NCT00762580

Brief Summary

The goal of this study is to find which patients will improve with the nonsurgical treatment of physical therapy for the treatment of rotator cuff tears.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
452

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Jan 2006

Longer than P75 for all trials

Geographic Reach
1 country

9 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2006

Completed
2.7 years until next milestone

First Submitted

Initial submission to the registry

September 26, 2008

Completed
4 days until next milestone

First Posted

Study publicly available on registry

September 30, 2008

Completed
15.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 11, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 11, 2024

Completed
Last Updated

January 16, 2024

Status Verified

January 1, 2024

Enrollment Period

18 years

First QC Date

September 26, 2008

Last Update Submit

January 11, 2024

Conditions

Keywords

rotator cuffrehabilitation

Outcome Measures

Primary Outcomes (1)

  • Predict successful outcome with an evidence-based, non-operative treatment program by collecting VAS Pain Scale and SANE score.

    One year

Secondary Outcomes (1)

  • Predict success of non-operative treatment outcomes with other patient related validated instruments (SF-12, ASES, WORC, Marx Activity Scale)

    One Year

Study Arms (1)

Prospective

Patients with full thickness rotator cuff tears being treated with physical therapy

Eligibility Criteria

Age18 Years - 100 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Adults between the ages of 18-100 with full thickness rotator cuff tears.

You may qualify if:

  • Patients (18-100 years of age) with MRI findings of a full-thickness rotator cuff tear
  • Note: Criteria to obtain a shoulder MRI to evaluate for rotator cuff tear \[Appendix D\]:
  • Significant weakness (≥ 2 points per guidelines above.)
  • ADL pain or night pain \>/= 7 on VAS
  • Significant impingement (per guidelines above) + with significant symptoms for ≥ 3 months.

You may not qualify if:

  • Acute rotator cuff tears (generally due to a high velocity injury and symptoms of less than one month)
  • Associated dislocations
  • Associated fractures
  • Systemic Rheumatologic disease, i.e. Rheumatoid Arthritis and Systemic Lupus Erythematosis
  • Patients being treated for bilateral rotator cuff tears simultaneously
  • Patients unable to complete the forms
  • Pain from neck or scapula
  • Previous shoulder surgery
  • Glenohumeral arthritis (meets ≥ 1 of below criteria)
  • osteophytes \>2mm on humeral head or glenoid
  • Joint space narrowing with sclerosis or cyst formation seen on true AP or axillary radiographs;
  • humeral head contacting acromion
  • Adhesive capsulitis

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (9)

University of California at San Francisco

San Francisco, California, 94143, United States

Location

Colorado University Sports Medicine

Boulder, Colorado, 80304, United States

Location

Universtiy Of Iowa

Iowa City, Iowa, 52242-1088, United States

Location

Department of Orthopaedic Surgery, Washington Universtiy School of Medicine

St Louis, Missouri, 63110, United States

Location

Hospital for Special Surgery

New York, New York, 10021, United States

Location

Ohio State

Columbus, Ohio, 43221-3502, United States

Location

Sports Medicine & Shoulder Surgery, Orthopedic Institute

Sioux Falls, South Dakota, 57117, United States

Location

Shoulder and Elbow Institute, Knoxville Orthopaedic Clinic

Knoxville, Tennessee, 37922, United States

Location

Vanderbilt Universtiy Medical Center

Nashville, Tennessee, 37232, United States

Location

Related Publications (51)

  • Bartolozzi A, Andreychik D, Ahmad S. Determinants of outcome in the treatment of rotator cuff disease. Clin Orthop Relat Res. 1994 Nov;(308):90-7.

    PMID: 7955708BACKGROUND
  • Bokor DJ, Hawkins RJ, Huckell GH, Angelo RL, Schickendantz MS. Results of nonoperative management of full-thickness tears of the rotator cuff. Clin Orthop Relat Res. 1993 Sep;(294):103-10.

    PMID: 8358901BACKGROUND
  • Chard MD, Hazleman R, Hazleman BL, King RH, Reiss BB. Shoulder disorders in the elderly: a community survey. Arthritis Rheum. 1991 Jun;34(6):766-9. doi: 10.1002/art.1780340619.

    PMID: 2053923BACKGROUND
  • Charlson M, Szatrowski TP, Peterson J, Gold J. Validation of a combined comorbidity index. J Clin Epidemiol. 1994 Nov;47(11):1245-51. doi: 10.1016/0895-4356(94)90129-5.

    PMID: 7722560BACKGROUND
  • Djurasovic M, Marra G, Arroyo JS, Pollock RG, Flatow EL, Bigliani LU. Revision rotator cuff repair: factors influencing results. J Bone Joint Surg Am. 2001 Dec;83(12):1849-55. doi: 10.2106/00004623-200112000-00013.

