Comparison Of The Effects Of Conventional Physiotherapy And Strengthening Exercises With Rotator Cuff Syndrome

NCT06535750 | Completed

• 1 other identifier: UBeykent-6
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Various options are available for the treatment of rotator cuff syndrome, including conservative and surgical. Conservative treatment methods include activity modification, nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroid injections (CSIs), and physiotherapy. Physiotherapy methods include various interventions such as manual therapy, exercise, and electrotherapy. Although these treatments do not directly treat the specific pathology, they help correct rotator cuff and scapular muscle weakness and dysfunction, reduce the tightness of the posterior capsule and other soft tissues, and relieve pain and dysfunction. It focuses on correcting the postural abnormalities that contribute to the disease. In our study, the investigators aimed to determine the effects of rehabilitation components in the conservative treatment of patients with rotator cuff syndrome and to determine the effects of strengthening exercises on the functional status of the patients.

Conditions

Rotator Cuff Syndrome; Physiotherapy

Keywords

Rotator Cuff; Exercise; Pain

Outcome Measures

Primary Outcomes (1)

• Disability Questionnaire for Arm, Shoulder and Hand (Quick DASH):

  Quick DASH was used as the primary outcome measure because it is a questionnaire that assesses upper extremity injuries and symptoms and measures their impact on patients' activities of daily living. Each section of the Quick-DASH questionnaire yields a score between 0 and 100 (0= no disability, 100= maximum disability).10,11

  3 months

Secondary Outcomes (2)

• Western Ontario Rotator Cuff Index (WORC)

  1 months

• Nothingam Health Profile (NSP):

  1 months

Study Arms (2)

Rotator Cuff Patients with used to conventional rehabilitation

EXPERIMENTAL

Patients in the experimental group received strengthening exercises with theraband in addition to the standard treatment programme. This programme included the following: Strengthening Exercises: Low-row, biceps strengthening, shoulder horizontal abduction and shoulder horizontal adduction, external rotation. After the pain decreased, strengthening exercises for subscapularis, infraspinatus, supraspinatus, teres minor, deltoid and scapulothoracic muscles were performed. The colour of the Theraband was chosen between yellow, red, green, blue and red to the extent tolerated by the patient.

Other: Exercise

Rotator Cuff Patients with used to conventional rehabilitation add to strenght exercise.

EXPERIMENTAL

Patients in the experimental group received strengthening exercises with theraband in addition to the standard treatment programme. This programme included the following: Strengthening Exercises: Low-row, biceps strengthening, shoulder horizontal abduction and shoulder horizontal adduction, external rotation. After the pain decreased, strengthening exercises for subscapularis, infraspinatus, supraspinatus, teres minor, deltoid and scapulothoracic muscles were performed. The colour of the Theraband was chosen between yellow, red, green, blue and red to the extent tolerated by the patient.

Other: Exercise

Interventions

Exercise OTHER

Participants were randomly divided into two treatment groups. There are 10 patients in each group. The patients in the control group received a standard treatment programme, while the patients in the experimental group received strengthening exercises with theraband in addition to the standard treatment programme. Treatment sessions for both groups lasted 50-55 minutes and were performed three days a week. Details of the study groups are given below.

Rotator Cuff Patients with used to conventional rehabilitation; Rotator Cuff Patients with used to conventional rehabilitation add to strenght exercise.

Eligibility Criteria

• Age: 20 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• having complaints for at least three months
• having positive Empty can test
• having rotator cuff injury
• having loss of function in the shoulder and volunteering to participate in the study

You may not qualify if:

• cardiovascular disease that would interfere with the rehabilitation process,
• who had neurological or systemic musculoskeletal disease
• who had undergone upper extremity surgery
• who had upper extremity scapula fracture

Sponsors & Collaborators

• University of Beykent: lead

Study Sites (1)

Physical Therapy and Rehabilitation Clinic of Istanbul Health Sciences University Kanuni Sultan Süleyman Training and Research Hospital

Istanbul, Küçükçekmece, 34303, Turkey (Türkiye)

Location

Related Publications (2)

• Gomoll AH, Katz JN, Warner JJ, Millett PJ. Rotator cuff disorders: recognition and management among patients with shoulder pain. Arthritis Rheum. 2004 Dec;50(12):3751-61. doi: 10.1002/art.20668. No abstract available.

  PMID: 15593187 BACKGROUND

• Galetta MD, Keller RE, Sabbag OD, Linderman SE, Fury MS, Medina G, O'Donnell EA, Cheng TTW, Harris E, Oh LS. Rehabilitation variability after rotator cuff repair. J Shoulder Elbow Surg. 2021 Jun;30(6):e322-e333. doi: 10.1016/j.jse.2020.11.016. Epub 2021 Jan 5.

  PMID: 33418088 BACKGROUND

MeSH Terms

Conditions

Motor Activity; Pain

Interventions

Exercise

Condition Hierarchy (Ancestors)

Behavior; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Yasemin ŞAHBAZ

  Istanbul Beykent University

  STUDY DIRECTOR

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: assistant profesor

Study Record Dates

• First Submitted: July 23, 2024
• First Posted: August 2, 2024
• Study Start: March 1, 2024
• Primary Completion: June 1, 2024
• Study Completion: June 22, 2024
• Last Updated: August 2, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)