The Effect of a Pre-operative Exercise Program for Patients With Full Thickness Rotator Cuff Tear Waiting for Surgical Repair

Study Overview
=================
Brief Summary
-----------------
This is a randomised controlled study involving a group of 20 patients- 10 patients in a control group, 10 patients in treatment group. The treatment group consists of exercises with theraband for the shoulder and exercises of motor control of the scapula. The purpose of the study is to measure the effects of a pre-operative physiotherapy program for patients awaitng for rotator cuff surgery, The duration of the pilot project is 4 weeks.

Detailed Description
-----------------
This study is taken place in a genral hospital using the waiting list in the orthopedic surgery department- only patients awaitng for rotator cuff surgery are included. a randomised process of a block will be used. There will be 2 groups of patients an active comparator and no intervention. All patients at the beginning of the project and after 4 weks will have an evaluation on range of motion, strength, acromial humeral mesurement done by ultrasound and questionnaire on pain(DASH) and quality of life( WORC). At 8 weeks all patients will fill in the 2 questionnaires on DASH and WORC.

Official Title
-----------------
The Effect of a Pre-operative Exercise Program on Pain and Function in Patients With Full Thickness Rotator Cuff Tear Waiting for Surgical Repair.

Conditions
-----------------
Rotator Cuff Tears

Intervention / Treatment
-----------------
* Other: Exercises


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Patients waitng for surgery at Cite de la Sante Hospital Exclusion Criteria: Glenohumeral Arthirtis Shoulder fracture Corticosteriod injections Rupture of rotator cuff tear of more than 3 cm CSST- Workman's compensation Central and peripheral neuropathy

Ages Eligible for Study
-----------------
Minimum Age: 20 Years
Maximum Age: 75 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Exercises<br>exericises on motor control and strengthening exercises on the Rotator Cuff | Other: Exercises<br>* exercise program on strengthening the rotator cuff muscles and motor control of the scapula<br>|
| Placebo Comparator: Control group- No exercises<br>No exercises | Other: Exercises<br>* exercise program on strengthening the rotator cuff muscles and motor control of the scapula<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| WORC questionnaire | To evaluate function and quality of life at 0 weeks and 4 weeks | 30 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| DASH questionnaire | To evaluate pain at 0 weeks and 4 weeks | 30 days | 
| Ultrasound measures | Mesurement distance of acromial-humerale distance at 0 and 4 weeks | 30 days | 
| range of motion | measurement of joint movement (active and passif range of motion) with goniometer at 0 and 4 week | 30 days | 
| strength | measurement of isometric strength with the Nicolas dynamometer at 0 week and 4 week. | 30 days | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
rotator cuff tears, ultrasound measure, pain, range of motion, muscle force