Telerehabilitation in Individuals With Rotator Cuff Tear
NCT ID: NCT05904249
Last Updated: 2023-06-15
Study Results
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Basic Information
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COMPLETED
NA
44 participants
INTERVENTIONAL
2022-02-07
2023-05-05
Brief Summary
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Detailed Description
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The Coronavirus disease (COVID-19), is still the most important global concern. People with chronic diseases have been known to delay getting healthcare services due to fear of the risk of infection following the COVID-19 pandemic. This could lead to increased morbidity and mortality due to delay and disruption in access to treatment applications needed for patient populations other than COVID-19. At this stage, one of the applications that can be effective for disturbed patient healing processes is the Telerehabilitation application, which has proven its effectiveness in previous epidemics (EBOLA, SARS, etc.), when patients are treated remotely after and after treatment. Especially during the COVID-19 pandemic, there has been an increase in the need for Internet-based remote treatment approaches, as it allows both patients and physiotherapists to advance the treatment process without the risk of infection. In the next decade, telerehabilitation options are expected to diversify and become widespread in assessing and treating many diseases with emerging technologies.
Studies have shown that despite the growing number of applications of telerehabilitation worldwide, evidence for clinical effectiveness is still limited. In addition, the effectiveness of telerehabilitation for musculoskeletal problems has not been fully demonstrated due to the lack of a specific standard for telerehabilitation and the variability of the approaches used. In conclusion, although telerehabilitation is a promising field in many areas, there is still a limited amount of good-quality research with strong evidence.
Therefore, this study aimed to compare the effects of internet-based telerehabilitation and face-to-face rehabilitation practices on pain, range of motion, functionality, and quality of life in patients with partial rotator cuff injury.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
DOUBLE
Rehabilitation practices for both groups will be conducted by the Researcher 1 and outcome evaluation will be conducted by the Researcher 2. The Researcher 2 will not know which group the data of the patient he/she is evaluating belongs to.
Study Groups
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Internet Based Synchronized Telerehabilitation Group (Group 1)
The treatments of the participants who meet the inclusion criteria in the study will be conducted remotely via instant video communication. The Specialist Physiotherapist will apply the necessary exercises, verbal guidance or repetition of the movements shown, according to the patient's condition, synchronized via instant video and audio calls (Whatsapp or Zoom).
Internet Based Synchronized Telerehabilitation
Week 1
* Posterior capsule stretching
* Passive range of motion
* Wand exercises in supine position
* Scapular adduction exercise
* Ball rolling on the table (\<90°)
* Coldpack (15min)
Week 2
* Wand exercises while standing.
* Ball roll on wall (\>90°)
* Ball roll on the table (90°)
* Weightless External Rotation exercises
* Functional PNF movements
Week 3
* Resistive scapulothoracic strengthening
* Ball scrolling on the table (resistive)
Week 4
* Single handed ball roll on the table (\>90°)
* External rotation exercise with 0.5-1kg weight in side lying
* Strengthening exercises, shoulder in 90° scapulation for 10s
Week 5
* External rotation with 0.5-1 kg weight in side lying
* Strengthening exercises by keeping the shoulder in 90° scapulation for 10s
Week 6-8
* Dynamic hugs and push up plus
* Ball throwing and catching
Face-to-Face Rehabilitation Group (Group 2)
The treatments of the participants that meet the inclusion criteria of the study will be administered by Specialist Physiotherapist. The progress of the patients will be regularly followed up on a weekly basis, and treatments will be applied in accordance with the program in rehabilitation.
Face-to-Face Rehabilitation
Week 1
* Posterior capsule stretching
* Passive range of motion
* Wand exercises in supine position
* Scapular adduction exercise
* Ball rolling on the table (\<90°)
* Coldpack (15min)
Week 2
* Wand exercises while standing.
* Ball roll on wall (\>90°)
* Ball roll on the table (90°)
* Weightless External Rotation exercises
* Functional PNF movements
Week 3
* Resistive scapulothoracic strengthening
* Ball scrolling on the table (resistive)
Week 4
* Single handed ball roll on the table (\>90°)
* External rotation exercise with 0.5-1kg weight in side lying
* Strengthening exercises, shoulder in 90° scapulation for 10s
Week 5
* External rotation with 0.5-1 kg weight in side lying
* Strengthening exercises by keeping the shoulder in 90° scapulation for 10s
Week 6-8
* Dynamic hugs and push up plus
* Ball throwing and catching
Interventions
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Internet Based Synchronized Telerehabilitation
Week 1
* Posterior capsule stretching
* Passive range of motion
* Wand exercises in supine position
* Scapular adduction exercise
* Ball rolling on the table (\<90°)
* Coldpack (15min)
Week 2
* Wand exercises while standing.
* Ball roll on wall (\>90°)
* Ball roll on the table (90°)
* Weightless External Rotation exercises
* Functional PNF movements
Week 3
* Resistive scapulothoracic strengthening
* Ball scrolling on the table (resistive)
Week 4
* Single handed ball roll on the table (\>90°)
* External rotation exercise with 0.5-1kg weight in side lying
* Strengthening exercises, shoulder in 90° scapulation for 10s
Week 5
* External rotation with 0.5-1 kg weight in side lying
* Strengthening exercises by keeping the shoulder in 90° scapulation for 10s
Week 6-8
* Dynamic hugs and push up plus
* Ball throwing and catching
Face-to-Face Rehabilitation
Week 1
* Posterior capsule stretching
* Passive range of motion
* Wand exercises in supine position
* Scapular adduction exercise
* Ball rolling on the table (\<90°)
* Coldpack (15min)
Week 2
* Wand exercises while standing.
* Ball roll on wall (\>90°)
* Ball roll on the table (90°)
* Weightless External Rotation exercises
* Functional PNF movements
Week 3
* Resistive scapulothoracic strengthening
* Ball scrolling on the table (resistive)
Week 4
* Single handed ball roll on the table (\>90°)
* External rotation exercise with 0.5-1kg weight in side lying
* Strengthening exercises, shoulder in 90° scapulation for 10s
Week 5
* External rotation with 0.5-1 kg weight in side lying
* Strengthening exercises by keeping the shoulder in 90° scapulation for 10s
Week 6-8
* Dynamic hugs and push up plus
* Ball throwing and catching
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
18 Years
60 Years
ALL
No
Sponsors
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Istanbul University - Cerrahpasa
OTHER
Responsible Party
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Emrah Zirek
Research Assistant
Principal Investigators
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Nuri Aydin, Prof.Dr
Role: STUDY_CHAIR
Istanbul University - Cerrahpasa
Mehmet Fatih Guven, Assoc.Prof.
Role: STUDY_CHAIR
Istanbul University - Cerrahpasa
Emrah Zirek, Res.Assist.
Role: PRINCIPAL_INVESTIGATOR
Bingol University
Yildiz Analay Akbaba, Assoc.Prof.
Role: STUDY_DIRECTOR
Istanbul University - Cerrahpasa
Locations
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Istanbul University- Cerrahpasa, Faculty of Medicine, Department of Orthopedics and Traumatology
Istanbul, , Turkey (Türkiye)
Countries
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References
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Other Identifiers
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IstanbulU
Identifier Type: -
Identifier Source: org_study_id
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