ChatGPT and DeepSeek-Assisted Rehabilitation in Subacromial Pain

NCT ID: NCT07148687

Last Updated: 2025-08-29

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-01

Study Completion Date

2025-12-20

Brief Summary

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This study aims to evaluate the effects of rehabilitation programs supported by artificial intelligence-based large language models (LLMs), specifically ChatGPT and DeepSeek, in individuals with subacromial pain syndrome (SAPS). Participants will be randomly assigned to one of three groups: standard physiotherapy, standard physiotherapy plus ChatGPT-guided exercises, and standard physiotherapy plus DeepSeek-guided exercises. Outcomes including pain, disability, quality of life, muscle strength, and joint range of motion will be assessed before and after a 6-week intervention. The results will help determine whether AI-generated exercise recommendations can enhance clinical outcomes when combined with conventional physiotherapy.

Detailed Description

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This randomized controlled trial investigates the clinical effects of integrating AI-generated exercise recommendations into conventional physiotherapy for patients diagnosed with subacromial pain syndrome (SAPS). A total of 60 participants will be recruited and randomly assigned to one of three groups: (1) standard physiotherapy only, (2) standard physiotherapy plus ChatGPT-generated exercises, and (3) standard physiotherapy plus DeepSeek-generated exercises. Each intervention will last for 6 weeks, with sessions performed 3 times per week under physiotherapist supervision.

The primary outcomes include pain (NPRS), disability (SPADI, DASH), and quality of life (SF-12). Secondary outcomes include muscle strength (K-Force device), joint range of motion (goniometer), kinesiophobia (TSK), pain catastrophizing (PCS), emotional status (HADS), and shoulder function (ASES, WORC). Pre- and post-intervention assessments will be conducted in a blinded manner. All participants will provide informed consent prior to participation.

Conditions

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Subacromial Pain Syndrome

Keywords

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ChatGPT DeepSeek Large Language Models Shoulder Rehabilitation Subacromial Pain Artificial Intelligence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be randomly assigned to three parallel groups:

1. standard physiotherapy combined with a conventional exercise program for subacromial pain syndrome based on current clinical guidelines,
2. standard physiotherapy combined with ChatGPT-guided exercises, and
3. standard physiotherapy combined with DeepSeek-guided exercises.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors
The outcomes assessor and the diagnosing physician will be blinded to group assignment. The treating physiotherapist will not be blinded but will not be involved in outcome assessments.

Study Groups

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Standard Exercise Group

Participants receive standard physiotherapy combined with a conventional exercise program for subacromial pain syndrome based on evidence-based clinical guidelines.

Group Type ACTIVE_COMPARATOR

Conventional Exercise Program

Intervention Type BEHAVIORAL

Exercise protocol targeting subacromial pain syndrome, including shoulder mobility, strengthening, and posture correction exercises based on established clinical guidelines.

ChatGPT-Guided Exercise Group

Participants receive standard physiotherapy combined with a conventional exercise program for subacromial pain syndrome based on evidence-based clinical guidelines.

Group Type EXPERIMENTAL

ChatGPT-Guided Rehabilitation

Intervention Type BEHAVIORAL

AI-generated exercise recommendations from ChatGPT-4 tailored to the patient's profile and applied under physiotherapist supervision.

DeepSeek-Guided Exercise Group

Participants receive standard physiotherapy combined with exercises generated by the DeepSeek-R1 large language model.

Group Type EXPERIMENTAL

DeepSeek-Guided Rehabilitation

Intervention Type BEHAVIORAL

Personalized rehabilitation exercises generated by DeepSeek-R1 and implemented under physiotherapist guidance.

Interventions

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Conventional Exercise Program

Exercise protocol targeting subacromial pain syndrome, including shoulder mobility, strengthening, and posture correction exercises based on established clinical guidelines.

Intervention Type BEHAVIORAL

ChatGPT-Guided Rehabilitation

AI-generated exercise recommendations from ChatGPT-4 tailored to the patient's profile and applied under physiotherapist supervision.

Intervention Type BEHAVIORAL

DeepSeek-Guided Rehabilitation

Personalized rehabilitation exercises generated by DeepSeek-R1 and implemented under physiotherapist guidance.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Being between the ages of 18 and 65
* Having been diagnosed with Subacromial Pain Syndrome (SAPS) for at least four weeks, diagnosed through clinical and physical examination
* Actively maintaining shoulder range of motion
* Being cognitively and physically capable of participating in an exercise program
* Agreeing to participate voluntarily in the research process and providing written consent

Exclusion Criteria

* Presence of other shoulder pathologies such as rotator cuff tear, frozen shoulder, glenohumeral instability, or labrum tear
* Presence of conditions included in the differential diagnosis such as cervical radiculopathy, neurological disorders, rheumatological diseases, or fibromyalgia
* History of shoulder surgery within the last 6 months
* Pregnancy
* History of systemic or neuromuscular disease
* Refusal to consent to voluntary participation
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kirsehir Ahi Evran Universitesi

OTHER

Sponsor Role lead

Responsible Party

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Omer Alperen Gurses

PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Ömer Alperen GÜRSES, PhD

Role: CONTACT

Phone: +905379770700

Email: [email protected]

Other Identifiers

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2025/874

Identifier Type: -

Identifier Source: org_study_id