The Effectiveness of Exercises with Electromyographic Biofeedback in Conservative Treatment of Massive Rotator Cuff Tears: a Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 36
- 试验地点
- 1
- 主要终点
- Deltoid Strength
研究概览
简要总结
There are very few studies in the literature about conservative treatment of massive rotator cuff (RC) tears. Whether the treatment of massive RC tears is conservative or surgical is decided according to the age, activity level, expectation and additional pathologies of the patient. The aim of conservative treatment is to make the patient functionally independent and to reduce pain. In recent years, there are different opinions in the literature about the effectiveness of conservative treatment of massive RC tears. However, in recent biomechanical studies, it has been reported that the RC and the deltoid, which remain intact in massive RC tears, can function well together.
The hypothesis of this study is that the deltoid-focused physiotherapy program, where strengthening exercises are performed with EMG biofeedback, will give more positive results in terms of range of motion (ROM), functional status, muscle strength, pain and patients satisfaction. aim of our study is to investigate the efficacy of electromyographic biofeedback (EMG-BF) device which was added to deltoid focused conservative treatment program in massive RC tears.
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
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 50 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Unilateral, non-traumatic massive rotator cuff tears according to Deorio and Cofield classification
- •Age older than 50 years and attend 1-year follow-up assessment
排除标准
- •Patients with symptomatic lesions in the contralateral shoulder
- •Cuff tear arthropathy
- •Glenohumeral osteoarthritis
- •Pseudoparalytic shoulder
- •Grade 3-4 fatty degeneration according to Goutallier classification
- •History of involved shoulder surgery
- •Major systemic conditions that disallowing exercise
结局指标
主要结局
Deltoid Strength
时间窗: 12 months
Measurement of the strength of the deltoid muscle with a digital dynamometer.
American shoulder and elbow (ASES) score
时间窗: 12 months
The American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) is a standard shoulder assessment form, which is comprised of objective and subjective sections and prepared by shoulder and elbow surgeons.
次要结局
- Numeric Pain Rating Scale (NPRS)(12 months)
- Global rating of change scale (GRCS)(12 months)
- Range of Motion (ROM)(12 months)
研究者
Pelin Tiryaki
Lecturer
Istanbul University - Cerrahpasa (IUC)