Rotator Cuff Injuries, Rotator Cuff Repair Rehabilition, Supraspinatus Tear
Conditions
Keywords
Rotator cuff repair Rehabilition, scapular upward rotation, scapular strengthen exercise, accelerate rehabilitation protocol
Brief summary
The study investigates the effect of accelerate rehabilitation protocol(adding scapular strengthen exercises (lower trapezius and serratus anterior) from week 1) after arthroscopic rotator cuff repair on scapular upward rotation during shoulder elevation.
Detailed description
The study will consist of two groups, each participating in an accelerated rehabilitation program that will start in the first week after surgery and continue until week 12. However, the groups will follow different protocols. The first group will follow an accelerated rehabilitation protocol with early strengthening of the scapular stabilizer muscles, specifically the lower trapezius (LT) and serratus anterior (SA). This group will begin gradual active range of motion (ROM) for the glenohumeral (GH) joint from week 4 post-operative until week 12, as well as scapular muscle strengthening exercises starting from the first week. The second group will follow a protocol with delayed strengthening of the scapular stabilizer muscles. In this group, active ROM for the GH joint and scapular activation exercises (including protraction, retraction, and depression) will begin from week 6 and continue until week 12. Patients will be required to wear a sling for the first 6 weeks or as recommended by the physician, removing it only during therapy sessions and home exercises. Outcomes will be measured at three points: at week 3 for baseline assessment, and then reassessed at weeks 6 and 12.
Interventions
OTHERRehabilition protocol after rotator cuff repair surgery
adding early scapular strengthening (lower trapezius and serratus anterior) exercise in Rehabilition program after rotator cuff repair surgery
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
30 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
1. Patients after arthroscopic rotator cuff repair. 2. Both gender between age 30 to 50 years 3. Small and medium supraspinatus tear
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Upward rotation of the scapula | At week 3 and week 9 and week 12 after arthroscopic rotator cuff repair | Measuring the degree of upward rotation of the scapula during shoulder elevation using baseline bubble inclinometer |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| glenohumeral shoulder elevation | At week 3 and week 9 and week 12 after arthroscopic rotator cuff repair | Measuring the degree of glenohumeral shoulder flexion, abduction, internal rotion and external rotation using a baseline bubble inclinometer |
| scapular muscles strength | At week 3, week 9 and week 12 after arthroscopic rotator cuff repair | measuring the muscle strength for the serratus anterior, lower trapezius, and upper trapezius using the Active Force 2 device dynamometer |
Countries
Egypt
Outcome results
None listed