Rotator Cuff Tears
Conditions
Keywords
myofascial release, rotator cuff tears, physiotherapy, rotator cuff repair
Brief summary
this study was conducted the patients with rotator cuff tears who underwent rotator cuff repair surger.The patients were randomly divided into 2 groups and a total of 20 subjects were randomized in a single block order using RandomAllocation Software 1.0.0 by simple randomization.All evaluation and treatment was done by the same physiotherapist.The first group was included in the traditional treatment program after rotator cuff repair, while the second group was included in the myofascial release program, 2 sessions a week between the 4th and 7th weeks, in addition to the traditional treatment.
Detailed description
Patients in the 2 groups undergoing rc repair were also included in a similar physiotherapy program.Immobilization with a sling was made for 4-6 weeks after surgery. In addition to physiotherapy in group 2, myofascial release therapy was applied to the upper trapezius, sternocloidomastoideus, pectoral muscles (major, minor) 2 days a week between the 4th and 7th weeks after surgery, in addition to the conventional treatment. Myofascial treatment took 30-45 minutes per session.
Interventions
OTHERmyofascial release technique
myofascial release group took myofascial release (MFR) therapy sessions twice a week for 4 weeks between 4 and 7 weeks. MFR was applied to upper trapezius, SCM, pectoralis major-minor and sternocostal fascia. muscle was replaced elongated position and pressure was applied for 60-120 second.
OTHERphysiotherapy
patients used sling up to 4 weeks. They did first 4 weeks passive/ assistive range of motion exercise. In 6-8 weeks they did active exercises. 8-12 weeks they did progressive resistive exercises.
Sponsors
Pamukkale University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
randomised controlled study this study was conducted with rotator cuff tear patients who underwent arthroscopic rotator cuff treatment. The patients' pain intensity, joint range of motion, flexibility of shoulder muscles, grip and muscle strength, shoulder function evaluations and physical characteristics, age, differences between body mass index were evaluated with Mann Whitney-U test.Measurements before and after treatment were evaluated with the Wilcoxon test. Friedman test was performed for the measurements made at postoperative 3, 7, and 12 weeks before in-group treatment. Bonferoni correction was done for possible differences.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* aged betweeen 18-65 * diagnosed with RC tear
Exclusion criteria
* wanting to leave the study * not participating in assessments and/or treatments * presence of massive tears * accompanying nerve injuries, * presence of labral lesion, * diagnosed psychological problems, * central nervous system problems * those with any rheumatological and orthopedic diseases * individuals who have had previous surgery on the same shoulder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pain intensity | 12 weeks | visual analog scale (pain during night, rest, activity), preoperative, post operative 3-7-12 weeks. |
| function | 12 weeks | Constant Murley's score. This score has been used in preoperative, post operative 7-12 weeks. Higher score means better results. total point changes between 0-100. |
| quality of life ındex | 12 weeks | short form-36 (SF-36) This scale is used in preoperative and pos operative 12 weeks.Higher score means better results. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| grip strength | 12 weeks | Grip strength has been measured with dynamometer in preoperative, post operative 7-12 weeks. |
| flexibility | 12 weeks | pectoralis minor flexibility was measured and saved as centimeter. |
Countries
Turkey (Türkiye)
Outcome results
None listed