Primary Completion: 2013-01
• Study Completion: 2013-01
• Last Update Submitted: 2014-03-18
• Last Update Posted: 2014-03-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 14

Inclusion Criteria

• 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

Exclusion Criteria

• 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).

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
aquatic physical therapy	Standard physical therapy program PLUS 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.
aquatic physical therapy	standard care	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.

Primary Outcome Measures

Name	Time	Method
strength	3 month after the surgery

Secondary Outcome Measures

Name	Time	Method
patient satisfaction	3 and 6 months after the surgery

Trial Locations

Locations (1)

St Joseph's health Care London; 🇨🇦 London, Ontario, Canada