Effectiveness of The Neuromuscular Control-Based Exercise Training in the Treatment of Partial-Thickness Rotator Cuff Tears
Condition: Rotator Cuff Tear or Rupture, Not Specified as Traumatic; Pain, Shoulder
MeSH terms: Shoulder Pain; Rupture; Rotator Cuff Injuries
Study type: Interventional

Summary: 
      The aim of this study is to determine and compare the effects of neuromuscular control
      exercises for the shoulder, and standard conservative exercise programs, which are different
      forms of exercise and have an important role in the treatment of partial thickness rotator
      cuff tears on treatment. Thus, it is aimed to compare these exercise types with different
      mechanisms on treatment, to determine the place of neuromuscular control exercises in
      treatment and whether they are more effective than conventional exercises.
    

Detailed description: 
      Rotator cuff (RC) tear shows different symptoms or sometimes can progress asymptomatic. The
      most common symptoms associated with rotator cuff tears are loss of shoulder range of motion
      (ROM), shoulder pain exacerbated by overhead activities, nocturnal pain, shoulder
      dysfunction, and functional limitations. Conservative treatment is the first and most
      preferred procedure in the treatment of partial tears. Conservative treatment includes
      patient education, activity modifications, medication, and physiotherapy and rehabilitation
      programs. In the literature search, it is seen that the studies on the conservative treatment
      of partial RC tears often include open kinetic chain-weighted standard exercises and
      strengthening exercise types. It is seen that stabilization and proprioception-based
      neuromuscular control exercises of the shoulder, which have an important role in restoring
      neuromuscular control, which is reported to be impaired in shoulder pathologies, are included
      in some studies and these exercises are generally added to standard treatment. However, it is
      not known whether neuromuscular control exercises are more effective than other exercises in
      the standard rehabilitation programs as a result of the combined application of these
      exercises in this patient group. For this purpose, it is aimed to compare the treatment
      efficacy of a group consisting of neuromuscular control exercises for the shoulder and a
      group consisting of conventional exercises and to determine the place of neuromuscular
      control exercises in treatment.
    

Intervention name(s): Neuromuscular Control-Based Exercise Training Group; Conventional Exercise Training Group
Intervention type(s): Other; Other
Intervention description(s): Exercises for the neuromuscular control of the shoulder will be progressed by starting with the body weight, and in the following phases, a program that progresses to exercises that will improve the dynamic stabilization, coordination and proprioception of the shoulder will be applied to train the sensorimotor system. The exercise program will be performed twice a week for 8 weeks (16 sessions).; In this group, which will mainly benefit from conventional open kinetic chain strength exercises, a strengthening exercise program will be applied by advancing from body weight to elastic bands and weights. The exercise program will be performed twice a week for 8 weeks (16 sessions).
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Rotator Cuff Tear; Physiotherapy; Rehabilitation; Neuromuscular Control; Rupture