The Effectiveness of Telerehabilitation With Self Mobilization in Patients 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
- 60
- 试验地点
- 2
- 主要终点
- Change from Baseline in Posture Analysis at 8 weeks and 12 weeks
研究概览
简要总结
The aim of this study is to evaluate the effectiveness of supervised exercise therapy with active soft tissue and joint mobilization.
The effectiveness of telerehabilitation- active mobilization and exercises in the evaluation of pain and function in patients with subacromial pain syndrome will be examined and compared with face-to-face treatment, which is passive manual therapy.
详细描述
Shoulder pain is common in the population. Various treatment modalities are used. Due to the Coronavirus disease (COVID-19), the problems in patients' access to hospitals and rehabilitation services caused telerehabilitation to be on the agenda. Telerehabilitation can be summarized as the delivery of rehabilitation services to those in need by using communication technologies. This method covers the steps of evaluation, monitoring, prevention, intervention, control, training, and consultation. In addition, as a new treatment application, its effectiveness will be measured in patients with shoulder pain.
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 (Participant)
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Individuals between the ages of 18-50 who complain of shoulder pain
- •Individuals diagnosed with a partial tear of the rotator cuff smaller than 1 cm and As a result of the examination performed by the physician stage 1 or 2 subacromial impingement syndrome.
- •Two of the following tests are positive Hawkins-Kennedy, painful arc or infraspinatus muscle strength tests
- •Presence of shoulder pain lasting longer than 6 weeks that limits activity.
- •Being literate and not having cognitive dysfunction.
排除标准
- •Presence of other orthopedic, neurological and systemic problems affecting the neck, shoulder and back complex,
- •Patients with heart failure and using a pacemaker,
- •Labral tears and other intraarticular structural pathologies
- •Signs of adhesive capsulitis
- •Grade 3 or full thickness rotator cuff tear
- •BMİ > 30 kg/m
- •Having been included in a physical therapy program related to the same side shoulder joint in the last 1 year
- •Using non-steroidal anti-inflammatory drugs.
结局指标
主要结局
Change from Baseline in Posture Analysis at 8 weeks and 12 weeks
时间窗: Baseline, 8 weeks, and 12 weeks
Corbin posture analysis will be used. This form include lateral and posterior analyzes. Physiotherapist marks between 0 = none 3= severe point to disorders. Total score will calculate excellent = 0-2 to Poor = 12 or more
Kibler classification for changes in position and scapular movements at 8 weeks and 12 weeks
时间窗: Baseline, 8 weeks, and 12 weeks
Kibler classification will be use assessment of Scapular Dyskinesia. Identifying changes in position and scapular movements that predispose to shoulder injuries. Identifying the type of abnormal scapular movement: type I, type II and type III.
Change from Baseline in Disabilities of the Arm, Shoulder, and Hand (QuickDASH) at 8 weeks and 12 weeks
时间窗: Baseline, 8 weeks, and 12 weeks
QuickDASH will be used for assessing functional ability of the patients. The QuickDASH uses 11 items to measure physical function and symptoms in people with any or multiple musculoskeletal disorders of the upper limb.
Change from Baseline in Short-Form Mcgill Pain questionnaire (SF-MPQ) at 8 weeks and 12 weeks
时间窗: Baseline, 8 weeks, and 12 weeks
The McGill Pain questionnaire will be used to evaluate a person experiencing significant pain.. The pain rating index has 2 subscales: 1. Sensory subscale with 11 words 2. Affective subscale with 4 words from the original MPQ. These words or items are rated on an intensity scale as 0 = none, 1 = mild, 2 = moderate and 3 = severe.
Change from Baseline in range of motion of the shoulder at 8 weeks and 12 weeks
时间窗: Baseline, 8 weeks, and 12 weeks
Range of motion of the shoulder will be evaluated with a standard goniometer.
Change from Baseline in The Shoulder Pain and Disability Index (SPADI)at 8 weeks and 12 weeks
时间窗: Baseline, 8 weeks, 12 weeks
The SPADI will be used to assess shoulder pain and dysfunction. It consists of 13 items that assess two different areas. The first five items measure the pain, and the next eight items assess patient's disability.
Lateral Scapular Slide test at 8 weeks and 12 weeks
时间窗: Change from Baseline in Lateral Scapulara Slide at 8 weeks and 12 weeks
Lateral Scapular Slide test will be use assessment of Scapular Dyskinesia. The Measurement should not vary more than 1 to 1.5 cm, more the 1.5 cm difference significant.
Change from Baseline in Glenohumeral internal rotation deficit (GIRD) at 8 weeks and 12 weeks
时间窗: Baseline, 8 weeks, and 12 weeks
GIRD is a condition resulting in the loss of internal rotation of the glenohumeral joint as compared to the contralateral side.
Patient Satisfaction questionnaire at 8 weeks.
时间窗: 8 weeks
The Patient Satisfaction questionnaire will be used to assess the patient's satisfaction with the treatment received. Patient Satisfaction questionnaire (PSQ) contains 18 items tapping each of the seven dimensions of satisfaction with medical care measured by the PSQ-18.
Change from Baseline in Pain at 8 weeks and 12 weeks
时间窗: Change from Baseline in Pain at 8 weeks and 12 weeks
Visual Analog Scale will be used where patients will be asked to rate their pain on a scale from 0 to 10 with 0 indicating no pain and 10 the maximum worst pain.
次要结局
未报告次要终点
研究者
Erman Berk Celik
PT, Msc, Research Assistant
Hasan Kalyoncu University