Investigation of the Effect of Motor Control Exercises Given With Telerehabilitation on Shoulder Function and Quality of Life in Patients Undergoing Rotator Cuff Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- Active Internal Rotation Assessment
研究概览
简要总结
The aim of the study is to examine the effect of motor control exercises given through telerehabilitation on shoulder function and quality of life in patients undergoing rotator cuff surgery.
详细描述
Treatment of rotator cuff tears can be conservative or surgical. The aim of rehabilitation postoperative period, is to reduce pain, increase joint range of motion (ROM), and enable the patient to return to normal functional activities as soon as possible while preventing the repaired tissue from tearing again.
Motor control training based on motor control theory reorganizes the cerebral cortex. In people with shoulder pain, a scapulothoracic posture retraining program reduces shoulder pain and improves scapulothoracic movement and muscle activation patterns and shoulder function. Therefore, rehabilitation should include correct positioning of the scapulothoracic joint through active muscle activation (motor control training) and retraining. However, the evidence is still limited and the effect of motor control exercises is not yet fully understood. Over the last 15 years, telerehabilitation in the broader field of telehealth has been used to help patients in rural areas improve healthcare and access services to reduce cost and transportation issues. Studies on the upper extremity have also begun to increase in recent years. The aim of the study is to examine the effect of motor control exercises given through telerehabilitation on shoulder function and quality of life in patients undergoing rotator cuff surgery.
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
- Single (Outcomes Assessor)
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
- 是
入选标准
- •Undergone rotator cuff surgery
- •being 18 years of age
- •agree to participate in the study,
- •allowed early rehabilitation after surgery,
- •can speak and understand Turkish
- •can make video conferences and phone calls.
排除标准
- •have had previous surgery on the affected shoulder,
- •have neurological deficits and motor control disorders,
- •have systemic rheumatological disease,
- •have developed any complications that may affect rehabilitation in the shoulder,
- •have had revision surgery on the affected shoulder.
研究组 & 干预措施
Motor Control Rehabilitation
干预措施: Motor control exercise (Other)
Standard Rehabilitation
干预措施: Standard exercise (Other)
结局指标
主要结局
Active Internal Rotation Assessment
时间窗: Preoperative, postoperative 6th week and postoperative 12th week
In active internal rotation of the shoulder, the distance between the thumb and the T5 spinous process will be measured with a tape measure.
Pain Assessment
时间窗: Preoperative, postoperative 6th week and postoperative 12th week
Pain assessment will be evaluated with the Visual Analog Scale (VAS) before surgery, at the 6th week and at the 12th week after surgery, during activity, rest and sleep. As the score increases, it indicates that the pain increases.
Shoulder Range of Motion Assessment
时间窗: Preoperative, postoperative 6th week and postoperative 12th week
Range of motion of the shoulder will be evaluated with a electrogoniometer. Evaluations will be made actively for shoulder flexion, abduction, internal and external rotation and active total elevation
Scapular Dyskinesis Assessment
时间窗: Preoperative, postoperative 6th week and postoperative 12th week
Scapular dyskinesis will be evaluated with the lateral scapular glide test.
Shoulder muscle strength assessment
时间窗: Preoperative and postoperative 12th week
Shoulder abduction, flexion, internal and external rotation and scaption muscle strength will be measured with a dynamometer.
Kinesiophobia Assessment
时间窗: Preoperative, postoperative 6th week and postoperative 12th week
Kinesiophobia assessment will be evaluated with Tampa Scale of Kinesiophobia. The total score varies between 17-68. A high score on the scale indicates that the person has a high level of kinesiophobia.
Grip strength assessment
时间窗: Preoperative and postoperative 12th week
Grip strength will be evaluated with a Jamar hand dynamometer.
Sleep quality assessment
时间窗: Preoperative, postoperative 6th week and postoperative 12th week
Sleep quality will be evaluated with Pittsburgh Sleep Quality Index (PSQI). The overall score ranges from 0 to 21. Lower scores indicate better sleep quality.
Quality of Life Assessment
时间窗: Preoperative, postoperative 6th week and postoperative 12th week
Quality of life will be evaluated with the Western Ontario Rotator Cuff Index (WORC), specific to rotator cuff injuries. The total score ranges from 0 to 2100, with lower scores indicating higher quality of life.
Shoulder function assessment
时间窗: Preoperative, postoperative 6th week and postoperative 12th week
Shoulder function will be evaluated with Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire. The total score is 100, with higher scores indicating more disability.
次要结局
未报告次要终点
研究者
Sinem Yenil, PT, PhD
Investigator
Pamukkale University