Rotator Cuff Injuries
Conditions
Keywords
Physical therapy, Massive rotator cuff tear, Therapeutic resistance exercise, Multicenter
Brief summary
The aim of this multicenter non-controlled study will be to evaluate the effectiveness of a physical therapy treatment based on resistance exercise and education for patients with massive rotator cuff tears.
Interventions
Therapeutic exercise program based on individualized progressive resistance exercises performed during 6 months at home, with a frequency of 1-3 sessions per week at the hospital.
Education applied during all the therapeutic process, focusing on diverting the patient's attention away from the structural lesion, explaining the relationship between pain/disability and tissue injury, explaining the meaning of pain during exercises, and explaining the objectives of the implemented treatments.
Sponsors
Study design
Eligibility
Inclusion criteria
* Massive rotator cuff tear diagnosed by ultrasound imaging or magnetic resonance imaging. The definition of massive will be the rears including 2 or more tneonds, or the ones with an extension equal or greater to 5cm in the short or long axis. * To have a degree of disability equal or greater to 15% in the Oxford Shoulder Score. * Adequate comprehension of written and spoken Spanish
Exclusion criteria
* Loss of passive external rotation at 0º of shoulder abduction equal or greater to 50% compared to contralateral side. * Suspected neck-related shoulder pain. * Suspected visceral-related shoulder pain. * Humerus and/or scapular fractures within the last year. * Previous rotator cuff repair surgery within the last year. * Presence of cancer, fibromyalgia, neurological and/or other systemic diseases. * Cognitive impairment that makes it impossible to perform therapeutic exercise.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder disability | Baseline, change from baseline to 3-month, change from baseline to 6-month, and change from baseline to 1-year. | Shoulder disability measured with the Oxford Shoulder Score, which ranges from 0 (no disability) to 100 (maximum degree of disability). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder pain intensity | Baseline, change from baseline to 3-month, change from baseline to 6-month, and change from baseline to 1-year. | Shoulder pain intensity measured with a numeric pain rating scale, which ranges from 0 (no pain) to 10 (worst imaginable pain). |
| Need for surgery | 3-month, 6-month, and 1-year. | Need for surgery for the rotator cuff tear registered as a dichotomous variable (YES/NO). |
Countries
Spain