Rotator Cuff TearsNCT05904249
Telerehabilitation in Individuals With Rotator Cuff Tear
A study testing Internet Based Synchronized Telerehabilitation and Face-to-Face Rehabilitation in people with Rotator Cuff Tears and Physiotherapy and Rehabilitation, run by Istanbul University - Cerrahpasa at 1 site in Turkey (Türkiye).
Trial summary
The majority of patients presenting with shoulder pain are those with rotator cuff problems. Although telerehabilitation is a promising field in many areas, there is still limited high-quality research with strong evidence of its effectiveness for musculoskeletal problems. Read more about this study
- Who is it for?
- Ages 18 to 60 years
- Conditions the study is for
- Rotator Cuff Tears, Physiotherapy and Rehabilitation, Shoulder Pain
- What is being tested?
- Internet Based Synchronized Telerehabilitation and Face-to-Face Rehabilitation
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 44 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 7 Feb 2022to 5 May 2023
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Presence of bursal facial tear 1 cm below the tear degree; presence of complaints of shoulder pain lasting for a minimum of 1 and a maximum of 6 months; having been diagnosed with partial rotator cuff tear by an orthopedist who is an expert in the field; no shoulder instability; inadequate response to non-operative treatment (corticosteroid injection, anti-inflammatory drugs, rest and physiotherapy and rehabilitation); not using corticosteroid drug; being between the ages of 18-60; to have sufficient knowledge, skills and technological tools to access the Tele-Rehabilitation application.
Who cannot join
- Presence of malignancy affecting the shoulder region; disc herniations that may cause shoulder pain; individuals with inflammatory joint disease; osteoarthritis of the humeral head; history of surgery affecting the shoulder; inability of the patient to cooperate; systemic problems that cannot be controlled with medication.
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Istanbul University- Cerrahpasa, Faculty of Medicine, Department of Orthopedics and Traumatology
Istanbul
About this study
Official title: Investigation of the Effectiveness of Telerehabilitation in Individuals With Rotator Cuff Tear
The majority of patients presenting with shoulder pain are those with rotator cuff problems. Although telerehabilitation is a promising field in many areas, there is still limited high-quality research with strong evidence of its effectiveness for musculoskeletal problems. In this study, online rehabilitation and face-to-face rehabilitation will be compared in people with partial rotator cuff tears.
Read the detailed description
The prevalence of shoulder pain increases with age and is mostly associated with inadequate treatment of symptoms. A large part of the patients who apply to the clinic with the complaint of shoulder pain are individuals with rotator cuff problems. Partial rotator cuff (RM) tear is defined as tears that can be seen on the superior, inferior, or both sides of the cuff. It is stated that the most critical risk factors for RM tear are age, dominant arm, and trauma. The degenerative process is generally considered normal in age-related tears and is seen in 20% of individuals over the age of 65.
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
- Rotator Cuff Tears, Physiotherapy and Rehabilitation, Shoulder Pain, Rotator Cuff Injuries
- Being tested
- Internet Based Synchronized Telerehabilitation, Face-to-Face Rehabilitation
- Keywords
- Telerehabilitation, Remote Rehabilitations, Exercise Therapy, Telemedicine
- Medical subject headings
- Rotator Cuff Injuries, Shoulder Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Internet Based Synchronized TelerehabilitationOther
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 RehabilitationOther
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
| Study group | Role | What they receive |
|---|---|---|
| Internet Based Synchronized Telerehabilitation Group (Group 1) | Experimental | 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). Receives: Other: Internet Based Synchronized Telerehabilitation |
| Face-to-Face Rehabilitation Group (Group 2) | Experimental | 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. Receives: Other: Face-to-Face Rehabilitation |
What is being measured
The primary outcome is the main question the study is designed to answer.
Visual Analog Scale
Patients' pain levels at rest, during activity, and at night will be assessed using a Visual Analog Scale (VAS). The score is determined by measuring the distance (mm) on a 10 cm line between the "no pain" anchor and the patient's mark, providing a score range of 0 to 100. A higher score indicates greater pain intensity.
Measured: One year
Range of Motion Assessment
The range of motion values of the participants will be recorded using the universal goniometer, which is an objective tool used in clinical range of motion measurement.The flexion, scapular abduction, internal and external rotation values of the shoulder joint will be measured in the supine position with a universal goniometer in accordance with the procedure in the literature.
Measured: One year
Muscle Activation Assessment
Delsys Biometrics Datalite WS450, a surface EMG system, will be used to evaluate the function of the shoulder muscles. Previous studies and the website of the SENIAM project of the European Union Biomedical Health and Research Program (http://www.seniam.org/) will be accepted as reference.