    PMID: 11741065BACKGROUND
  • Ejnisman B, Andreoli CV, Soares BG, Fallopa F, Peccin MS, Abdalla RJ, Cohen M. Interventions for tears of the rotator cuff in adults. Cochrane Database Syst Rev. 2004;(1):CD002758. doi: 10.1002/14651858.CD002758.pub2.

    PMID: 14973989BACKGROUND
  • Feng S, Guo S, Nobuhara K, Hashimoto J, Mimori K. Prognostic indicators for outcome following rotator cuff tear repair. J Orthop Surg (Hong Kong). 2003 Dec;11(2):110-6. doi: 10.1177/230949900301100202.

    PMID: 14676334BACKGROUND
  • Galatz LM, Ball CM, Teefey SA, Middleton WD, Yamaguchi K. The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears. J Bone Joint Surg Am. 2004 Feb;86(2):219-24. doi: 10.2106/00004623-200402000-00002.

    PMID: 14960664BACKGROUND
  • Gerber C, Fuchs B, Hodler J. The results of repair of massive tears of the rotator cuff. J Bone Joint Surg Am. 2000 Apr;82(4):505-15. doi: 10.2106/00004623-200004000-00006.

    PMID: 10761941BACKGROUND
  • Habernek H, Schmid L, Frauenschuh E. Five year results of rotator cuff repair. Br J Sports Med. 1999 Dec;33(6):430-3. doi: 10.1136/bjsm.33.6.430.

    PMID: 10597856BACKGROUND
  • Harryman DT 2nd, Mack LA, Wang KY, Jackins SE, Richardson ML, Matsen FA 3rd. Repairs of the rotator cuff. Correlation of functional results with integrity of the cuff. J Bone Joint Surg Am. 1991 Aug;73(7):982-9.

    PMID: 1874784BACKGROUND
  • Hattrup SJ. Rotator cuff repair: relevance of patient age. J Shoulder Elbow Surg. 1995 Mar-Apr;4(2):95-100. doi: 10.1016/s1058-2746(05)80061-8.

    PMID: 7600171BACKGROUND
  • Itoi E, Tabata S. Conservative treatment of rotator cuff tears. Clin Orthop Relat Res. 1992 Feb;(275):165-73.

    PMID: 1735208BACKGROUND
  • Itoi E, Tabata S. Incomplete rotator cuff tears. Results of operative treatment. Clin Orthop Relat Res. 1992 Nov;(284):128-35.

    PMID: 1395281BACKGROUND
  • Kim SH, Ha KI, Park JH, Kang JS, Oh SK, Oh I. Arthroscopic versus mini-open salvage repair of the rotator cuff tear: outcome analysis at 2 to 6 years' follow-up. Arthroscopy. 2003 Sep;19(7):746-54. doi: 10.1016/s0749-8063(03)00395-5.

    PMID: 12966383BACKGROUND
  • Kirkley A, Griffin S, McLintock H, Ng L. The development and evaluation of a disease-specific quality of life measurement tool for shoulder instability. The Western Ontario Shoulder Instability Index (WOSI). Am J Sports Med. 1998 Nov-Dec;26(6):764-72. doi: 10.1177/03635465980260060501.

    PMID: 9850776BACKGROUND
  • Knudsen HB, Gelineck J, Sojbjerg JO, Olsen BS, Johannsen HV, Sneppen O. Functional and magnetic resonance imaging evaluation after single-tendon rotator cuff reconstruction. J Shoulder Elbow Surg. 1999 May-Jun;8(3):242-6. doi: 10.1016/s1058-2746(99)90136-2.

    PMID: 10389080BACKGROUND
  • Lehman C, Cuomo F, Kummer FJ, Zuckerman JD. The incidence of full thickness rotator cuff tears in a large cadaveric population. Bull Hosp Jt Dis. 1995;54(1):30-1.

    PMID: 8541777BACKGROUND
  • Lopez JG, Ernst MD, Wright TW. Acromioplasty: comparison of outcome in patients with and without workers' compensation. J South Orthop Assoc. 2000 Winter;9(4):262-6.

    PMID: 12141189BACKGROUND
  • Massoud SN, Levy O, Copeland SA. Subacromial decompression. Treatment for small- and medium-sized tears of the rotator cuff. J Bone Joint Surg Br. 2002 Sep;84(7):955-60. doi: 10.1302/0301-620x.84b7.12378.

    PMID: 12358385BACKGROUND
  • Motycka T, Kriegleder B, Landsiedl F. Results of open repair of the rotator cuff--a long-term review of 79 shoulders. Arch Orthop Trauma Surg. 2001;121(3):148-51. doi: 10.1007/s004020000199.

