- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01499992
Rehabilitation of Reconstructed Shoulder Rotator Cuff
Rehabilitation of Reconstructed Shoulder Rotator Cuff : Optimizing Physical Therapy Dosage and Effect of Aquatic Physical Therapy - A Randomized, Factorial Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Measurement devices:
Biodex: Biodex system is a muscle strength testing and rehabilitation instrument used in the testing and rehabilitation services for shoulder, elbow, wrist, hip, knee and ankle. Modes of operation for exercise and testing include isokinetic, passive, isometric, isotonic, and reactive eccentric. Patients are tested for their muscle performance for the required number of repetitions in the required mode. The muscle performance is measured by calculating the average peak torque (in Nm) and analyzed across the group of patients.
Goniometer: A manual devise used to measure joint range of motion. Visual Analogue Scale: A scale with 0 to 10, with 0 being no pain, and 10 being severe pain.
Measurement procedure:
All the subjects posted for surgery will be tested prior to and again 6 weeks following surgery for:
Shoulder Pain is measured using a visual analog scale. Shoulder Range of motion is measured using a standard goniometer. Shoulder Muscle performances are measured using Biodex.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Ontario
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London, Ontario, Canada, N6A 4V2
- St Joseph's health Care London
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- full thickness rotator cuff tear treated by arthroscopic or mini-open repair by a specialized upper extremity surgeons
- mentally competent
- able to read and write
- able to return for follow-up
- 18-65 years old
Exclusion Criteria:
- associated surgical procedures (Concomitant fractures, capsular releases surgical decompression)
- nerve injury
- neurological conditions
- irreparable massive rotator cuff tear, and
- comorbid health problems that limit rehabilitation potential (Rheumatoid arthritis, Diabetes).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Factorial Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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No Intervention: standard care
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Experimental: aquatic physical therapy
aquatic physical therapy program which will be conducted twice weekly for 10 weeks and will include a 40-50 minute hydrotherapy session emphasizing range of motion and light resistive exercises of the arm, primarily focussing on the shoulder.
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2. Standard physical therapy program PLUS aquatic physical therapy: The above PLUS a aquatic physical therapy program which will be conducted twice weekly for 10 weeks and will include a 40-50 minute hydrotherapy session emphasizing range of motion and light resistive exercises of the arm, primarily focusing on the shoulder.
The program will start with general mobility of the other upper limb joints to allow time for preconditioning of the painful shoulder.
Shoulder exercises will emphasize flexion, rotation and abduction and a slow transition from pain-free range to the restricted range of motion to maximize the effectiveness of the heat and buoyancy.
Total of 12 weeks; each exercise session will be 20 -30 minutes of direct contact and additional supervised exercise as defined by assignment and stage.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
strength
Time Frame: 3 month after the surgery
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3 month after the surgery
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
patient satisfaction
Time Frame: 3 and 6 months after the surgery
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3 and 6 months after the surgery
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Joy MacDernmid, PhD, St. Joseph's Health Care London
Publications and helpful links
General Publications
- Roddey TS, Olson SL, Gartsman GM, Hanten WP, Cook KF. A randomized controlled trial comparing 2 instructional approaches to home exercise instruction following arthroscopic full-thickness rotator cuff repair surgery. J Orthop Sports Phys Ther. 2002 Nov;32(11):548-59. doi: 10.2519/jospt.2002.32.11.548.
- Ellenbecker TS, Sueyoshi T, Winters M, Zeman D. Descriptive report of shoulder range of motion and rotational strength six and 12 weeks following arthroscopic superior labral repair. N Am J Sports Phys Ther. 2008 May;3(2):95-106.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 18466
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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