Effectiveness of The Neuromuscular Control-Based Exercise Training in the Treatment of Partial-Thickness Rotator Cuff Tears

NCT05128474 | Completed

• 1 other identifier: IstanbulUC49
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to determine and compare the effects of neuromuscular control exercises for the shoulder, and standard conservative exercise programs, which are different forms of exercise and have an important role in the treatment of partial thickness rotator cuff tears on treatment. Thus, it is aimed to compare these exercise types with different mechanisms on treatment, to determine the place of neuromuscular control exercises in treatment and whether they are more effective than conventional exercises.

Conditions

Rotator Cuff Tear or Rupture, Not Specified as Traumatic; Pain, Shoulder

Keywords

Rotator Cuff Tear; Physiotherapy; Rehabilitation; Neuromuscular Control; Rupture

Outcome Measures

Primary Outcomes (1)

• Constant-Murley Score

  The Constant Murley Score is a 100-point scale consisting of 15 points for pain, 20 points for daily activities, 40 points for pain-free range of motion, and 25 points for strength. High scores are positively correlated with the increased functional level. While pain and activities of daily living are evaluated by the patient, range of motion and strength are evaluated by the clinician.

  The Constant Murley Score assessment will be done between two time points: first time at baseline and second time after 8-weeks rehabilitation program. After treatment, "change" will be evaluated.

Secondary Outcomes (7)

• The Numerical Pain Rating Scale (NPRS)

  Evaluations will be done between two time points: first time at baseline and second time after 8-weeks rehabilitation program. After treatment, "change" will be evaluated.

• Shoulder Joint Proprioception with Inclinometer

  Evaluations will be done between two time points: first time at baseline and second time after 8-weeks rehabilitation program. After treatment, "change" will be evaluated.

• Shoulder Joint Range of Motion (ROM)

  Evaluations will be done between two time points: first time at baseline and second time after 8-weeks rehabilitation program. After treatment, "change" will be evaluated.

• Shoulder Joint Muscle Strength

  Evaluations will be done between two time points: first time at baseline and second time after 8-weeks rehabilitation program. After treatment, "change" will be evaluated.

• Quick DASH (Disabilities of the Arm, Shoulder and Hand) Questionnaire

  Evaluations will be done between two time points: first time at baseline and second time after 8-weeks rehabilitation program. After treatment, "change" will be evaluated.

Study Arms (2)

Group 1

EXPERIMENTAL

Neuromuscular Control-Based Exercise Training Group

Other: Neuromuscular Control-Based Exercise Training Group

Group 2

ACTIVE COMPARATOR

Conventional Exercise Training Group

Other: Conventional Exercise Training Group

Interventions

Neuromuscular Control-Based Exercise Training Group OTHER

Exercises for the neuromuscular control of the shoulder will be progressed by starting with the body weight, and in the following phases, a program that progresses to exercises that will improve the dynamic stabilization, coordination and proprioception of the shoulder will be applied to train the sensorimotor system. The exercise program will be performed twice a week for 8 weeks (16 sessions).

Group 1

Conventional Exercise Training Group OTHER

In this group, which will mainly benefit from conventional open kinetic chain strength exercises, a strengthening exercise program will be applied by advancing from body weight to elastic bands and weights. The exercise program will be performed twice a week for 8 weeks (16 sessions).

Group 2

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Forty years of age or older patients that had been diagnosed for a partial rotator cuff tear that was unrelated to trauma by a specialist orthopedist with MRI and physical examination and no other shoulder problems on the diagnosed shoulder were included into this study.

You may not qualify if:

• Patients diagnosed with full-thickness or massive rotator cuff tear, patients who had undergone previous surgery, patients diagnosed with frozen shoulder or glenohumeral instability, and athletic patients younger than 40 years of age with symptoms of acute RC tear were not included in this study.

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Study Sites (1)

İstanbul Üniversitesi-Cerrahpaşa, Sağlık Bilimleri Fakültesi

Istanbul, Büyükçekmece, 34500, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Rotator Cuff Injuries; Rupture; Shoulder Pain

Condition Hierarchy (Ancestors)

Wounds and Injuries; Shoulder Injuries; Tendon Injuries; Arthralgia; Joint Diseases; Musculoskeletal Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Study Record Dates

• First Submitted: October 22, 2021
• First Posted: November 22, 2021
• Study Start: December 3, 2021
• Primary Completion: July 26, 2023
• Study Completion: August 15, 2023
• Last Updated: August 16, 2023

Record last verified: 2023-08

Locations

TU (1)