Measured: One year
The Disabilities of the Arm, Shoulder and Hand Questionnaire
Hand, Shoulder and Hand Disability Questionaire will be used to assess the functional state of the participants. The possible score ranges from 0 to 100 points. 0 points represent full unrestricted upper limb function and 100 points represent the maximum possible functional impairment.
Measured: One year
American Standardized Shoulder and Elbow Surgeon Assessment Form
The ASES section on patient self-reports is a condition-specific scale, i.e. it is for a specific condition that is intended to measure functional limitation and shoulder pain. The total pain score and the functional score are equally weighted (50 points each) and are combined to obtain a total score out of a possible 100 points.
Measured: One year
Modified Constant-Murley
The Modified Constant-Murley Scale is widely used to assess disability associated with shoulder injuries, but has been criticized for its use of inaccurate terminology and the lack of a standardized methodology. The Constant-Murley score (CMS) is a 100-points scale composed of a number of individual parameters. The higher the score, the higher the quality of the function.
Measured: One year
Secondary outcomes (3)
Short Form-12
Short Form-12 will be used to assess quality of life related to physical and mental health. Two summary scores are reported from the SF-12 - a mental component score (MCS-12) and a physical component score (PCS-12). SF-12 PCS mean scores ranged between 48.3 and 49.2, and SF-12 MCS mean scores ranged between 48.0 and 49.6.
Measured: One year
Global Change Scale
The satisfaction levels of the participants will be assessed using the Global Change Scale. Subjects are asked to rate their post-treatment status on a 5-point scale (-2: I am much worse, -1: I am worse, 0: I am the same, 1: I am better, 2: I am much better). A high score is considered a sign of high satisfaction.
Measured: One year
Hospital Anxiety and Depression Scale
Participants' levels of anxiety and depression will be assessed using the Hospital Anxiety and Depression Scale. The Hospital Anxiety and Depression Scale is a self-report rating scale of 14 items on a 4-point Likert scale (range 0-3). It is designed to measure anxiety and depression (7 items for each subscale). The total score is the sum of the 14 items, and for each subscale the score is the sum of the respective seven items (ranging from 0-21); 0-7 (Normal) 8-10 (Mild) 11-15 (Moderate) 16-21 (Severe).
Measured: One year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Jun 2023
- Study start7 Feb 2022
- Primary completion10 Mar 2023
- Study completion5 May 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (42)Papers the sponsor has linked to this study.
- Other trials for Rotator Cuff TearsStudies of the same condition, open and under way.
- More trials run by Istanbul University - CerrahpasaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Investigator, Outcomes assessor
- Enrolment
- 44 participants (actual)
Sponsor and investigators
- Lead sponsor
- Istanbul University - Cerrahpasa
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Emrah Zirek, Istanbul University - Cerrahpasa
- Investigators
- Nuri Aydin, Prof.Dr, Study chair, Istanbul University - CerrahpasaMehmet Fatih Guven, Assoc.Prof., Study chair, Istanbul University - CerrahpasaEmrah Zirek, Res.Assist., Principal investigator, Bingol UniversityYildiz Analay Akbaba, Assoc.Prof., Study director, Istanbul University - Cerrahpasa
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05904249
- Sponsor's protocol ID
- IstanbulU
- Status last verified
- Jun 2023
- First submitted
- 2 Mar 2022
- Last updated
- 15 Jun 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Agostini M, Moja L, Banzi R, Pistotti V, Tonin P, Venneri A, Turolla A. Telerehabilitation and recovery of motor function: a systematic review and meta-analysis. J Telemed Telecare. 2015 Jun;21(4):202-13. doi: 10.1177/1357633X15572201. Epub 2015 Feb 22.
PubMed 25712109Ainsworth R, Lewis JS. Exercise therapy for the conservative management of full thickness tears of the rotator cuff: a systematic review. Br J Sports Med. 2007 Apr;41(4):200-10. doi: 10.1136/bjsm.2006.032524. Epub 2007 Jan 30.
PubMed 17264144Assad-Uz-Zaman, M., Islam, M. R., Rahman, M. H., Wang, Y. C., & McGonigle, E.. Kinect controlled NAO robot for telerehabilitation. Journal of Intelligent Systems, 20213; 0(1), 224-239.
