Full Thickness Rotator Cuff Tear
Conditions
Keywords
Shoulder rehabilitation, Rotator cuff tear, Physiotherapy, aqua therapy, Therapy dosage, adjunctive aquatic physical therapy
Brief summary
The aim of this study to define the optimal rehabilitation for clients with full thickness rotator cuff reconstruction, with two goals: 1. Finding the optimal physical therapy dosage in enhancing post-operative outcomes of shoulder pain, shoulder joint range of motion, shoulder muscle strength, upper extremity function; and 2. Finding the effect of aquatic physical therapy in enhancing the post-operative outcomes.
Detailed description
Measurement devices: Biodex: Biodex system is a muscle strength testing and rehabilitation instrument used in the testing and rehabilitation services for shoulder, elbow, wrist, hip, knee and ankle. Modes of operation for exercise and testing include isokinetic, passive, isometric, isotonic, and reactive eccentric. Patients are tested for their muscle performance for the required number of repetitions in the required mode. The muscle performance is measured by calculating the average peak torque (in Nm) and analyzed across the group of patients. Goniometer: A manual devise used to measure joint range of motion. Visual Analogue Scale: A scale with 0 to 10, with 0 being no pain, and 10 being severe pain. Measurement procedure: All the subjects posted for surgery will be tested prior to and again 6 weeks following surgery for: Shoulder Pain is measured using a visual analog scale. Shoulder Range of motion is measured using a standard goniometer. Shoulder Muscle performances are measured using Biodex.
Interventions
PROCEDUREStandard physical therapy program PLUS aquatic physical therapy
2\. Standard physical therapy program PLUS aquatic physical therapy: The above PLUS a aquatic physical therapy program which will be conducted twice weekly for 10 weeks and will include a 40-50 minute hydrotherapy session emphasizing range of motion and light resistive exercises of the arm, primarily focusing on the shoulder. The program will start with general mobility of the other upper limb joints to allow time for preconditioning of the painful shoulder. Shoulder exercises will emphasize flexion, rotation and abduction and a slow transition from pain-free range to the restricted range of motion to maximize the effectiveness of the heat and buoyancy.
OTHERstandard care
Total of 12 weeks; each exercise session will be 20 -30 minutes of direct contact and additional supervised exercise as defined by assignment and stage.
Sponsors
London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* full thickness rotator cuff tear treated by arthroscopic or mini-open repair by a specialized upper extremity surgeons * mentally competent * able to read and write * able to return for follow-up * 18-65 years old
Exclusion criteria
* associated surgical procedures (Concomitant fractures, capsular releases surgical decompression) * nerve injury * neurological conditions * irreparable massive rotator cuff tear, and * comorbid health problems that limit rehabilitation potential (Rheumatoid arthritis, Diabetes).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| strength | 3 month after the surgery |
Secondary
| Measure | Time frame |
|---|---|
| patient satisfaction | 3 and 6 months after the surgery |
Countries
Canada
Outcome results
None listed