None listed
Conditions
Brief summary
This study has been undertaken to see whether adding early aquatic physiotherapy to usual physiotherapy will make any difference to arm function, movement, symptoms and quality of life for adults who have had shoulder operations
Interventions
Aquatic physiotherapy sessions of specific upper limb exercise therapy, prescribed and supervised by a physiotherapist, undertaken in a warm water pool using the hydrostatic properties of the pool. Sessions of 30 minutes duration twice weekly for the first six weeks post surgery. Aquatic physiotherapy sessions provided in addition to usual care.
Usual care physiotherapy determined by treating physiotherapist including active, assisted and resisted exercises and manual therapy techniques aime
Aquatic physiotherapy sessions of specific upper limb exercise therapy, prescribed and supervised by a physiotherapist, undertaken in a warm water pool using the hydrostatic properties of the pool. Sessions of 30 minutes duration twice weekly for the first six weeks post surgery. Aquatic physiotherapy sessions provided in addition to usual care. Usual care physiotherapy determined by treating physiotherapist including active, assisted and resisted exercises and manual therapy techniques aimed at regaining range, strength and function of the upper limb. Sessions of 20 minutes duration provided up to twice weekly post-operatively, for up to 12 weeks, depending on nature of the surgery.
Sponsors
Flinders Medical Centre (FMC) Physiotherapy Department
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Adult Independently living in community Able to read and speak in English Resident in Southern Metropolitan area of Adelaide Shoulder surgery at Flinders Medical Centre or Noarlunga Health Services with one of the following procedure codes (based on International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10 AM) procedures tabular,Medical Benefits Schedule-Extended (MBS), 2000: 1400 48903 (decompression of subacromial space) 1404 48957 ( arthroscopic stabilisation of shoulder) 1404 48930 (stabilisationof shoulder for recurrent dislocation) 140448933 (stabilisation of shoulder for multi-directional instability) 1404 48906 (repair of rotator cuff) 1404 48909 (repair of rotator cuff with decompression of sub-acromial space) 1404 48951 (arthroscopic acromioplasty of shoulder) 1404 48915 (hemi-arthroplasty of shoulder) 1404 48918 (total arthroplasty of shoulder) 1405 48960 (arthroscopic reconstruction of shoulder)
Exclusion criteria
(a) Hydrotherapy exclusions ie: 1. Pre-existing or acquired incontinence 2. Infections of urinary tract 3. Wound infection where adequate protection is not possible 4. Infection of eyes or ears 5. Uncontrolled hypertension or uncontrolled hypotension 6. Renal dialysis patients 7. Cardiac failure especially left ventricular failure 8. Hepatitis B or C or Aquired Immune Deficiency Syndrome (AIDS) patients who are menstruating 9. Gastrointestinal infections ie diarrhoea 10. Cryptosporidium infections 11. Patients requiring full assistance in pool or who are unable to be independent to enter pool (b) Psychiatric conditions being unable to participate (c) Unwilling or unable to give informed consent (d)Previous open shoulder surgery on the operated arm (e) Unresolved worker's compensation claim for the operated shoulder
Outcome results
None listed