    PMID: 11262780BACKGROUND
  • Patel VR, Singh D, Calvert PT, Bayley JI. Arthroscopic subacromial decompression: results and factors affecting outcome. J Shoulder Elbow Surg. 1999 May-Jun;8(3):231-7. doi: 10.1016/s1058-2746(99)90134-9.

    PMID: 10389078BACKGROUND
  • Romeo AA, Hang DW, Bach BR Jr, Shott S. Repair of full thickness rotator cuff tears. Gender, age, and other factors affecting outcome. Clin Orthop Relat Res. 1999 Oct;(367):243-55.

    PMID: 10546622BACKGROUND
  • Sallay PI, Reed L. The measurement of normative American Shoulder and Elbow Surgeons scores. J Shoulder Elbow Surg. 2003 Nov-Dec;12(6):622-7. doi: 10.1016/s1058-2746(03)00209-x.

    PMID: 14671531BACKGROUND
  • Sher JS, Uribe JW, Posada A, Murphy BJ, Zlatkin MB. Abnormal findings on magnetic resonance images of asymptomatic shoulders. J Bone Joint Surg Am. 1995 Jan;77(1):10-5. doi: 10.2106/00004623-199501000-00002.

    PMID: 7822341BACKGROUND
  • Silverstein B, Welp E, Nelson N, Kalat J. Claims incidence of work-related disorders of the upper extremities: Washington state, 1987 through 1995. Am J Public Health. 1998 Dec;88(12):1827-33. doi: 10.2105/ajph.88.12.1827.

    PMID: 9842381BACKGROUND
  • Silverstein B, Viikari-Juntura E, Kalat J. Use of a prevention index to identify industries at high risk for work-related musculoskeletal disorders of the neck, back, and upper extremity in Washington state, 1990-1998. Am J Ind Med. 2002 Mar;41(3):149-69. doi: 10.1002/ajim.10054.

    PMID: 11920960BACKGROUND
  • Spangehl MJ, Hawkins RH, McCormack RG, Loomer RL. Arthroscopic versus open acromioplasty: a prospective, randomized, blinded study. J Shoulder Elbow Surg. 2002 Mar-Apr;11(2):101-7. doi: 10.1067/mse.2002.120915.

    PMID: 11988719BACKGROUND
  • Tempelhof S, Rupp S, Seil R. Age-related prevalence of rotator cuff tears in asymptomatic shoulders. J Shoulder Elbow Surg. 1999 Jul-Aug;8(4):296-9. doi: 10.1016/s1058-2746(99)90148-9.

    PMID: 10471998BACKGROUND
  • Thomazeau H, Boukobza E, Morcet N, Chaperon J, Langlais F. Prediction of rotator cuff repair results by magnetic resonance imaging. Clin Orthop Relat Res. 1997 Nov;(344):275-83.

    PMID: 9372778BACKGROUND
  • Vitale MG, Krant JJ, Gelijns AC, Heitjan DF, Arons RR, Bigliani LU, Flatow EL. Geographic variations in the rates of operative procedures involving the shoulder, including total shoulder replacement, humeral head replacement, and rotator cuff repair. J Bone Joint Surg Am. 1999 Jun;81(6):763-72. doi: 10.2106/00004623-199906000-00003.

    PMID: 10391541BACKGROUND
  • Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992 Jun;30(6):473-83.

    PMID: 1593914BACKGROUND
  • Worland RL, Arredondo J, Angles F, Lopez-Jimenez F. Repair of massive rotator cuff tears in patients older than 70 years. J Shoulder Elbow Surg. 1999 Jan-Feb;8(1):26-30. doi: 10.1016/s1058-2746(99)90050-2.

    PMID: 10077792BACKGROUND
  • Worland RL, Lee D, Orozco CG, SozaRex F, Keenan J. Correlation of age, acromial morphology, and rotator cuff tear pathology diagnosed by ultrasound in asymptomatic patients. J South Orthop Assoc. 2003 Spring;12(1):23-6.

    PMID: 12735621BACKGROUND
  • Yamaguchi K, Tetro AM, Blam O, Evanoff BA, Teefey SA, Middleton WD. Natural history of asymptomatic rotator cuff tears: a longitudinal analysis of asymptomatic tears detected sonographically. J Shoulder Elbow Surg. 2001 May-Jun;10(3):199-203. doi: 10.1067/mse.2001.113086.

    PMID: 11408898BACKGROUND
  • Zanetti M, Jost B, Hodler J, Gerber C. MR imaging after rotator cuff repair: full-thickness defects and bursitis-like subacromial abnormalities in asymptomatic subjects. Skeletal Radiol. 2000 Jun;29(6):314-9. doi: 10.1007/s002560000203.

    PMID: 10929412BACKGROUND
  • Ellman H, Kay SP, Wirth M. Arthroscopic treatment of full-thickness rotator cuff tears: 2- to 7-year follow-up study. Arthroscopy. 1993;9(2):195-200. doi: 10.1016/s0749-8063(05)80374-3.

