Rotator Cuff Tear, Rotator Cuff Tendinopathy
Conditions
Keywords
rotator cuff tear, rotator cuff tendinopathy, telerehabilitation, baseball
Brief summary
This study compares physical therapy delivered through video calls to in-person therapy for young baseball players with shoulder pain. The goal is to see if remote therapy is as effective and easier for them to stick with
Detailed description
This study compares physical therapy delivered through video calls to in-person therapy for young baseball players with shoulder pain. The goal is to see if remote therapy is as effective and easier for them to stick with
Interventions
BEHAVIORALTelerehabilitation Physiotherapy
Delivered via real-time video sessions focusing on strengthening and mobility exercises.
BEHAVIORALIn person physiotherapy
face-to-face, including hands-on treatments like tactile feedback and joint mobilization.
Sponsors
Taichung Veterans General Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* unilateral shoulder symptoms (chronic pain, instability, or weakness) for more than 3 months together with a diagnosis of rotator cuff tendinopathy or mild partial-thickness tear (≤25% of tendon thickness) confirmed by ultrasound or MRI
Exclusion criteria
* history of prior shoulder surgery within the past 12 months; partial-thickness tear greater than 25% or full-thickness tear; associated pathology requiring surgical management (e.g., humeral head avulsion fracture); significant elbow symptoms or injury; systemic inflammatory disease; neurologic disorders affecting upper limb function; and inability to comply with the intervention or scheduled assessments
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Kerlan-Jobe Orthopaedic Clinic (KJOC) Shoulder and Elbow Score | 6 weeks | Change in scores on the KJOC, a self-reported questionnaire assessing functional performance in overhead athletes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain Intensity | 6 weeks | Measured by a Visual Analogue Scale (VAS) on a scale from 0 (no pain) to 10 (most painful) |
| Shoulder painless range of motion (ROM) | 6 weeks | Abduction, external rotation, and internal rotation |
| Isokinetic External Rotation (ER) Strength | 6 weeks | Measured at 60°/s and 180°/s with Biodex |
Countries
Taiwan
Outcome results
None listed