Digital Shoulder Rehabilitation
Conditions
Keywords
Shoulder rehabilitation, digital physiotherapy, functional assessment, responsiveness (SRM), clinical effectiveness, Clinical automation
Brief summary
This is a prospective longitudinal observational cohort study of patients with shoulder disorders undergoing a standardized rehabilitation program supported by the REHABI digital automated model in a private physiotherapy clinic. The study aims to describe clinical outcomes in routine practice and to optimize a 24-test functional assessment battery based on deficit prevalence, magnitude, and responsiveness.
Detailed description
This is a prospective longitudinal observational cohort study of 129 adult patients (≥18 and ≤71 years) with acute non-traumatic shoulder pain and/or dysfunction treated in a private sports physiotherapy clinic in Pamplona, Spain. All patients undergo a standardized rehabilitation program supported by the REHABI automated digital model, which links quantified deficits obtained from a 24-test functional assessment battery to specific exercise prescriptions and progression rules. The study aims to describe clinical outcomes in routine practice (global clinical deficit score, shoulder pain intensity, number of treatment sessions, and days to discharge) and to optimize the initial 24-test battery based on deficit prevalence, magnitude, and responsiveness to change between baseline and discharge. The main objectives are: (1) to evaluate the clinical effectiveness and feasibility of the REHABI model in routine clinical practice; and (2) to reduce the initial 24-test assessment battery to a smaller core set of tests using mixed criteria based on prevalence, magnitude of deficit, and responsiveness to change.
Interventions
None listed
Sponsors
Gobierno de Navarra
Universidad Pública de Navarra
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 71 Years
Healthy volunteers
No
Inclusion criteria
* 18-71 years of age, acute non-traumatic shoulder pain/dysfunction, and access to a smartphone to view the exercises.
Exclusion criteria
* Acute fractures or dislocations, arthritis/arthrosis, osteosarcoma, osteomyelitis, and recent shoulder surgeries.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in global clinical deficit score from baseline to discharge | Baseline and discharge (approximately 1-6 months after baseline, depending on clinical evolution) | Global clinical score summarizing the number and magnitude of positive findings in the functional test battery. Higher scores indicate greater functional deficit. Change is calculated as discharge score minus baseline score. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in selected functional tests from the optimized core battery | Baseline and discharge (ranging from 1 month to 6 month after baseline) | Change in performance on selected shoulder functional tests (e.g., Yocum, Speed, Jobe, external rotation at 90° abduction, etc.) identified as part of the optimized core test battery. |
| Number of rehabilitation sessions until discharge | From baseline to discharge (approximately 1-6 months) | Total number of physiotherapy sessions attended from baseline to discharge within the REHABI program. |
| Days from baseline to clinical discharge | Baseline to discharge (ranging from 1 to 6 months) | Number of days between the first assessment and the discharge visit recorded in the REHABI system. |
| Change in shoulder pain intensity (Numeric Rating Scale, 0-10) | Baseline and discharge (approximately 1-6 months) | Shoulder pain intensity during movement, measured using an 11-point Numeric Rating Scale (EVA 0-10). Change is calculated as discharge score minus baseline score. |
Countries
Spain
Outcome results
None listed