    PMID: 8461081BACKGROUND
  • Goutallier D, Postel JM, Gleyze P, Leguilloux P, Van Driessche S. Influence of cuff muscle fatty degeneration on anatomic and functional outcomes after simple suture of full-thickness tears. J Shoulder Elbow Surg. 2003 Nov-Dec;12(6):550-4. doi: 10.1016/s1058-2746(03)00211-8.

    PMID: 14671517BACKGROUND
  • Hawker G, Melfi C, Paul J, Green R, Bombardier C. Comparison of a generic (SF-36) and a disease specific (WOMAC) (Western Ontario and McMaster Universities Osteoarthritis Index) instrument in the measurement of outcomes after knee replacement surgery. J Rheumatol. 1995 Jun;22(6):1193-6.

    PMID: 7674255BACKGROUND
  • Irrgang JJ, Anderson AF. Development and validation of health-related quality of life measures for the knee. Clin Orthop Relat Res. 2002 Sep;(402):95-109. doi: 10.1097/00003086-200209000-00009.

    PMID: 12218475BACKGROUND
  • McHorney CA, Ware JE Jr, Lu JF, Sherbourne CD. The MOS 36-item Short-Form Health Survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Med Care. 1994 Jan;32(1):40-66. doi: 10.1097/00005650-199401000-00004.

    PMID: 8277801BACKGROUND
  • Small NC, Sledge CB, Katz JN. A conceptual framework for outcomes research in arthroscopic meniscectomy: results of a nominal group process. Arthroscopy. 1994 Oct;10(5):486-92. doi: 10.1016/s0749-8063(05)80002-7.

    PMID: 7999155BACKGROUND
  • Ciepiela MD, Burkhead WZ. Classification of Rotator Cuff Tears. In: Burkhead WZ, ed. Rotator Cuff Disorders.Lippincott Williams & Wilkins, 1996.

    BACKGROUND
  • Cohen J. A coefficient of agreement for nominal scales. Educational and Psychological Measurement 1960;20:37-46.

    BACKGROUND
  • Jost B, Pfirrmann CW, Gerber C, Switzerland Z. Clinical outcome after structural failure of rotator cuff repairs. J Bone Joint Surg Am. 2000 Mar;82(3):304-14. doi: 10.2106/00004623-200003000-00002.

    PMID: 10724223BACKGROUND
  • McHorney CA, Ware JE Jr, Raczek AE. The MOS 36-Item Short-Form Health Survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care. 1993 Mar;31(3):247-63. doi: 10.1097/00005650-199303000-00006.

    PMID: 8450681BACKGROUND
  • Sonnabend DH, Watson EM. Structural factors affecting the outcome of rotator cuff repair. J Shoulder Elbow Surg. 2002 May-Jun;11(3):212-8. doi: 10.1067/mse.2002.122272.

    PMID: 12070491BACKGROUND
  • Stewart AL, Hays RD, Ware JE Jr. The MOS short-form general health survey. Reliability and validity in a patient population. Med Care. 1988 Jul;26(7):724-35. doi: 10.1097/00005650-198807000-00007. No abstract available.

    PMID: 3393032BACKGROUND
  • Wolfgang GL. Surgical repair of tears of the rotator cuff of the shoulder. Factors influencing the result. J Bone Joint Surg Am. 1974 Jan;56(1):14-26. No abstract available.

    PMID: 4812158BACKGROUND
  • Iannotti JP, Bernot MP, Kuhlman JR, Kelley MJ, Williams GR. Postoperative assessment of shoulder function: a prospective study of full-thickness rotator cuff tears. J Shoulder Elbow Surg. 1996 Nov-Dec;5(6):449-57. doi: 10.1016/s1058-2746(96)80017-6.

    PMID: 8981270BACKGROUND
  • Neer CS 2nd. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am. 1972 Jan;54(1):41-50. No abstract available.

    PMID: 5054450BACKGROUND

MeSH Terms

Conditions

Rotator Cuff Injuries

Condition Hierarchy (Ancestors)

RuptureWounds and InjuriesShoulder InjuriesTendon Injuries

Study Officials

  • John E. Kuhn, MD

    Vanderbilt University Medical Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Research Coordinator

Study Record Dates

First Submitted

September 26, 2008

First Posted

September 30, 2008

Study Start

January 1, 2006

Primary Completion

January 11, 2024

Study Completion

January 11, 2024

Last Updated

January 16, 2024

Record last verified: 2024-01

Data Sharing

IPD Sharing
Will share

De Identified data from this cohort is only available to members of the MOON Shoulder Consortium. The member must provide a description of the use of the data to the research coordinator. The data request is then presented to the MOON consortium. A unanimous agreement of the plan by the consortium must be received prior to receiving the data.

Locations