NCT06482255

Brief Summary

This study evaluates the effectiveness of virtual reality (VR) compared to manual therapy and therapeutic exercise in treating rotator cuff injuries. It involves 108 participants divided into two groups: one receiving VR combined with manual therapy and therapeutic exercise, and the other receiving only manual therapy and therapeutic exercise. The study spans 10 weeks, with assessments at the beginning, midpoint, and end. Variables measured include quality of life, perceived pain, shoulder disability, strength, pain intensity, and shoulder mobility. The aim is to determine if VR provides better outcomes in these variables compared to conventional treatments.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
108

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Sep 2024

Shorter than P25 for not_applicable

Status
not yet recruiting

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

First Submitted

Initial submission to the registry

June 25, 2024

Completed
6 days until next milestone

First Posted

Study publicly available on registry

July 1, 2024

Completed
2 months until next milestone

Study Start

First participant enrolled

September 1, 2024

Completed
Same day until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2024

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2024

Completed
Last Updated

July 3, 2024

Status Verified

June 1, 2024

Enrollment Period

Same day

First QC Date

June 25, 2024

Last Update Submit

June 29, 2024

Conditions

Keywords

rotator cuffvirtual realitymanual therapytherapeutic exercise

Outcome Measures

Primary Outcomes (3)

  • Perceived pain and disability regarding the shoulder

    continuous metric quantitative variable. To measure it the investigators will use the SPADI questionnaire that takes values from or to 10 in each question. Reliability is greater than 0.7, with ranges between 0.7 and 0.9

    10 weeks

  • strength

    continuous metric quantitative variable and the investigators will measure it using the dynamometer. It has a reliability of 0.90%, making it a useful force measurement instrument.

    10 weeks

  • Active shoulder mobility

    continuous metric quantitative variable. The investigators will use an inclinometer to assess flexion, extension, rotation, abduction and adduction.

    10 weeks

Study Arms (2)

virtual reality and manual therapy and therapeutic exercise

EXPERIMENTAL

* Soft tissue massage * Mobilization of the glenohumeral joint * Scapular retraining Therapeutic Exercise

Other: manual therapy and therapeutic exercise and virtual reality

manual therapy and therapeutic exercise

ACTIVE COMPARATOR

* Soft tissue massage * Mobilization of the glenohumeral joint * Scapular retraining

Other: manual therapy and therapeutic exercise

Interventions

* Soft tissue massage * Mobilization of the glenohumeral joint * Scapular retraining Therapeutic Exercise

manual therapy and therapeutic exercise

* Soft tissue massage * Mobilization of the glenohumeral joint * Scapular retraining Therapeutic Exercise * virtual reality

virtual reality and manual therapy and therapeutic exercise

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • be between 18 and 65 years old
  • have a rotator cuff injury lasting less than 3 months
  • have a limitation in strength of less than 30%
  • pain in mobility greater than 4/10

You may not qualify if:

  • previous shoulder surgeries, medical pathologies such as cancer
  • rheumatoid disease, infections and/or fractures, and CNS involvement.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (22)

  • May T, Garmel GM. Rotator Cuff Injury. 2023 Jun 26. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK547664/

    PMID: 31613444BACKGROUND
  • Jain NB, Luz J, Higgins LD, Dong Y, Warner JJ, Matzkin E, Katz JN. The Diagnostic Accuracy of Special Tests for Rotator Cuff Tear: The ROW Cohort Study. Am J Phys Med Rehabil. 2017 Mar;96(3):176-183. doi: 10.1097/PHM.0000000000000566.

    PMID: 27386812BACKGROUND
  • Sgroi M, Loitsch T, Reichel H, Kappe T. Diagnostic Value of Clinical Tests for Supraspinatus Tendon Tears. Arthroscopy. 2018 Aug;34(8):2326-2333. doi: 10.1016/j.arthro.2018.03.030. Epub 2018 May 22.

    PMID: 29802066BACKGROUND
  • Osma Rueda JL, Carreño Mesa FA. Manguito de los rotadores: epidemiología, factores deriesgo, historia natural de la enfermedad y pronóstico. Revisión de conceptos actuales. Revista Colombiana de Ortopedia y Traumatología. Octubre de 2016;30:2-12

    BACKGROUND
  • González Lagunas J.. Plasma rico en plaquetas. Rev Esp Cirug Oral y Maxilofac [Internet]. 2006 Abr [citado 2024 Abr 04] ; 28( 2 ): 89-99.

    BACKGROUND
  • Laserterapia [internet]. Barcelona: Top doctors; [citado el 5 de Julio de 2023.

    BACKGROUND
  • Xiong J., Hsiang EL, He Z., Zhan T., Wu ST Pantallas de realidad aumentada y realidad virtual: tecnologías emergentes y perspectivas futuras. Ciencia ligera. Aplica. 2021; 10 :216. doi: 10.1038/s41377-021-00658-8

    BACKGROUND
  • Carrie M.Hall, Lori Thein Brody. Ejercicio terapéutico. Recuperación funcional (ed. Paidotribo. Año 2006. (1-42),(587, 635)

    BACKGROUND
  • Rutkowski S, Kiper P, Cacciante L, Cieslik B, Mazurek J, Turolla A, Szczepanska-Gieracha J. Use of virtual reality-based training in different fields of rehabilitation: A systematic review and meta-analysis. J Rehabil Med. 2020 Nov 19;52(11):jrm00121. doi: 10.2340/16501977-2755.

