Effectiveness of Video-Based Rehabilitation Program on Pain, Functionality and Quality of Life in the Treatment of Rotator Cuff Tears

Study Overview
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Brief Summary
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The aim of this study was to investigate the efficacy of the video-based rehabilitation program on pain, functionality and quality of life in the conservative treatment of partial tears of the rotator cuff whether it was as successful as the physiotherapist-supervised rehabilitation program.

Detailed Description
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In our study a common exercise program, which can be used in conservative treatment of a partial rotator cuff tear, is applied with two different methods; a video-based rehabilitation program and physiotherapist-supervised rehabilitation program. Video-based rehabilitation program was developed to investigate whether this program is effective on pain, functionality and quality of life and as successful as a physiotherapist-supervised rehabilitation program.

Official Title
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Effectiveness of Video-Based Rehabilitation Program on Pain, Functionality and Quality of Life in the Treatment of Rotator Cuff Tears

Conditions
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Rotator Cuff Tear, Pain, Shoulder

Intervention / Treatment
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* Other: Video-Based Rehabilitation Program
* Other: Physiotherapist-Supervised Rehabilitation Program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Forty years of age or older patients that had been diagnosed for a partial rotator cuff tear that was unrelated to trauma by a specialist orthopedist with MRI and physical examination and no other shoulder problems on the diagnosed shoulder were included into this study. Exclusion Criteria: Patients that had been diagnosed for a full-thickness or massive rotator cuff tear, operated previously, had frozen shoulder or glenohumeral instability Younger than 40-year-old, and athletic patients with acute tear symptom were excluded from this study.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group 1<br>Video-Based Rehabilitation Group | Other: Video-Based Rehabilitation Program<br>* In both groups, a program consisting of exercises used in conservative treatment of rotator cuff tears was performed. A video record was made by the physiotherapist to a patient where each exercise was described in detail and the patient correctly performed the exercises according to the verbal and visual commands of the physiotherapist. This video record watched by the patients who come to the clinic and patients were asked to do the exercises in the video. Patients did the exercises under control of the physiotherapist in the clinic.<br>|
| Active Comparator: Group 2<br>Physiotherapist-Supervised Rehabilitation Group | Other: Physiotherapist-Supervised Rehabilitation Program<br>* In both groups, a program consisting of exercises used in conservative treatment of rotator cuff tears was performed. Program was carried out by teaching the same exercises individually by the physiotherapist.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Shoulder Range of Motion (ROM) | The shoulder flexion, abduction, internal and external rotation ROM were evaluated with goniometer while the patient was in supine position. | Shoulder range of motion evaluation was performed first time at baseline and second time after 6 weeks rehabilitation program. After treatment change was assessed. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analogue Scale (VAS) | The levels of pain felt at rest / activity / night were measured using visual analogue scale (VAS). | Evaluation was performed before treatment and after 6 weeks rehabilitation program. Patients were asked to evaluate their pain status with a 10-point scale and high scores are positively correlated with pain. | 
| ASES (The American Shoulder and Elbow Surgeons Standardized Shoulder Assessment) Form | ASES is an assessment form prepared by shoulder and elbow surgeons with objective and subjective sections. The total score is at least 0 and at most 100, and the high scores are positively correlated with the normal function. | Evaluation was performed before treatment and after 6 weeks rehabilitation program. | 
| Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire | DASH questionnaire inquires about the activities of a person in daily life, the degree of participation in recreational activities, the symptom and psychosocial state that affects their pain, emotional state and sleep quality. The total score is at least 0 and at most 100, and the high scores are positively correlated with the increased functional impairment. | Evaluation was performed before treatment and after 6 weeks rehabilitation program. | 
| Short Form 12 (SF-12) | SF-12 was used to assess physical and mental health-related quality of life. The total score is at least 0 and at most 100, and the high scores are positively correlated with high quality of life. | Evaluation was performed before treatment and after 6 weeks rehabilitation program. | 
| Global Rating of Change (GRC) Scale | Global Rating of Change (GRC) scale was used to assess the overall satisfaction levels of the patients. Patients were asked to evaluate their post-treatment status with a 5-point likert scale and high scores are positively correlated with satisfaction. | Evaluation was performed after 6 weeks rehabilitation program. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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rotator cuff, physiotherapy, video-based rehabilitation, exercise