Assessment of Shoulder Rehabilitation Practices and Documentation Protocols at Riphah Rehabilitation Center

Assessment of Shoulder Rehabilitation Practices and Documentation Protocols at Rphah Rehabilitation Center, Lahore A Comprehensive Analysis

This study aims to evaluate Riphah Rehabilitation Center's shoulder rehabilitation procedures and documentation guidelines. The study will specifically assess the efficacy of shoulder rehabilitation procedures, their methodology, and the techniques employed to record patient improvement. In order to make sure the centre adheres to best practices, improves patient care, and keeps accurate records for better treatment outcomes, the study intends to identify areas of strength and potential improvements in both the rehabilitation techniques and documentation processes. The evaluation's findings will improve the center's operational effectiveness and clinical practices.

Target Audience:Healthcare Professionals (such as physicians, physiotherapists, and rehabilitation therapists): This study will assist guide evidence-based strategies for managing shoulder injuries and offer insights into contemporary rehabilitation procedures.

Centre Administration: For better patient care, resource management, and operational efficiency, the results will point out areas where documentation and treatment protocols should be strengthened.

Patients and Families: In the end, the study will improve rehabilitation results, increasing the likelihood that patients will heal from shoulder injuries more quickly and completely.

Study Overview

• Status: Completed
• Conditions: Shoulder Pain; Rotator Cuff Injury; Shoulder Impingement
• Intervention / Treatment: Other: Rehabilitation Practices Group; Other: Documentation Protocols Group

• Study Type: Observational
• Enrollment (Actual): 20

Contacts and Locations

Study Locations

• Pakistan
  • Lahore, Pakistan, 54840
    • Riphah Rehabilitation Center
  • Punjab
    • Lahore, Punjab, Pakistan
      • Riphah Rehabilitation Center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

Patients Undergoing Shoulder Rehabilitation:

Include patients who have undergone or are currently undergoing rehabilitation specifically for shoulder injuries, conditions, or surgeries.

Consider both inpatients and outpatients receiving rehabilitation services at Rphah Rehabilitation Center.

Description

Inclusion Criteria:

• Patients undergoing shoulder rehabilitation at Rphah Rehabilitation Center.
• Rehabilitation protocols implemented within the center.
• Documented cases with sufficient information for analysis.
• Both acute and chronic shoulder conditions

Exclusion Criteria:

• Patients with shoulder conditions not requiring rehabilitation.
• Cases lacking adequate documentation.
• Rehabilitation protocols not specific to shoulder conditions.
• Patients with comorbidities significantly affecting rehabilitation outcomes.