Berton A, Longo UG, Candela V, Fioravanti S, Giannone L, Arcangeli V, Alciati V, Berton C, Facchinetti G, Marchetti A, Schena E, De Marinis MG, Denaro V. Virtual Reality, Augmented Reality, Gamification, and Telerehabilitation: Psychological Impact on Orthopedic Patients' Rehabilitation. J Clin Med. 2020 Aug 7;9(8):2567. doi: 10.3390/jcm9082567.
PubMed 32784745Boykin, R. E., Heuer, H. J., Vaishnav, S., & Millett, P. J. Rotator cuff disease-basics of diagnosis and treatment. Rheumatology Reports, 2010; 2(1), e1-e1.
Carlsson AM. Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain. 1983 May;16(1):87-101. doi: 10.1016/0304-3959(83)90088-X.
PubMed 6602967Contreras CM, Metzger GA, Beane JD, Dedhia PH, Ejaz A, Pawlik TM. Telemedicine: Patient-Provider Clinical Engagement During the COVID-19 Pandemic and Beyond. J Gastrointest Surg. 2020 Jul;24(7):1692-1697. doi: 10.1007/s11605-020-04623-5. Epub 2020 May 8.
PubMed 32385614Celik D. Turkish version of the modified Constant-Murley score and standardized test protocol: reliability and validity. Acta Orthop Traumatol Turc. 2016;50(1):69-75. doi: 10.3944/AOTT.2016.14.0354.
PubMed 26854052Celik D, Atalar AC, Demirhan M, Dirican A. Translation, cultural adaptation, validity and reliability of the Turkish ASES questionnaire. Knee Surg Sports Traumatol Arthrosc. 2013 Sep;21(9):2184-9. doi: 10.1007/s00167-012-2183-3. Epub 2012 Aug 30.
PubMed 22932692Danhieux K, Buffel V, Pairon A, Benkheil A, Remmen R, Wouters E, van Olmen J. The impact of COVID-19 on chronic care according to providers: a qualitative study among primary care practices in Belgium. BMC Fam Pract. 2020 Dec 5;21(1):255. doi: 10.1186/s12875-020-01326-3.
PubMed 33278877Diercks R, Bron C, Dorrestijn O, Meskers C, Naber R, de Ruiter T, Willems J, Winters J, van der Woude HJ; Dutch Orthopaedic Association. Guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopaedic Association. Acta Orthop. 2014 Jun;85(3):314-22. doi: 10.3109/17453674.2014.920991. Epub 2014 May 21.
PubMed 24847788Dominguez-Romero JG, Jimenez-Rejano JJ, Ridao-Fernandez C, Chamorro-Moriana G. Exercise-Based Muscle Development Programmes and Their Effectiveness in the Functional Recovery of Rotator Cuff Tendinopathy: A Systematic Review. Diagnostics (Basel). 2021 Mar 16;11(3):529. doi: 10.3390/diagnostics11030529.
PubMed 33809604Düger, T., Yakut, E., Öksüz, Ç., Yörükan, S., Bilgütay, B. S., Ayhan, Ç., . . . Yakut, Y. (2006). Kol, omuz ve el sorunları (disabilities of the arm, shoulder and hand-DASH) anketi Türkçe uyarlamasının güvenirliği ve geçerliği. Fizyoterapi Rehabilitasyon, 17(3), 99-107.
Edwards P, Ebert J, Joss B, Bhabra G, Ackland T, Wang A. EXERCISE REHABILITATION IN THE NON-OPERATIVE MANAGEMENT OF ROTATOR CUFF TEARS: A REVIEW OF THE LITERATURE. Int J Sports Phys Ther. 2016 Apr;11(2):279-301.
PubMed 27104061Edwards PK, Ebert JR, Littlewood C, Ackland T, Wang A. A Systematic Review of Electromyography Studies in Normal Shoulders to Inform Postoperative Rehabilitation Following Rotator Cuff Repair. J Orthop Sports Phys Ther. 2017 Dec;47(12):931-944. doi: 10.2519/jospt.2017.7271. Epub 2017 Jul 13.
PubMed 28704624
Study at a glance
From the registry record, last updated by the sponsor on 15 Jun 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Investigation of the Effectiveness of Telerehabilitation in Individuals With Rotator Cuff Tear
- ClinicalTrials.gov ID
- NCT05904249
- Acronym / sponsor ID
- IstanbulU
- Conditions
- Rotator Cuff Tears, Physiotherapy and Rehabilitation, Shoulder Pain, Rotator Cuff Injuries
- Keywords
- Telerehabilitation, Remote Rehabilitations, Exercise Therapy, Telemedicine
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 44 participants (actual)
- Lead sponsor
- Istanbul University - CerrahpasaUniversity, hospital or other
- Study start
- 7 Feb 2022 (actual)
- Primary completion
- 10 Mar 2023 (actual)
- Study completion
- 5 May 2023 (actual)
- First posted
- 15 Jun 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The majority of patients presenting with shoulder pain are those with rotator cuff problems. Although telerehabilitation is a promising field in many areas, there is still limited high-quality research with strong evidence of its effectiveness for musculoskeletal problems. In this study, online rehabilitation and face-to-face rehabilitation will be compared in people with partial rotator cuff tears.
