Director of Rehabilitation Medicine
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- pain VAS score
研究概览
简要总结
This study is a prospective cohort study and is a single-center clinical trial. The subjects of this study were patients who underwent rotator cuff repair in the Department of Sports Medicine and the Department of Rehabilitation in the Third Hospital of Beijing Medical University. The sample size of this study is about 2600 cases. We will collect the results of shoulder joint function score, quality of life score, pain score and MRI examination of all participants at baseline. Meanwhile, epidemiological data and related clinical characteristics of patients will be collected at the time of enrollment. All the collected data information was entered into the computer for statistical analysis, and the prognosis of patients under different programs was evaluated.
详细描述
The shoulder joint is the most flexible joint in the body, and the rotator cuff is an important structure to maintain its stability, and the flexibility of the shoulder joint also leads to joint instability leading to rotator cuff tears, especially in the elderly, previous studies have shown that the incidence of rotator cuff tears in people under the age of 20 is 9.7%, and the incidence of rotator cuff tears in people over the age of 80 can reach 62%. Rotator cuff tears are a common cause of limited mobility and pain in the shoulder joint, severely affecting patients' quality of life. Young people, high-level athletes and sports enthusiasts also have a higher risk of rotator cuff injury.
Arthroscopic rotator cuff repair is widely used in the treatment of rotator cuff tears, and has many advantages such as less postoperative tissue damage, less surgical scar, less infection, and faster recovery. However, its postoperative rehabilitation has always been a hot topic of research. The basic goal of rehabilitation is to protect tendons, promote their healing, prevent shoulder stiffness and muscle atrophy.
In recent years, there have been clinical studies on the application of ESWT in arthroscopic postoperative patients, but its efficacy is still different . However, few clinical studies have been conducted to investigate the effects of ESWT on functional recovery, tendon recovery and MRI imaging after arthroscopic rotator cuff repair. In addition, currently, the application of shock wave technology in the treatment of patients after rotator cuff surgery is very confusing, and there is no clear optimal treatment plan.
In conclusion, the purpose of this study is to compare the difference in efficacy of postoperative rehabilitation programs of different ESWT combined with conventional rehabilitation training on patients after rotator cuff repair, the impact of ESWT on clinical efficacy of patients after rotator cuff repair, and to explore the application of shock wave technology for accurate diagnosis and treatment of rotator cuff surgery
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •A rotator cuff tear was diagnosed and surgery was required
- •Able to complete cardiopulmonary exercise tests
- •Able to cooperate with rehabilitation training and complete questionnaire survey
排除标准
- •Age <17 years or age >75 years
- •Previous shoulder surgery history
- •Irreparable rotator cuff damage
研究组 & 干预措施
Exposed group 5
Patients who receive focused low energy once a week
干预措施: Focused low energy shock wave (Procedure)
Exposed group6
Patients who receive divergent medium energy once a week
干预措施: Divergent medium energy shock wave (Procedure)
Exposed group 7
Patients who receive divergent medium energy twice a week
干预措施: Divergent medium energy shock wave (Procedure)
Non-exposed group
Patients who receive rehabilitation assessment and training guidance
干预措施: Non-exposed group (Procedure)
Exposed group1
Patients who receive divergent low energy once a week
干预措施: Divergent low energy shock wave (Procedure)
Exposed group2
Patients who receive divergent low energy twice a week
干预措施: Divergent low energy shock wave (Procedure)
Exposed group3
Patients who recieve divergent medium and low energy once a week
干预措施: Divergent medium and low energy shock wave (Procedure)
Exposed group4
Patients who receive divergent medium and low energy twice a week
干预措施: Divergent medium and low energy shock wave (Procedure)
结局指标
主要结局
pain VAS score
时间窗: 6 weeks, 3 months, and 6 months after surgery
pain levels in patients, ranging from 0 to 10, with a higher score indicating more intense pain.
ASES score
时间窗: 6 weeks, 3 months, and 6 months after surgery
The American Shoulder and Elbow Surgeons (ASES) score is the most commonly used score to describe the function of patients' shoulder joints, ranging from 0 to 100. The higher the score, the better the function of patients' shoulder joints.
次要结局
- Active shoulder ranges of motion(6 weeks, 3 months, and 6 months after surgery)