Effect of ChatGPT and DeepSeek-Guided Rehabilitation on Clinical Outcomes in Individuals With Subacromial Pain Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 75
- 试验地点
- 1
- 主要终点
- Change in Disability (Shoulder Pain and Disability Index, SPADI)
研究概览
简要总结
This study aims to evaluate the effects of rehabilitation programs supported by artificial intelligence-based large language models (LLMs), specifically ChatGPT and DeepSeek, in individuals with subacromial pain syndrome (SAPS). Participants will be randomly assigned to one of three groups: standard physiotherapy, standard physiotherapy plus ChatGPT-guided exercises, and standard physiotherapy plus DeepSeek-guided exercises. Outcomes including pain, disability, quality of life, muscle strength, and joint range of motion will be assessed before and after a 6-week intervention. The results will help determine whether AI-generated exercise recommendations can enhance clinical outcomes when combined with conventional physiotherapy.
详细描述
This completed randomized controlled trial investigated the clinical effects of integrating AI-generated exercise recommendations into conventional physiotherapy for individuals with subacromial pain syndrome (SAPS). A total of 82 individuals were assessed for eligibility; 7 were excluded for not meeting inclusion criteria. Seventy-five participants provided consent and were randomized in a 1:1:1 ratio to 3 groups (n=25 each): (1) conventional physiotherapy plus a conventional exercise program, (2) conventional physiotherapy plus ChatGPT-guided exercises, and (3) conventional physiotherapy plus DeepSeek-guided exercises. The allocation sequence was generated using simple computer-based randomization by an independent staff member and was revealed after completion of baseline assessments. Interventions were delivered over 6 weeks (3 supervised sessions/week). Six participants discontinued the intervention due to scheduling conflicts (2 per group). Sixty-nine participants completed the 6-week intervention and were included in the final analysis (n=23 per group). The primary outcome was shoulder pain and disability (Shoulder Pain and Disability Index, SPADI), assessed at baseline and 6 weeks. Secondary outcomes included pain intensity (Numeric Pain Rating Scale, NPRS), health-related quality of life (Short Form-12, SF-12), upper limb function (Disabilities of the Arm, Shoulder and Hand, Quick DASH), range of motion, isometric strength, kinesiophobia, catastrophizing, emotional status, and disease-specific quality of life.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
盲法说明
Participants were informed that they would receive one of several supervised exercise-based rehabilitation programmes for subacromial pain syndrome, but were not informed of their specific group assignment or the use of large language models. The physician establishing the diagnosis and the physiotherapist performing all outcome assessments are blinded to group allocation. Treating physiotherapists are aware of group assignment but are not involved in outcome assessments or data analysis.
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Being between the ages of 18 and 65
- •Having been diagnosed with Subacromial Pain Syndrome (SAPS) for at least four weeks, diagnosed through clinical and physical examination
- •Actively maintaining shoulder range of motion
- •Being cognitively and physically capable of participating in an exercise program
- •Agreeing to participate voluntarily in the research process and providing written consent
排除标准
- •Presence of other shoulder pathologies such as rotator cuff tear, frozen shoulder, glenohumeral instability, or labrum tear
- •Presence of conditions included in the differential diagnosis such as cervical radiculopathy, neurological disorders, rheumatological diseases, or fibromyalgia
- •History of shoulder surgery within the last 6 months
- •Pregnancy
- •History of systemic or neuromuscular disease
- •Refusal to consent to voluntary participation
研究组 & 干预措施
Standard Exercise Group
Participants receive standard physiotherapy combined with a conventional exercise program for subacromial pain syndrome based on evidence-based clinical guidelines. Each group included 23 participants who completed the 6-week intervention and were included in the final analysis.
干预措施: Conventional Exercise Program (Behavioral)
ChatGPT-Guided Exercise Group
Participants receive standard physiotherapy combined with exercises generated by the ChatGPT-4o large language model. Each group included 23 participants who completed the 6-week intervention and were included in the final analysis.
干预措施: ChatGPT-Guided Rehabilitation (Behavioral)
DeepSeek-Guided Exercise Group
Participants receive standard physiotherapy combined with exercises generated by the DeepSeek-R1 large language model. Each group included 23 participants who completed the 6-week intervention and were included in the final analysis.
干预措施: DeepSeek-Guided Rehabilitation (Behavioral)
结局指标
主要结局
Change in Disability (Shoulder Pain and Disability Index, SPADI)
时间窗: Baseline and after 6 weeks of intervention
Disability related to shoulder pain will be measured.Shoulder Pain and Disability Index (0-100; higher scores indicate worse disability).
次要结局
- Change in shoulder range of motion (ROM)(Baseline and after 6 weeks)
- Change in shoulder and elbow muscle strength (K-Force)(Baseline and after 6 weeks)
- Change in Kinesiophobia (Tampa Scale for Kinesiophobia, TSK)(Baseline and after 6 weeks)
- Change in shoulder function (American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form, ASES)(Baseline and after 6 weeks)
- Change in Pain Catastrophizing (Pain Catastrophizing Scale, PCS)(Baseline and after 6 weeks of intervention)
- Change in Emotional Status (Hospital Anxiety and Depression Scale, HADS)(Baseline and after 6 weeks of intervention)
- Change in disease-specific quality of life (Western Ontario Rotator Cuff Index, WORC)(Baseline and after 6 weeks of intervention)
- Change in upper extremity function (Quick DASH)(Baseline and after 6 weeks)
- Change in Quality of Life (Short Form-12, SF-12)(Baseline and after 6 weeks of intervention)
- Change in Pain Intensity (Numeric Pain Rating Scale, NPRS)(Baseline and after 6 weeks of intervention)
研究者
Omer Alperen Gurses
PhD
Kirsehir Ahi Evran Universitesi