    PMID: 33073855BACKGROUND
  • Dimbwaydo-Terrer I. Realidad Virtual en Procedimientos Quirúrgicos: Nuevos Entornos de Aplicación. NeuroRehab News 2017 nov; 2

    BACKGROUND
  • Harvie DS, Broecker M, Smith RT, Meulders A, Madden VJ, Moseley GL. Bogus visual feedback alters onset of movement-evoked pain in people with neck pain. Psychol Sci. 2015 Apr;26(4):385-92. doi: 10.1177/0956797614563339. Epub 2015 Feb 17.

    PMID: 25691362BACKGROUND
  • Tejera DM, Beltran-Alacreu H, Cano-de-la-Cuerda R, Leon Hernandez JV, Martin-Pintado-Zugasti A, Calvo-Lobo C, Gil-Martinez A, Fernandez-Carnero J. Effects of Virtual Reality versus Exercise on Pain, Functional, Somatosensory and Psychosocial Outcomes in Patients with Non-specific Chronic Neck Pain: A Randomized Clinical Trial. Int J Environ Res Public Health. 2020 Aug 16;17(16):5950. doi: 10.3390/ijerph17165950.

    PMID: 32824394BACKGROUND
  • Guzmán DE, Londoño J. Rehabilitación de miembro superior con ambientes virtuales: revisión. Rev Mex Ing Biomed. 2016;37(3)

    BACKGROUND
  • Chan E, Foster S, Sambell R, Leong P. Clinical efficacy of virtual reality for acute procedural pain management: A systematic review and meta-analysis. PLoS One. 2018 Jul 27;13(7):e0200987. doi: 10.1371/journal.pone.0200987. eCollection 2018.

    PMID: 30052655BACKGROUND
  • Ingwersen KG, Christensen R, Sorensen L, Jorgensen HR, Jensen SL, Rasmussen S, Sogaard K, Juul-Kristensen B. Progressive high-load strength training compared with general low-load exercises in patients with rotator cuff tendinopathy: study protocol for a randomised controlled trial. Trials. 2015 Jan 27;16:27. doi: 10.1186/s13063-014-0544-6.

    PMID: 25622594BACKGROUND
  • Guillaumes S, O'Callaghan CA. [Spanish adaptation of the free OxMaR software for minimization and randomization of clinical studies]. Gac Sanit. 2019 Jul-Aug;33(4):395-397. doi: 10.1016/j.gaceta.2018.07.013. Epub 2018 Nov 1. Spanish.

    PMID: 30390995BACKGROUND
  • Bennell K, Coburn S, Wee E, Green S, Harris A, Forbes A, Buchbinder R. Efficacy and cost-effectiveness of a physiotherapy program for chronic rotator cuff pathology: a protocol for a randomised, double-blind, placebo-controlled trial. BMC Musculoskelet Disord. 2007 Aug 31;8:86. doi: 10.1186/1471-2474-8-86.

    PMID: 17761004BACKGROUND
  • Carnevale A, Mannocchi I, Schena E, Carli M, Sassi MSH, Marino M, Longo UG. Performance Evaluation of an Immersive Virtual Reality Application for Rehabilitation after Arthroscopic Rotator Cuff Repair. Bioengineering (Basel). 2023 Nov 10;10(11):1305. doi: 10.3390/bioengineering10111305.

    PMID: 38002429BACKGROUND
  • Vilagut G, Ferrer M, Rajmil L, Rebollo P, Permanyer-Miralda G, Quintana JM, Santed R, Valderas JM, Ribera A, Domingo-Salvany A, Alonso J. [The Spanish version of the Short Form 36 Health Survey: a decade of experience and new developments]. Gac Sanit. 2005 Mar-Apr;19(2):135-50. doi: 10.1157/13074369. Spanish.

    PMID: 15860162BACKGROUND
  • Torres-Lacomba M, Sanchez-Sanchez B, Prieto-Gomez V, Pacheco-da-Costa S, Yuste-Sanchez MJ, Navarro-Brazalez B, Gutierrez-Ortega C. Spanish cultural adaptation and validation of the shoulder pain and disability index, and the oxford shoulder score after breast cancer surgery. Health Qual Life Outcomes. 2015 May 23;13:63. doi: 10.1186/s12955-015-0256-y.

    PMID: 26001890BACKGROUND
  • Vicente-Herrero M.T., Delgado-Bueno S., Bandrés-Moyá F., Ramírez-Iñiguez-de-la-Torre M.V., Capdevilla-García L.. Valoración del dolor. Revisión comparativa de escalas y cuestionarios. Rev. Soc. Esp. Dolor [Internet]. 2018 Ago [citado 2024 Abr 12] ; 25( 4 ): 228-236.

    BACKGROUND
  • Pekyavas NO, Ergun N. Comparison of virtual reality exergaming and home exercise programs in patients with subacromial impingement syndrome and scapular dyskinesis: Short term effect. Acta Orthop Traumatol Turc. 2017 May;51(3):238-242. doi: 10.1016/j.aott.2017.03.008. Epub 2017 Apr 24.

    PMID: 28446376BACKGROUND

MeSH Terms

Conditions

Rotator Cuff Injuries

Interventions

Musculoskeletal ManipulationsExercise Therapy

Condition Hierarchy (Ancestors)

RuptureWounds and InjuriesShoulder InjuriesTendon Injuries

Intervention Hierarchy (Ancestors)

Complementary TherapiesTherapeuticsPhysical Therapy ModalitiesRehabilitationAftercareContinuity of Patient CarePatient Care

Central Study Contacts

Alejandro Nubla Romero

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

June 25, 2024

First Posted

July 1, 2024

Study Start

September 1, 2024

Primary Completion

September 1, 2024

Study Completion

November 1, 2024

Last Updated

July 3, 2024

Record last verified: 2024-06

Data Sharing

IPD Sharing
Will not share