Shoulder Functional Performance After Shoulder Surgery

Study Overview
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Brief Summary
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Rotator Cuff (RC) injuries are a progressive clinical condition that starts with an acute tendonitis, continues with partial thickness rupture and results in a full thickness rupture in the advanced period. Arthroscopic RC repair is effective in the acute RC ruptures treatment caused by traumatic events. In the acute period after arthroscopic RC repair, shoulder joint range of motion (ROM), muscle strength and shoulder functionality are decreased and daily activities are adversely affected. In the long-term, many studies have reported that these symptoms gradually decreaced. Many studies investigating postoperative treatment of RC rupture have mostly focused on parameters such as postoperative pain, functionality, muscle strength, ROM and quality of life.Evaluation of these clinical parameters is necessary for patient follow-up in the early period. However, it is unclear whether the biomechanical etiologic factors continue that lead to RC rupture in the advanced period after surgery. Therefore, the objective of this study was functional performance of shoulder after arthroscopic Rotator Cuff repair and ınvestigation of performance related factors.

Detailed Description
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Design: observational Cross-sectional study.

Official Title
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Functional Performance of Shoulder After Arthroscopic Rotator Cuff Repair and Investigation of Performance Related Factors

Conditions
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Rotator Cuff Tears

Intervention / Treatment
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* Other: Shoulder Performance Test- Functional Impairment Test-Head and Neck, Shoulder, Arm (FIT-HaNSA)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: With the same RC surgical procedure and technique, With acromioplasty and/or tenodesis with RC repair, Undergoing arthroscopic RC repair from the upper extremity of the dominant side, Having completed the 12th week after surgery, Performing 90° and above active shoulder elevation movement Exclusion Criteria: Having undergone revision surgery or previous shoulder surgery, a history of fracture of the upper extremity Having undergone surgery causing limitation of motion in the spine, Having a neurological and/or vestibular and/or rheumatologic disease, Participants with diabetes mellitus, hypertension, cardiovascular and chronic respiratory disease that may cause problems during the test

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Study Group<br>Thirty-two participants with undergone arthroscopic Rotator Cuff repair | Other: Shoulder Performance Test- Functional Impairment Test-Head and Neck, Shoulder, Arm (FIT-HaNSA)<br>* Participants were evaluated with all tests, respectively. To eliminate the fatigue factor, 5 minutes breaks were given after each test.<br>* Other names: Strength-Total Upper Extremity Muscle Strength;|
| Control Group<br>Thirty-two healthy participants | Other: Shoulder Performance Test- Functional Impairment Test-Head and Neck, Shoulder, Arm (FIT-HaNSA)<br>* Participants were evaluated with all tests, respectively. To eliminate the fatigue factor, 5 minutes breaks were given after each test.<br>* Other names: Strength-Total Upper Extremity Muscle Strength;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Functional Impairment Test-Head and Neck, Shoulder, Arm (FIT-HaNSA) | FIT-HaNSA is a test battery consisting of 3 tasks simulating overhead work and lifting activities designed to evaluate the shoulder functional performance. | Three months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Modified Constant Murley Score | Shoulder functionality was analyzed by using the MCMS evaluating pain, daily living activities, ROM and strength. Pain was evaluated by visual analog scale and ROM by goniometer. The force in the shoulder abduction position was measured with the Digital analyzer defined by the spring balance technique. | Three months | 
| Scapular Muscle Endurance Test | The scapular muscle endurance test evaluate the endurance of the serratus anterior and the trapezium muscles. | Three months | 
| Total Upper Extremity Muscle Strength | Total upper extremity muscle strength was evaluated with Jamar hand dynamometer. Grip strength is considered to be a valid value of TUEMS. The test was performed by measuring both sides. | Three months |