Telerehabilitation in Individuals With Rotator Cuff Tear
Condition: Rotator Cuff Tears; Physiotherapy and Rehabilitation; Shoulder Pain; Rotator Cuff Injuries
MeSH terms: Shoulder Pain; Rotator Cuff Injuries
Study type: Interventional

Summary: 
      The majority of patients presenting with shoulder pain are those with rotator cuff problems.
      Although telerehabilitation is a promising field in many areas, there is still limited
      high-quality research with strong evidence of its effectiveness for musculoskeletal problems.
      In this study, online rehabilitation and face-to-face rehabilitation will be compared in
      people with partial rotator cuff tears.
    

Detailed description: 
      The prevalence of shoulder pain increases with age and is mostly associated with inadequate
      treatment of symptoms. A large part of the patients who apply to the clinic with the
      complaint of shoulder pain are individuals with rotator cuff problems. Partial rotator cuff
      (RM) tear is defined as tears that can be seen on the superior, inferior, or both sides of
      the cuff. It is stated that the most critical risk factors for RM tear are age, dominant arm,
      and trauma. The degenerative process is generally considered normal in age-related tears and
      is seen in 20% of individuals over the age of 65.

      The Coronavirus disease (COVID-19), is still the most important global concern. People with
      chronic diseases have been known to delay getting healthcare services due to fear of the risk
      of infection following the COVID-19 pandemic. This could lead to increased morbidity and
      mortality due to delay and disruption in access to treatment applications needed for patient
      populations other than COVID-19. At this stage, one of the applications that can be effective
      for disturbed patient healing processes is the Telerehabilitation application, which has
      proven its effectiveness in previous epidemics (EBOLA, SARS, etc.), when patients are treated
      remotely after and after treatment. Especially during the COVID-19 pandemic, there has been
      an increase in the need for Internet-based remote treatment approaches, as it allows both
      patients and physiotherapists to advance the treatment process without the risk of infection.
      In the next decade, telerehabilitation options are expected to diversify and become
      widespread in assessing and treating many diseases with emerging technologies.

      Studies have shown that despite the growing number of applications of telerehabilitation
      worldwide, evidence for clinical effectiveness is still limited. In addition, the
      effectiveness of telerehabilitation for musculoskeletal problems has not been fully
      demonstrated due to the lack of a specific standard for telerehabilitation and the
      variability of the approaches used. In conclusion, although telerehabilitation is a promising
      field in many areas, there is still a limited amount of good-quality research with strong
      evidence.

      Therefore, this study aimed to compare the effects of internet-based telerehabilitation and
      face-to-face rehabilitation practices on pain, range of motion, functionality, and quality of
      life in patients with partial rotator cuff injury.
    

Intervention name(s): Internet Based Synchronized Telerehabilitation; Face-to-Face Rehabilitation
Intervention type(s): Other; Other
Intervention description(s): Week 1
Posterior capsule stretching
Passive range of motion
Wand exercises in supine position
Scapular adduction exercise
Ball rolling on the table (<90°)
Coldpack (15min)
Week 2
Wand exercises while standing.
Ball roll on wall (>90°)
Ball roll on the table (90°)
Weightless External Rotation exercises
Functional PNF movements
Week 3
Resistive scapulothoracic strengthening
Ball scrolling on the table (resistive)
Week 4
Single handed ball roll on the table (>90°)
External rotation exercise with 0.5-1kg weight in side lying
Strengthening exercises, shoulder in 90° scapulation for 10s
Week 5
External rotation with 0.5-1 kg weight in side lying
Strengthening exercises by keeping the shoulder in 90° scapulation for 10s
Week 6-8
Dynamic hugs and push up plus
Ball throwing and catching; Week 1
Posterior capsule stretching
Passive range of motion
Wand exercises in supine position
Scapular adduction exercise
Ball rolling on the table (<90°)
Coldpack (15min)
Week 2
Wand exercises while standing.
Ball roll on wall (>90°)
Ball roll on the table (90°)
Weightless External Rotation exercises
Functional PNF movements
Week 3
Resistive scapulothoracic strengthening
Ball scrolling on the table (resistive)
Week 4
Single handed ball roll on the table (>90°)
External rotation exercise with 0.5-1kg weight in side lying
Strengthening exercises, shoulder in 90° scapulation for 10s
Week 5
External rotation with 0.5-1 kg weight in side lying
Strengthening exercises by keeping the shoulder in 90° scapulation for 10s
Week 6-8
Dynamic hugs and push up plus
Ball throwing and catching
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Investigator, Outcomes Assessor)
Primary purpose: Other
Keywords: Telerehabilitation; Remote Rehabilitations; Exercise Therapy; Telemedicine