Detailed description
The prevalence of shoulder pain increases with age and is mostly associated with inadequate treatment of symptoms. A large part of the patients who apply to the clinic with the complaint of shoulder pain are individuals with rotator cuff problems. Partial rotator cuff (RM) tear is defined as tears that can be seen on the superior, inferior, or both sides of the cuff. It is stated that the most critical risk factors for RM tear are age, dominant arm, and trauma. The degenerative process is generally considered normal in age-related tears and is seen in 20% of individuals over the age of 65.
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.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Internet Based Synchronized Telerehabilitation Group (Group 1) | Experimental | Other: Internet Based Synchronized TelerehabilitationThe 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). |
| Face-to-Face Rehabilitation Group (Group 2) | Experimental | Other: Face-to-Face RehabilitationThe 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. |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (1 listed)
- Presence of bursal facial tear 1 cm below the tear degree; presence of complaints of shoulder pain lasting for a minimum of 1 and a maximum of 6 months; having been diagnosed with partial rotator cuff tear by an orthopedist who is an expert in the field; no shoulder instability; inadequate response to non-operative treatment (corticosteroid injection, anti-inflammatory drugs, rest and physiotherapy and rehabilitation); not using corticosteroid drug; being between the ages of 18-60; to have sufficient knowledge, skills and technological tools to access the Tele-Rehabilitation application.
Key exclusion criteria (1 listed)
- Presence of malignancy affecting the shoulder region; disc herniations that may cause shoulder pain; individuals with inflammatory joint disease; osteoarthritis of the humeral head; history of surgery affecting the shoulder; inability of the patient to cooperate; systemic problems that cannot be controlled with medication.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Internet Based Synchronized TelerehabilitationWeek 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 | Other | Internet Based Synchronized Telerehabilitation Group (Group 1) |
| Face-to-Face RehabilitationWeek 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 | Other | Face-to-Face Rehabilitation Group (Group 2) |
Primary outcome
Visual Analog Scale
Time frame: One year
Patients' pain levels at rest, during activity, and at night will be assessed using a Visual Analog Scale (VAS). The score is determined by measuring the distance (mm) on a 10 cm line between the "no pain" anchor and the patient's mark, providing a score range of 0 to 100. A higher score indicates greater pain intensity.
Range of Motion Assessment
Time frame: One year
The range of motion values of the participants will be recorded using the universal goniometer, which is an objective tool used in clinical range of motion measurement.The flexion, scapular abduction, internal and external rotation values of the shoulder joint will be measured in the supine position with a universal goniometer in accordance with the procedure in the literature.
Muscle Activation Assessment
Time frame: One year
Delsys Biometrics Datalite WS450, a surface EMG system, will be used to evaluate the function of the shoulder muscles. Previous studies and the website of the SENIAM project of the European Union Biomedical Health and Research Program (http://www.seniam.org/) will be accepted as reference.
The Disabilities of the Arm, Shoulder and Hand Questionnaire
Time frame: One year
Hand, Shoulder and Hand Disability Questionaire will be used to assess the functional state of the participants. The possible score ranges from 0 to 100 points. 0 points represent full unrestricted upper limb function and 100 points represent the maximum possible functional impairment.
American Standardized Shoulder and Elbow Surgeon Assessment Form
Time frame: One year
The ASES section on patient self-reports is a condition-specific scale, i.e. it is for a specific condition that is intended to measure functional limitation and shoulder pain. The total pain score and the functional score are equally weighted (50 points each) and are combined to obtain a total score out of a possible 100 points.
Modified Constant-Murley
Time frame: One year
The Modified Constant-Murley Scale is widely used to assess disability associated with shoulder injuries, but has been criticized for its use of inaccurate terminology and the lack of a standardized methodology. The Constant-Murley score (CMS) is a 100-points scale composed of a number of individual parameters. The higher the score, the higher the quality of the function.
3 secondary outcomes
Short Form-12
Time frame: One year
Global Change Scale
Time frame: One year
Hospital Anxiety and Depression Scale
Time frame: One year
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jun 2023.
