Rotator Cuff Repair
Conditions
Keywords
Rotator cuff repair, video-assisted training, upper extremity problems, upper extremity functions, complication
Brief summary
This randomized controlled trial evaluates the effect of video-assisted training (VAT) on upper extremity problems and functions in rotator cuff repair (RCR) patients. The hypothesis of this study is that VAT decreases upper extremity problems and increases functions after RCR.
Detailed description
Methods: Forty-eight elective RCR patients were randomly assigned to VAT and control groups. VAT group (n=24) received VAT including early post-operative care for RCR, activities of daily living (ADL) and gradual exercise program while control group (n=24) received routine care. Primary outcomes were upper extremity problems and functions, assessed using Disabilities of the Arm, Shoulder and Hand (DASH) and Modified Constant-Murley (MCM) scores. Secondary outcomes were complications within three months. Outcomes were collected at baseline, after six weeks and three months.
Interventions
The patients in the VAT group watch a training video in the patient rooms before RCR. The VAT prepared by the researchers consisted of information about things to pay attention to in the hospital in the early period after RCR (nursing care on post-operative day 1, early mobilization, pain control, shoulder protection, and wearing/removing the shoulder sling), maintaining ADL at home (bathing, nutrition, eating, sleeping position, driving, doing household chores, sexual life, worship, and safety measures to be taken at home) and gradual exercise programs (for the first 90 days after discharge).
Sponsors
Mersin University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Masking description
Before inclusion, the patients were informed about the duration of care as usual, which could be six weeks or three months. The patients were blinded to the group assignment due to the nature of the intervention. The researchers involved in the data analysis and statistics stages were blinded to the group assignment, too. However, those involved in the running of the study were not blinded.
Intervention model description
prospective, parallel, two arm, randomized controlled clinical trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients who * underwent elective RCR for the first time; * whose arm was suspended and fixed for up to three weeks after RCR; * had an SMMT score of ≥23 points;
Exclusion criteria
Patients who * had been diagnosed with a psychiatric illness; * have any history of an upper extremity fracture or a rheumatologic disease;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change upper extremity problems | Change from baseline the Disabilities of the Arm, Shoulder and Hand score at 3 months | The patients' upper extremity problems were assessed using the Disabilities of the Arm, Shoulder and Hand. The possible scores on each part of the questionnaire range from 0 to 100, with higher scores indicating a higher disability level of patients (0=no disability, 100=maximum disability) |
| Change upper extremity functions | Change from baseline the Modified Constant-Murley score at 3 months | The patients' upper extremity functions were assessed using the Modified Constant-Murley score. The Modified Constant-Murley score consists of 100 points in total: 15 points for pain, 20 points for daily of living activities, 40 points for movement and 25 points for strength. The maximum MCM score is 100 points, with higher scores indicating better shoulder functions |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change of complications | 1st and 3rd months | Determine complications after rotator cuff repair |
Countries
Turkey (Türkiye)
Outcome results
None listed