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The aim of this study was to investigate the efficacy of the video-based rehabilitation program on pain, functionality and quality of life in the conservative treatment of partial tears of the rotator cuff whether it was as successful as the physiotherapist-supervised rehabilitation program.
In our study a common exercise program, which can be used in conservative treatment of a partial rotator cuff tear, is applied with two different methods; a video-based rehabilitation program and physiotherapist-supervised rehabilitation program. Video-based rehabilitation program was developed to investigate whether this program is effective on pain, functionality and quality of life and as successful as a physiotherapist-supervised rehabilitation program.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | Experimental | Video-Based Rehabilitation Group |
|
| Group 2 | Active Comparator | Physiotherapist-Supervised Rehabilitation Group |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Video-Based Rehabilitation Program | Other | In both groups, a program consisting of exercises used in conservative treatment of rotator cuff tears was performed. A video record was made by the physiotherapist to a patient where each exercise was described in detail and the patient correctly performed the exercises according to the verbal and visual commands of the physiotherapist. This video record watched by the patients who come to the clinic and patients were asked to do the exercises in the video. Patients did the exercises under control of the physiotherapist in the clinic. |
| Measure | Description | Time Frame |
|---|---|---|
| Shoulder Range of Motion (ROM) | The shoulder flexion, abduction, internal and external rotation ROM were evaluated with goniometer while the patient was in supine position. | Shoulder range of motion evaluation was performed first time at baseline and second time after 6 weeks rehabilitation program. After treatment "change" was assessed. |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analogue Scale (VAS) | The levels of pain felt at rest / activity / night were measured using visual analogue scale (VAS). | Evaluation was performed before treatment and after 6 weeks rehabilitation program. Patients were asked to evaluate their pain status with a 10-point scale and high scores are positively correlated with pain. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ezgi Türkmen | Istanbul University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul University | Istanbul | Bakırkoy | 34147 | Turkey (Türkiye) |
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|
| Physiotherapist-Supervised Rehabilitation Program | Other | In both groups, a program consisting of exercises used in conservative treatment of rotator cuff tears was performed. Program was carried out by teaching the same exercises individually by the physiotherapist. |
|
| ASES (The American Shoulder and Elbow Surgeons Standardized Shoulder Assessment) Form |
ASES is an assessment form prepared by shoulder and elbow surgeons with objective and subjective sections. The total score is at least 0 and at most 100, and the high scores are positively correlated with the normal function. |
| Evaluation was performed before treatment and after 6 weeks rehabilitation program. |
| Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire | DASH questionnaire inquires about the activities of a person in daily life, the degree of participation in recreational activities, the symptom and psychosocial state that affects their pain, emotional state and sleep quality. The total score is at least 0 and at most 100, and the high scores are positively correlated with the increased functional impairment. | Evaluation was performed before treatment and after 6 weeks rehabilitation program. |
| Short Form 12 (SF-12) | SF-12 was used to assess physical and mental health-related quality of life. The total score is at least 0 and at most 100, and the high scores are positively correlated with high quality of life. | Evaluation was performed before treatment and after 6 weeks rehabilitation program. |
| Global Rating of Change (GRC) Scale | Global Rating of Change (GRC) scale was used to assess the overall satisfaction levels of the patients. Patients were asked to evaluate their post-treatment status with a 5-point likert scale and high scores are positively correlated with satisfaction. | Evaluation was performed after 6 weeks rehabilitation program. |
| ID | Term |
|---|---|
| D000070636 | Rotator Cuff Injuries |
| D020069 | Shoulder Pain |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D012421 | Rupture |
| D014947 | Wounds and Injuries |
| D000070599 | Shoulder Injuries |
| D013708 | Tendon Injuries |
| D018771 | Arthralgia |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001519 | Behavior |
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