- Background: PubMed 25712109Agostini M, Moja L, Banzi R, Pistotti V, Tonin P, Venneri A, Turolla A. Telerehabilitation and recovery of motor function: a systematic review and meta-analysis. J Telemed Telecare. 2015 Jun;21(4):202-13. doi: 10.1177/1357633X15572201. Epub 2015 Feb 22.
- Background: PubMed 17264144Ainsworth R, Lewis JS. Exercise therapy for the conservative management of full thickness tears of the rotator cuff: a systematic review. Br J Sports Med. 2007 Apr;41(4):200-10. doi: 10.1136/bjsm.2006.032524. Epub 2007 Jan 30.
- BackgroundAssad-Uz-Zaman, M., Islam, M. R., Rahman, M. H., Wang, Y. C., & McGonigle, E.. Kinect controlled NAO robot for telerehabilitation. Journal of Intelligent Systems, 20213; 0(1), 224-239.
- Background: PubMed 32784745Berton A, Longo UG, Candela V, Fioravanti S, Giannone L, Arcangeli V, Alciati V, Berton C, Facchinetti G, Marchetti A, Schena E, De Marinis MG, Denaro V. Virtual Reality, Augmented Reality, Gamification, and Telerehabilitation: Psychological Impact on Orthopedic Patients' Rehabilitation. J Clin Med. 2020 Aug 7;9(8):2567. doi: 10.3390/jcm9082567.
- BackgroundBoykin, R. E., Heuer, H. J., Vaishnav, S., & Millett, P. J. Rotator cuff disease-basics of diagnosis and treatment. Rheumatology Reports, 2010; 2(1), e1-e1.
- Background: PubMed 6602967Carlsson AM. Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain. 1983 May;16(1):87-101. doi: 10.1016/0304-3959(83)90088-X.
- Background: PubMed 32385614Contreras CM, Metzger GA, Beane JD, Dedhia PH, Ejaz A, Pawlik TM. Telemedicine: Patient-Provider Clinical Engagement During the COVID-19 Pandemic and Beyond. J Gastrointest Surg. 2020 Jul;24(7):1692-1697. doi: 10.1007/s11605-020-04623-5. Epub 2020 May 8.
- Background: PubMed 26854052Celik D. Turkish version of the modified Constant-Murley score and standardized test protocol: reliability and validity. Acta Orthop Traumatol Turc. 2016;50(1):69-75. doi: 10.3944/AOTT.2016.14.0354.
- Background: PubMed 22932692Celik D, Atalar AC, Demirhan M, Dirican A. Translation, cultural adaptation, validity and reliability of the Turkish ASES questionnaire. Knee Surg Sports Traumatol Arthrosc. 2013 Sep;21(9):2184-9. doi: 10.1007/s00167-012-2183-3. Epub 2012 Aug 30.
- Background: PubMed 33278877Danhieux K, Buffel V, Pairon A, Benkheil A, Remmen R, Wouters E, van Olmen J. The impact of COVID-19 on chronic care according to providers: a qualitative study among primary care practices in Belgium. BMC Fam Pract. 2020 Dec 5;21(1):255. doi: 10.1186/s12875-020-01326-3.
- Background: PubMed 24847788Diercks R, Bron C, Dorrestijn O, Meskers C, Naber R, de Ruiter T, Willems J, Winters J, van der Woude HJ; Dutch Orthopaedic Association. Guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopaedic Association. Acta Orthop. 2014 Jun;85(3):314-22. doi: 10.3109/17453674.2014.920991. Epub 2014 May 21.
- Background: PubMed 33809604Dominguez-Romero JG, Jimenez-Rejano JJ, Ridao-Fernandez C, Chamorro-Moriana G. Exercise-Based Muscle Development Programmes and Their Effectiveness in the Functional Recovery of Rotator Cuff Tendinopathy: A Systematic Review. Diagnostics (Basel). 2021 Mar 16;11(3):529. doi: 10.3390/diagnostics11030529.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Nuri Aydin, Prof.Dr study chair
Istanbul University - Cerrahpasa
Mehmet Fatih Guven, Assoc.Prof. study chair
Istanbul University - Cerrahpasa
Emrah Zirek, Res.Assist. principal investigator
Bingol University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Internet Based Synchronized Telerehabilitation and Face-to-Face Rehabilitation in people with Rotator Cuff Tears and Physiotherapy and Rehabilitation, run by Istanbul University - Cerrahpasa at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 15 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Visual Analog Scale (time frame: One year). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05904249, which also lists 42 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jun 2023.