Examining the separate and combined effects of physiotherapy treatment and corticosteroid injection on range of motion and pain in patients with full tickness thickness rotator cuff tear.
Conditions
Interventions
Intervention 1: Intervention group1: The shoulder ROM of 33 patients with rotator cuff tear is first measured by goniometer and DASH questionnaire will be completed by them
then, they will be put under 12 sessions of physiotherapy as massaging, exercises and stretching of rotator cuff and Scapular muscles, Strength exercises and modalities including TENS, Laser and US as
in fact, the control and intervention groups are in common. Intervention 2: Intervention group2: The shoulder ROM of 33 patients with rotator cuff tear is first measured by goniometer and DASH questio
then, they are injected by 80 mg of methylprednisolone and 1 ml of 2% Lidocaine by an orthopaedic physician in two phases within 21 days and 3 weeks after the second injection, DASH questionnaire is c
and is compared with the pre-intervention
in fact, the control and intervention groups are in common. Intervention 3: Intervention group3: The shoulder ROM of 33 patients with rotator cuff tear is first measured by goniometer and DASH questio
they are injected by 80 mg of methylprednisolone and 1 ml of 2% Lidocaine and after 2 days, they will be put under 6 sessions of physiotherapy, twice a week for 3 weeks, each session lasts 45 minutes
Sponsors
Dezfoul University of Medical Sciences
Eligibility
Sex/Gender
All
Age
30 Years to 70 Years
Inclusion criteria
Inclusion criteria: Patients with degenerative rotator cuff tear confirmed by MRI and clinical examination. 30_70 years old No metastasis or cancer No concurrent shoulder disease like fracture and infection Patient collaborations and having informed consent No severe cervical radiculopathy Full consciousness No therapeutic intervention by the persons not presenting in the plan No trauma during treatment No contraindication of corticosteroid injection like sensitivity to these drugs and symptoms of skin infection at the injection site
Exclusion criteria
Exclusion criteria: Over than 70 years old Existence of Metastasis or cancer Existence of concurrent shoulder disease such as infection, fracture and tumor Non-cooperation of the patients Impaired consciousness in patients Existence of severe cervical radiculopathy Therapeutic intervention by the persons not presenting in the plan Trauma during treatment Contraindications of corticosteroid injection such as sensitivity to these drugs and symptoms of skin infection at the injection site Tears caused by acute trauma
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain score of patients on the criterion VAS(Visual analoge scale). Timepoint: The shoulder ROM in patients at the beginning of the study (before intervention) and at the end of physiotherapy sessions and one month after the last physiotherapy session. Method of measurement: Questionnaire DASH.;Shoulder Range of motion. Timepoint: The shoulder ROM in patients at the beginning of the study (before intervention) and at the end of physiotherapy sessions and one month after the last physiotherapy session. Method of measurement: Goniametr. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactShaahin Hajivandi
Dezfoul University of Medical Sciences
Outcome results
None listed