The Efficacy of Myofascial Release at the Cervicothoracic Region in Patients With Rotator Cuff Repairs

Study Overview
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Brief Summary
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this study was conducted the patients with rotator cuff tears who underwent rotator cuff repair surger.The patients were randomly divided into 2 groups and a total of 20 subjects were randomized in a single block order using RandomAllocation Software 1.0.0 by simple randomization.All evaluation and treatment was done by the same physiotherapist.The first group was included in the traditional treatment program after rotator cuff repair, while the second group was included in the myofascial release program, 2 sessions a week between the 4th and 7th weeks, in addition to the traditional treatment.

Detailed Description
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Patients in the 2 groups undergoing rc repair were also included in a similar physiotherapy program.Immobilization with a sling was made for 4-6 weeks after surgery. In addition to physiotherapy in group 2, myofascial release therapy was applied to the upper trapezius, sternocloidomastoideus, pectoral muscles (major, minor) 2 days a week between the 4th and 7th weeks after surgery, in addition to the conventional treatment. Myofascial treatment took 30-45 minutes per session.

Official Title
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The Efficacy of Myofascial Release at the Cervicothoracic Region in Patients With Rotator Cuff Repairs: A Randomized Controlled Pilot Study

Conditions
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Rotator Cuff Tears

Intervention / Treatment
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* Other: myofascial release technique
* Other: physiotherapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: aged betweeen 18-65 diagnosed with RC tear Exclusion Criteria: wanting to leave the study not participating in assessments and/or treatments presence of massive tears accompanying nerve injuries, presence of labral lesion, diagnosed psychological problems, central nervous system problems those with any rheumatological and orthopedic diseases individuals who have had previous surgery on the same shoulder

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 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
Interventional Model Description: randomised controlled study this study was conducted with rotator cuff tear patients who underwent arthroscopic rotator cuff treatment. The patients' pain intensity, joint range of motion, flexibility of shoulder muscles, grip and muscle strength, shoulder function evaluations and physical characteristics, age, differences between body mass index were evaluated with Mann Whitney-U test.Measurements before and after treatment were evaluated with the Wilcoxon test. Friedman test was performed for the measurements made at postoperative 3, 7, and 12 weeks before in-group treatment. Bonferoni correction was done for possible differences.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: control group<br>Patients who underwent arthroscopic rotator cuff repair surgery (n=10). They were implemented physiotherapy after the surgery once a week for 12 weeks. They were encouraged to do exercises 3 to 5 times every day. | Other: physiotherapy<br>* patients used sling up to 4 weeks. They did first 4 weeks passive/ assistive range of motion exercise. In 6-8 weeks they did active exercises. 8-12 weeks they did progressive resistive exercises.<br>* Other names: classic physiotherapy;|
| Experimental: myofascial release group<br>Patients who underwent arthroscopic rotator cuff repair surgery (n=10). They were implemented physiotherapy the same as the control group once a week for 12 weeks. In addition to physiotherapy they took myofascial release sessions twice a week for 4 weeks between 4 and 7 weeks. | Other: myofascial release technique<br>* myofascial release group took myofascial release (MFR) therapy sessions twice a week for 4 weeks between 4 and 7 weeks. MFR was applied to upper trapezius, SCM, pectoralis major-minor and sternocostal fascia. muscle was replaced elongated position and pressure was applied for 60-120 second.<br>Other: physiotherapy<br>* patients used sling up to 4 weeks. They did first 4 weeks passive/ assistive range of motion exercise. In 6-8 weeks they did active exercises. 8-12 weeks they did progressive resistive exercises.<br>* Other names: classic physiotherapy;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pain intensity | visual analog scale (pain during night, rest, activity), preoperative, post operative 3-7-12 weeks. | 12 weeks | 
| function | Constant Murley's score. This score has been used in preoperative, post operative 7-12 weeks. Higher score means better results. total point changes between 0-100. | 12 weeks | 
| quality of life ındex | short form-36 (SF-36) This scale is used in preoperative and pos operative 12 weeks.Higher score means better results. | 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| grip strength | Grip strength has been measured with dynamometer in preoperative, post operative 7-12 weeks. | 12 weeks | 
| flexibility | pectoralis minor flexibility was measured and saved as centimeter. | 12 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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myofascial release, rotator cuff tears, physiotherapy, rotator cuff repair