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
GROUP A:Rehabilitation Practices Group: Objective: Evaluate the effectiveness and quality of shoulder rehabilitation practices. Data Collection, Observation of rehabilitation sessions: Record types of exercises, therapy techniques, patient engagement, and therapist-patient interactions. Interviews with rehabilitation professionals: Gather insights into their approaches, challenges faced, and perceived effectiveness of rehabilitation strategies. Analysis: Assess adherence to established rehabilitation protocols. Evaluate patient outcomes such as pain levels, range of motion, and functional status. Compare observed practices with evidence-based guidelines for shoulder rehabilitation. Findings: Identify strengths and weaknesses in current rehabilitation practices. Highlight areas where improvements or modifications may be necessary.	Other: Rehabilitation Practices Group; Evidence-Based Training Program:Develop a structured training program for rehabilitation professionals focusing on evidence-based shoulder rehabilitation practices. Clinical Mentorship and Supervision:Implement a mentorship program where experienced rehabilitation professionals provide guidance and support to junior staff members. Standardization of Rehabilitation Protocols:Review and standardize rehabilitation protocols for common shoulder conditions based on current evidence and best practices. Patient-Centered Care Approach:Adopt a patient-centered approach to shoulder rehabilitation, emphasizing shared decision-making and individualized treatment plans Outcome Monitoring and Quality Improvement:Use standardized outcome measures to evaluate improvements in pain, function, range of motion, and patient satisfaction.
GROUP B:Documentation Protocols Group; Objective: Assess the completeness, accuracy, and organization of documentation related to shoulder rehabilitation. Data Collection: Review of patient records and documentation: Evaluate the quality and consistency of documentation practices, including initial evaluations, progress notes, and discharge summaries. Interviews with rehabilitation staff: Collect feedback on documentation protocols, challenges encountered, and perceived adequacy of documentation practices. Analysis: Assess the clarity and comprehensiveness of documentation. Evaluate adherence to documentation protocols and standards. Identify any deficiencies or inconsistencies in documentation practices. Findings: Highlight strengths and weaknesses in current documentation protocols. Identify areas for improvement, such as standardizing documentation templates or providing training on effective documentation practices. Recommendations: Propose strategies to enhance documentation quality and consistency.	Other: Documentation Protocols Group; Training and Education Program:Develop and implement a training program for rehabilitation professionals aimed at enhancing their knowledge and skills in shoulder rehabilitation practices and documentation protocols. Standardization of Protocols:Review and update existing rehabilitation protocols to ensure alignment with current evidence-based guidelines and best practices. Quality Assurance Measures:Establish a system for ongoing monitoring and evaluation of shoulder rehabilitation practices and documentation protocols. Patient Education and Engagement:Develop educational materials and resources for patients undergoing shoulder rehabilitation to enhance their understanding of treatment goals, exercises, and self-management strategies. Outcome Monitoring and Evaluation:Implement a system for monitoring and evaluating patient outcomes, including pain levels, range of motion, functional status, and satisfaction with rehabilitation services.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain Severity During Shoulder Rehabilitation Treatment	Pain severity will be assessed using a Numerical Rating Scale (0-10), where 0 indicates no pain and 10 indicates the worst imaginable pain. Both groups will receive 2 treatment sessions per week. Pain assessments will be made at baseline (pre-intervention) and at the end of the 4-week intervention (post-intervention) to evaluate changes in pain severity. Measurement Unit: Numerical Rating Scale (0-10), where 0 = no pain, 10 = worst possible pain.	Baseline and 4 weeks (post-intervention)

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Muhammad Hashim, Riphah International University

Publications and helpful links

General Publications

• Smith BA, Fields CJ, Fernandez N. Physical therapists make accurate and appropriate discharge recommendations for patients who are acutely ill. Phys Ther. 2010 May;90(5):693-703. doi: 10.2522/ptj.20090164. Epub 2010 Mar 18.
• Scalzitti DA. On
• De Villers MJ. Documentation of preventive education and screening for osteoporosis. Outcomes Manag. 2003 Jan-Mar;7(1):28-32.
• Ajami S, Arab-Chadegani R. Barriers to implement Electronic Health Records (EHRs). Mater Sociomed. 2013;25(3):213-5. doi: 10.5455/msm.2013.25.213-215.

Study record dates

Study Major Dates

• Study Start (Actual): January 26, 2020
• Primary Completion (Actual): December 30, 2022
• Study Completion (Actual): January 30, 2023

Study Registration Dates

• First Submitted: July 9, 2024
• First Submitted That Met QC Criteria: January 10, 2025
• First Posted (Actual): March 25, 2025

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: January 10, 2025
• Last Verified: January 1, 2025

More Information

Terms related to this study

• Keywords: shoulder impingement; shoulder pains; ,shoulder documentation
• Additional Relevant MeSH Terms: Shoulder Injuries; Pain; Neurologic Manifestations; Musculoskeletal Diseases; Wounds and Injuries; Joint Diseases; Rupture; Tendon Injuries; Arthralgia; Rotator Cuff Injuries; Shoulder Pain; Shoulder Impingement Syndrome
• Other Study ID Numbers: REC/RCR&AHS24/37

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No