Graded Motor Imagery and Biofeedback in Rotator Cuff Injury

NCT06599567 | Completed

• 1 other identifier: 8Z3KqXp1
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

Purpose: This study aims to compare the effectiveness of conventional therapy, Graded Motor Imagery (GMI), and Nintendo Wii-based biofeedback therapy in patients with rotator cuff injuries. The goal is to evaluate the impact of these three methods on pain management, range of motion (ROM), patient satisfaction, and functional performance. Hypotheses: There is no significant difference in pain management between conventional therapy, GMI, and Wii-based biofeedback therapy. There is no significant difference in shoulder ROM between the three therapies. There is no significant difference in patient satisfaction among the therapies. There is no significant difference in functional performance improvement between the therapies. Methods: A randomized, double-blind, controlled trial will be conducted with 36 patients with rotator cuff injuries. They will be randomly assigned to one of three groups and undergo 6 weeks of treatment. Pain, ROM, and functional performance will be assessed pre- and post-treatment. Data will be analyzed using ANOVA. Potential Outcomes/Significance: The study may show that innovative approaches like GMI and Wii-based biofeedback therapy are effective treatment options. Results could contribute to developing new strategies for treating chronic pain and motor dysfunctions.

Conditions

Rotator Cuff Injuries; Rotator Cuff Injury; Rotator Cuff Syndrome

Keywords

graded motor imagery; pain; shoulder joint; rehabilitation; rotator cuff injuries

Outcome Measures

Primary Outcomes (1)

• quickDASH short form

  QuickDASH will be used to assess upper extremity functional limitations and symptoms in patients with rotator cuff injuries Scoring: QuickDASH consists of 11 questions, each rated on a scale from 1 to 5. The final score is calculated between 0 (no difficulty) and 100 (extreme difficulty)

  From enrollment to the end of treatment at 6 weeks

Secondary Outcomes (5)

• Shoulder Pain

  From enrollment to the end of treatment at 6 weeks

• Range of motion

  From enrollment to the end of treatment at 6 weeks

• Kinesiophobia

  From enrollment to the end of treatment at 6 weeks

• Global Rating of Change

  From enrollment to the end of treatment at 6 weeks

• Lateralization

  From enrollment to the end of treatment at 6 weeks

Study Arms (3)

Traditional therapy

ACTIVE COMPARATOR

Cold - Hot pack applications, TENS device application, which is a pain-relieving electrotherapy agent, therapeutic exercises

Other: Traditional therapy

Graded motor imagery

ACTIVE COMPARATOR

Cold-Hot pack applications, TENS device application, which is a pain-relieving electrotherapy agent, therapeutic exercises, graded motor imagery training (body right-left discrimination exercise, imagining the movement and exercising the opposite limb in front of the mirror).

Other: Graded motor imagery

Nintendo Wİİ

ACTIVE COMPARATOR

Cold - Hot pack applications, TENS device application, which is a pain-relieving electrotherapy agent, therapeutic exercises, games involving your relevant shoulder such as boxing and bowling on the Nintendo Wii game console.

Other: Nintendo Wİİ

Interventions

Traditional therapy OTHER

Cold - Hot pack applications, TENS device application, which is a pain-relieving electrotherapy agent, therapeutic exercises

Traditional therapy

Graded motor imagery OTHER

Cold-Hot pack applications, TENS device application, which is a pain-relieving electrotherapy agent, therapeutic exercises, graded motor imagery training (body right-left discrimination exercise, imagining the movement and exercising the opposite limb in front of the mirror).

Graded motor imagery

Nintendo Wİİ OTHER

Cold - Hot pack applications, TENS device application, which is a pain-relieving electrotherapy agent, therapeutic exercises, games involving your relevant shoulder such as boxing and bowling on the Nintendo Wii game console.

Nintendo Wİİ

Eligibility Criteria

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

You may qualify if:

• Between the ages of 18-65
• A rotator cuff injury was diagnosed and conservative treatment was decided
• Volunteer for research
• People who can read, write and understand Turkish

You may not qualify if:

• Having neurological findings of cervical origin
• An additional different orthopedic problem in the same shoulder (Full thickness rotator cuff tear, adhesive capsulitis and glenohumeral instability)
• Uncooperative or mental problem
• Neurological, vascular and cardiac problem that limits function

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Study Sites (1)

Istanbul University- Cerrahpaşa

Istanbul, Istanbul, 34519, Turkey (Türkiye)

Location

Related Publications (2)

• Suso-Marti L, La Touche R, Angulo-Diaz-Parreno S, Cuenca-Martinez F. Effectiveness of motor imagery and action observation training on musculoskeletal pain intensity: A systematic review and meta-analysis. Eur J Pain. 2020 May;24(5):886-901. doi: 10.1002/ejp.1540. Epub 2020 Feb 20.

  PMID: 32031724 BACKGROUND

• Hoyek N, Di Rienzo F, Collet C, Hoyek F, Guillot A. The therapeutic role of motor imagery on the functional rehabilitation of a stage II shoulder impingement syndrome. Disabil Rehabil. 2014;36(13):1113-9. doi: 10.3109/09638288.2013.833309. Epub 2014 Feb 28.

  PMID: 24575717 BACKGROUND

Related Links

• The therapeutic role of motor imagery on the functional rehabilitation of a stage II shoulder impingement syndrome
• Effectiveness of motor imagery and action observation training on musculoskeletal pain intensity: A systematic review and meta-analysis

MeSH Terms

Conditions

Rotator Cuff Injuries; Pain

Condition Hierarchy (Ancestors)

Rupture; Wounds and Injuries; Shoulder Injuries; Tendon Injuries; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Cansu Ercan

  Unaffiliated"

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Masking Details: Patients will not know which group they belong to and the physiotherapist who makes the evaluations will not know which treatment the patients receive. Our study will be conducted in a double-blind manner.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: 1. st group traditional therapy 2. nd group : traditional therapy and graded motor imagery 3. rd group traditional therapy and biofeedback training with nintendo wii

Study Record Dates

• First Submitted: September 12, 2024
• First Posted: September 19, 2024
• Study Start: September 25, 2024
• Primary Completion: May 25, 2025
• Study Completion: May 25, 2025
• Last Updated: July 30, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
• Time Frame: November 2024 - November 2025
• Access Criteria: Healthcare professionals doing research in this field

Locations

TU (1)