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Reverse shoulder prostheses are the treatment of choice in elderly patients with rotator cuff arthropathy. Traditionally these patients have been immobilized for 3 weeks in the immediate postoperative period in order to have good pain control. However, there are no studies that determine the most appropriate period of immobilization. In fact, patients undergoing this type of surgery begin rehabilitation exercises within 24 hours of surgery without experiencing increased pain or requiring specific analgesic treatment. There is a demand in the elderly to limit immobilization time as much as possible, as some live alone and need to be self-sufficient and others have dependents. It would be good to know if it is really necessary to make an immobilization in these patients undergoing this type of surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| group I (no immobilization) | Experimental | patients will be allowed to freely use their arm without any immobilization after surgery |
|
| group II (3-week immobilization) | Active Comparator | patients will be kept in an immobilization device for three weeks after surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| shoulder immovilization sling | Device | immobilization of the arm after surgery |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Pain control (visual analogical scale) | determination of pain control between groups at different time points with the aid of a visual analogical scale of 10 points, where 0 means no pain and 10 means maximum pain. | determination of pain the day of the surgery, and then 24hours, 48hours, 7 days, 3-weeks, 3 months, 6 months, 1 year, 2 years postoperatively. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Carlos Torrens, MD, PhD | Contact | 0034933674201 | 86925@parcdesalutmar.cat |
| Name | Affiliation | Role |
|---|---|---|
| Carlos Torrens, MD, PhD | Chief Clinic of Parc de Salut Mar | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital del Mar | Recruiting | Barcelona | 08003 | Spain |
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| ID | Term |
|---|---|
| D000070656 | Rotator Cuff Tear Arthropathy |
| ID | Term |
|---|---|
| D002805 | Chondrocalcinosis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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Randomized prospective study. (computer-generated randomization list and saved in opaque envelopes)
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outcomes assessor will be blinded to the allocation of the patients
| D000070657 |
| Crystal Arthropathies |