TeleRehabilitation Following Arthroscopic Rotator Cuff Repair

Study Overview
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Brief Summary
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Telerehabilitation is a form of tele-treatment in which rehabilitation services are dispensed at patients' home utilizing video telecommunication services with real-time synchronous exchange of information. The advantages of telerehabilitation include reducing unnecessary travel to the hospital and person to person contact while maintaining social distancing. While some of the patients are truly staying at remote areas, others are unable to manage travel in the lockdown period. Telemedicine offers the opportunity to deliver rehabilitative services in the patients' home, closing geographic, physical, and motivational gaps. Punctuality on either side is also assured since the travel times are saved on both the ends. The purpose of the research study is to compare two standard of care rehabilitation methods (telerehabilitation vs in-person rehabilitation) following routine rotator cuff repair. Objectives include assessing range of motion and patient reported functional outcomes.

Official Title
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TeleRehabilitation Following Arthroscopic Rotator Cuff Repair

Conditions
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Rotator Cuff Injuries

Intervention / Treatment
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* Other: Telerehabilitation Therapy
* Other: In-person Rehabilitation Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Scheduled to undergo Rotator Cuff repair Age 40-80 Ability to comply with a standardized postoperative protocol Willing and able to provide consent Exclusion Criteria: Pregnant patient Age <40 years Previous shoulder surgery Unable to speak English or perform informed consent

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 80 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: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Telerehabilitation<br> | Other: Telerehabilitation Therapy<br>* Rehabilitation services will be dispensed at patients' home utilizing video telecommunication services with real-time synchronous exchange of information - range of motion exercises and stretching.<br>|
| Active Comparator: In-Person Rehabilitation<br> | Other: In-person Rehabilitation Therapy<br>* Range of motion exercises and stretching<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Level of Range of Motion | Active and passive range of motions will be tested in participants: forward flexion, abduction and internal/external rotation at 0° and 90°. | up to 1 year post-op | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analogue Scale (VAS) Score | VAS is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between no pain and worst pain. The total score ranges from 0-10. The higher the score, the worse the pain. | up to 1 year post-op | 
| American Shoulder and Elbow Surgeons (ASES) Questionnaire Score | The ASES score contains a physician-rated and patient-rated section; however, only the pain visual analog scale (VAS) and 10 functional questions will be used to tabulate the reported ASES score. The total score - 100 maximum points - is weighted 50% for pain and 50% for function. The final pain score (maximum 50 points) is calculated by subtracting the VAS from 10 and multiplying by five. For the functional portion, each of 10 separate questions is scored on an ordinal scale from 0-3 for a maximal raw functional score of 30 points. The raw score is multiplied by 5/3 to make the maximal functional score out of 50 possible points. The pain and functional portions are then summed to obtain the final ASES score. The higher the score, the worse the pain and level of function. | up to 1 year post-op |