Rotator Cuff Tears
Conditions
Keywords
massive rotator cuff tear, deltoid, electromyographic biofeedback, rehabilitation, nonoperative management
Brief summary
There are very few studies in the literature about conservative treatment of massive rotator cuff (RC) tears. Whether the treatment of massive RC tears is conservative or surgical is decided according to the age, activity level, expectation and additional pathologies of the patient. The aim of conservative treatment is to make the patient functionally independent and to reduce pain. In recent years, there are different opinions in the literature about the effectiveness of conservative treatment of massive RC tears. However, in recent biomechanical studies, it has been reported that the RC and the deltoid, which remain intact in massive RC tears, can function well together. The hypothesis of this study is that the deltoid-focused physiotherapy program, where strengthening exercises are performed with EMG biofeedback, will give more positive results in terms of range of motion (ROM), functional status, muscle strength, pain and patients satisfaction. aim of our study is to investigate the efficacy of electromyographic biofeedback (EMG-BF) device which was added to deltoid focused conservative treatment program in massive RC tears.
Interventions
OTHERRehabilitation
Exercises and rehabilitation for massive rotator cuff tears
Sponsors
Istanbul University
Istanbul University - Cerrahpasa
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Unilateral, non-traumatic massive rotator cuff tears according to Deorio and Cofield classification * Age older than 50 years and attend 1-year follow-up assessment
Exclusion criteria
* Patients with symptomatic lesions in the contralateral shoulder * Cuff tear arthropathy * Glenohumeral osteoarthritis * Pseudoparalytic shoulder * Grade 3-4 fatty degeneration according to Goutallier classification * History of involved shoulder surgery * Major systemic conditions that disallowing exercise
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| American shoulder and elbow (ASES) score | 12 months | The American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) is a standard shoulder assessment form, which is comprised of objective and subjective sections and prepared by shoulder and elbow surgeons. |
| Deltoid Strength | 12 months | Measurement of the strength of the deltoid muscle with a digital dynamometer. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Range of Motion (ROM) | 12 months | Active ROM will evaluate with a universal goniometer. |
| Numeric Pain Rating Scale (NPRS) | 12 months | Participants' level of pain will assess by numeric pain rating scale (NPRS). |
| Global rating of change scale (GRCS) | 12 months | The global rating of change scale (GRCS) which is five-point Likert scale will be use to evaluate the difference between the participants' health status from their perspective. It is ranging from -2 (very much worse), through 0 (unchanged) to +2 (much better). |
Countries
Turkey (Türkiye)
Outcome results
None listed