Effectiveness of Telerehabilitation on Subacromial Pain Syndrome

NCT ID: NCT05200130

Last Updated: 2023-11-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-01

Study Completion Date

2023-08-08

Brief Summary

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The aim of this study is to evaluate the effectiveness of supervised exercise therapy with active soft tissue and joint mobilization.

The effectiveness of telerehabilitation- active mobilization and exercises in the evaluation of pain and function in patients with subacromial pain syndrome will be examined and compared with face-to-face treatment, which is passive manual therapy.

Detailed Description

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Shoulder pain is common in the population. Various treatment modalities are used. Due to the Coronavirus disease (COVID-19), the problems in patients' access to hospitals and rehabilitation services caused telerehabilitation to be on the agenda. Telerehabilitation can be summarized as the delivery of rehabilitation services to those in need by using communication technologies. This method covers the steps of evaluation, monitoring, prevention, intervention, control, training, and consultation. In addition, as a new treatment application, its effectiveness will be measured in patients with shoulder pain.

Conditions

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Subacromial Pain Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Home exercise group

The home exercise program will be explained to the patients in the control group by the physiotherapist and the relevant brochures will be delivered to the patients. Home exercise program will take 30-45 min. İt will be applied 5 days a week for 8 weeks. Patients will receive a reminder message from the physiotherapist once a week.

Group Type ACTIVE_COMPARATOR

Home Exercise Group

Intervention Type OTHER

The home exercise program includes an educational training program and posture correction exercises. The program includes stretching and strengthening exercises of the neck and shoulder complex.

Manual Therapy Group

Patients in the Manual Therapy Group will receive one-to-one physiotherapy sessions in the hospital 2 days a week for 8 weeks. In these sessions, soft tissue and joint mobilizations and exercises will be applied by physiotherapist.

Group Type ACTIVE_COMPARATOR

Manual Therapy Group

Intervention Type OTHER

Manual Therapy includes deep friction massage and myofascial relaxation techniques to shoulder and neck complex, active and resistant shoulder complex movements, shoulder complex mobilization, mobilization cervical joints.

The home exercise program includes an educational training program and posture correction exercises. The program includes stretching and strengthening exercises of the neck and shoulder complex.

Telerehabilitation Supported Group

Telerehabilitation program will be applied 2 days a week for 8 weeks to patients in the telerehabilitation group. İt will take 30-45 min. A physiotherapist will meet with patients via videoconferencing over the internet and guide the program.

Group Type EXPERIMENTAL

Telerehabilitation Group

Intervention Type OTHER

The telerehabilitation program applied to the same home exercise group. In addition, to the home exercises, these patients will apply active mobilization called self-mobilization. Self-myofascial release, active glenohumeral joint mobilization, thoracic mobilization, and active cervical mobilization.

Interventions

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Home Exercise Group

The home exercise program includes an educational training program and posture correction exercises. The program includes stretching and strengthening exercises of the neck and shoulder complex.

Intervention Type OTHER

Manual Therapy Group

Manual Therapy includes deep friction massage and myofascial relaxation techniques to shoulder and neck complex, active and resistant shoulder complex movements, shoulder complex mobilization, mobilization cervical joints.

The home exercise program includes an educational training program and posture correction exercises. The program includes stretching and strengthening exercises of the neck and shoulder complex.

Intervention Type OTHER

Telerehabilitation Group

The telerehabilitation program applied to the same home exercise group. In addition, to the home exercises, these patients will apply active mobilization called self-mobilization. Self-myofascial release, active glenohumeral joint mobilization, thoracic mobilization, and active cervical mobilization.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Individuals between the ages of 18-50 who complain of shoulder pain
* Individuals diagnosed with a partial tear of the rotator cuff smaller than 1 cm and As a result of the examination performed by the physician stage 1 or 2 subacromial impingement syndrome.
* Two of the following tests are positive Hawkins-Kennedy, painful arc or infraspinatus muscle strength tests
* Presence of shoulder pain lasting longer than 6 weeks that limits activity.
* Being literate and not having cognitive dysfunction.

Exclusion Criteria

* Presence of other orthopedic, neurological and systemic problems affecting the neck, shoulder and back complex,
* Patients with heart failure and using a pacemaker,
* Labral tears and other intraarticular structural pathologies
* Signs of adhesive capsulitis
* Grade 3 or full thickness rotator cuff tear
* BMİ \> 30 kg/m
* Having been included in a physical therapy program related to the same side shoulder joint in the last 1 year
* Using non-steroidal anti-inflammatory drugs.
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hasan Kalyoncu University

OTHER

Sponsor Role lead

Responsible Party

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Erman Berk Celik

PT, Msc, Research Assistant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Aysenur Tuncer, PhD

Role: STUDY_DIRECTOR

Hasan Kalyoncu University Faculty of Health Sciences Department of Physiotherapy and Rehabilitation

Locations

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Erman Berk Celik

Mardin, Artuklu, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Celik EB, Tuncer A. Comparing the Efficacy of Manual Therapy and Exercise to Synchronized Telerehabilitation with Self-Manual Therapy and Exercise in Treating Subacromial Pain Syndrome: A Randomized Controlled Trial. Healthcare (Basel). 2024 May 24;12(11):1074. doi: 10.3390/healthcare12111074.

Reference Type DERIVED
PMID: 38891149 (View on PubMed)

Other Identifiers

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2021/074

Identifier Type: -

Identifier Source: org_study_id